I have huge respect for the teaching doctor, he never puts down his interns or residents otherwise this toxic culture of humiliation of juniors by seniors is rampant. I have no idea what satisfaction they get by insulting the new doctors infront of everyone.
Never focussed on any lecture in my class even for 2 mintues, but listened the whole lecture without blinking an eye. May u be blessed with more skills 👌
In the whole case discussion, I only saw an interaction between the Doctor and His juniors but not Authority. That's how a Good teacher will be. A Good teacher wouldn't thump his Authority on his Juniors Rather will Enlighten them with the knowledge and Charm which is clearly visible in the video. Great job to the whole team.
What I like the most is that Dr Gireesh Sir also focuses on Management and tells practically how to proceed with the case in Emergency Department That's so helpful in actually treating the case 🙏
It was very use full to us sir.,i learned more about AF with a help of your teaching..thank you Dr.Gireesh for giving an idea to deal patient with atrial fibrillation.
Excellent work . I love to watch all these case presentation.... during my MBBS in 1997 ...teachers used to shout very much and we could not rewind or dare to ask teacher....if we had any querry... Thanks 👍
Very well presented case. But requested to show the imaging tests as well as the dosages and adverse effects of medications along with the case presented🙏
excellent case diacussion and a good learning purpose for fresher. The case diacussion is very nice & make a diff.diagnosis in emg. department with rapidly & correctly handling the cases.
To add some points....this pt seems to be a case of HFpEF with Afib...acutely if he is in pulmonary edema with Afib, then why not going for DC? And BetaBlockers are usually avoided in acute HF acc to literature....So here amiodarone would be better choice to control rthym and also rate??...Also better to avoid verapamil or diltiazim as pt having signs of right heart failure also evident by pedal edema...kindly correct me if im wrong respected Sir..thanx
Thaks alot for this amazing video I have a question please, In the same senario, If my patient has a low saturation level and not improved by face make ... which is the next step BiPAP or non rebrether face mask ?
Hello sir, As always Great lecture sir. what will be anti arrythmatic of choice in Rheumatic heart d/s presented to ER with Acute CVA with hemiparesis and Atrial fibrillation with normal or low BP.
Sir, on discharging pt which one better drug choice for this type of cases ... Beta Blockers or Calcium Chanels blocker for Maintaining Heart Rate..... Warf and Diuretic and antiplates already continue..
.Dr. Greesh, one 92 years male patient having hiccups from past 2 days, he is non diabetic and he is hypertensive, he had acute pneumonia last year now I feel little bit gurgling sound, can you please suggest me what treatment can be given in this case? Regards
Hello Respected Girish sir Based on pt detailed History & physical Examination we have considered as Acute CHF with AF. Sir Can we give Rx Digoxin for the management AF as in this case..???
Dr Gireesh ,this is marvellous way of teaching , students feel confident , idea is to teach them not to harass very good
Sir why tab.ccbs is not described instead of.betablocker./ CTZ /Torsemide in place of lasix in. Follow upsir.
I have huge respect for the teaching doctor, he never puts down his interns or residents otherwise this toxic culture of humiliation of juniors by seniors is rampant. I have no idea what satisfaction they get by insulting the new doctors infront of everyone.
Small duum syndrome of the great brown
Never focussed on any lecture in my class even for 2 mintues, but listened the whole lecture without blinking an eye. May u be blessed with more skills 👌
I have learned more today than I learned in my hometown hospital's emergency department
Thank you so much!! Well done
Keep it up❤️
I wish I have mentor like dr Gireesh appreciate this effort
Sir is living legend
What a kind and gentle man , always grateful for your time and effort.😌
In the whole case discussion, I only saw an interaction between the Doctor and His juniors but not Authority. That's how a Good teacher will be. A Good teacher wouldn't thump his Authority on his Juniors Rather will Enlighten them with the knowledge and Charm which is clearly visible in the video. Great job to the whole team.
What I like the most is that Dr Gireesh Sir also focuses on Management and tells practically how to proceed with the case in Emergency Department
That's so helpful in actually treating the case 🙏
It was very use full to us sir.,i learned more about AF with a help of your teaching..thank you Dr.Gireesh for giving an idea to deal patient with atrial fibrillation.
Excellent work .
I love to watch all these case presentation.... during my MBBS in 1997 ...teachers used to shout very much and we could not rewind or dare to ask teacher....if we had any querry... Thanks 👍
Watching from the Philippines. This is the best learning method for doctors online. Keep up the good work!!
best way of teaching with coolness. I love your case discussion nicely.
Nice teaching style sir 🙏 thanks to You and your team for giving us clinical scenario......
Dr gireesh sir...
Is excellent mentor...i have ever seen..
So beautiful 🤩 Thank you thank you for all the work you do for the community ✨💫
Awesome teaching sir! Took me back to my pg/ug days👍
Excellent sir. Great respect from Pakistan
Very well presented case. But requested to show the imaging tests as well as the dosages and adverse effects of medications along with the case presented🙏
excellent case diacussion and a good learning purpose for fresher.
The case diacussion is very nice & make a diff.diagnosis in emg. department with rapidly & correctly handling the cases.
Amazing discussion,, thank you to all the team members,,
Great job sir.Thank you very very much.God Bless You.
Always love the way you teach medicine sir
These students are lucky to have a kind intelligent teacher.
Yess evryone here learned alot.. Thanks sir... Continue it
V well explained. Thanks to the entire team!! 🙏🏻🙏🏻🙏🏻
Excellent way of teaching sir 👏 keep up the good work 👏
excellent way of presentation and very helpful ,Sir
Love u sir...the way u presented the scenario is superb...
Amazing session 👌. Great Teacher and docs.
Very nice.Extremely educational.
Thankyou very much..these videos are very helpful... 🎉👏👏🙏🙏
Thank you so much Dr gireesh sir 🙏🏻💐
To add some points....this pt seems to be a case of HFpEF with Afib...acutely if he is in pulmonary edema with Afib, then why not going for DC? And BetaBlockers are usually avoided in acute HF acc to literature....So here amiodarone would be better choice to control rthym and also rate??...Also better to avoid verapamil or diltiazim as pt having signs of right heart failure also evident by pedal edema...kindly correct me if im wrong respected Sir..thanx
Please can you make a video on case discussion of vulvular heart diseases.. And these videos are so helpful
Already available please check
Hat's off Dr. Gireesh... Thanks for the information, it was very useful...
Omg . I m impressed both by teacher and student .❤
Excellent discussion.. thanks to both doctors..
Thank you very much sir for doing a very good job 👏🏼
Thaks alot for this amazing video
I have a question please,
In the same senario, If my patient has a low saturation level and not improved by face make ... which is the next step BiPAP or non rebrether face mask ?
Thank you team🙏🏻🙇♂️
Sir please add subtitle for each video we are watching from Nepal
You have said a lot of detail thank you Sir
There's already pulmonary edema, wouldn't it be risky to give B-blockers in such setting?!!!
Marvelous teaching as usual Sir
Beautiful session thankyou aetcm team!
Tx.. It's really helpful video...
You are doing great job ❤️❤️❤️🙏🙏
Very supportive mentor.
What if the screening echo shows RWMA. Can we give beta blockers??
With failure associated no Beta blocker
@@AETCMEmergencyMedicine cant pupmonary edema considered as failure?
If ECHO shows New RWMA ,then more likely ACS and SOB more likely LV Failure. So BB is not indicated in acute LV Failure
Patient is unstable with high BP and signs of heart failure. Isn’t cardioversion ideal treatment?
Hello sir, As always Great lecture sir. what will be anti arrythmatic of choice in Rheumatic heart d/s presented to ER with Acute CVA with hemiparesis and Atrial fibrillation with normal or low BP.
Beta blocker / Amio
@@AETCMEmergencyMedicine Thanks sir
Perfectly presented but honestly speaking, in an emergency setting, do you really run through a detailed history taking session?
This is for academic purpose
This video is great....
Sir please decrease the monitor sound it disturb our concentration
Plz do about laboratory normal values exactly, 🙏🙏🙏🙏plzzzz sir, we have some confusion
Nice discussion and good learning 👌
Why can't we treat the patient be given Lasix and digoxin with bipap ?
Since the patient has failure
Nice presentation
Literally great sir
Thank you sir.... really helpful video 😃🙏
Wonderful
Sir Giresh,please mention the dosage of medications as well?
I canr understand whats the problem in giving Amiodarone to this pt.
I like all case discussion 👍👍🙏
Superb teaching dr 🙌
God bless you Sir
Good
Best channel sir AED pr lecture lelo pls
You are gem sir ❤️
Thank you sir 🙏
WHY ABG was not sent in this scenario
Sir, on discharging pt which one better drug choice for this type of cases ... Beta Blockers or Calcium Chanels blocker for Maintaining Heart Rate.....
Warf and Diuretic and antiplates already continue..
.Dr. Greesh, one 92 years male patient having hiccups from past 2 days, he is non diabetic and he is hypertensive, he had acute pneumonia last year now I feel little bit gurgling sound, can you please suggest me what treatment can be given in this case?
Regards
Please email to aetcmacademy@gmail.com with your qualification details
Thank you so much sir..
Thank you sir
Helpful video sir
Sir why did you not recommend giving amiodarone bolus on diagnosis of af on ecg and instead choose to stabilise rate with beta blocker?
Sir, since clinically there’s heart failure, could DC cardioversion be done to reduce the rate instead of metoprolol?
Sir, it is requested to show the ecg X-ray and echo along with case you are presenting🙏
Dr Gireesh Sir 🙏
Hello Respected Girish sir Based on pt detailed History & physical Examination we have considered as Acute CHF with AF.
Sir Can we give Rx Digoxin for the management AF as in this case..???
Very helpful
perfect
Thanks a lot sir
WOW 😮
Really useful
Thnq sir
I have suffered from recurrent episode of ABPA .3_5 yr.
Can you hilight any casse of this for treatment.
Please
U r best sir
Thaaaaaaaaaaaaaanks
Grt presentation 💙
@@muhammedbilal9355 no🙄
Hello doctor what are the benefit/adverse effects of digoxin in such a case?
Can give in af with failure
Good rate control
@@AETCMEmergencyMedicine the books say that digoxin should be given carefully as it has alot of side effects..why is that
Sir NTG+BETA BLOCKER , THEN WHY NOT LABETALOL
Is there any clubbing, barrel chest what's spot status
Sir... Pt had already tachycardia... At this time NTG increase HR...?
No
Sir please tell dosage too
21:54 what is anti gi?? ...u mentioned here
Ntg
100/100
Thank you
Sir wat if patient comes in shock (AF in failure)
Cardiovert
Lmwh heparin also used in AF patients sir ?
Yes
Hi sir, I have one doubt regarding abt inj. Aldopam infusion related how much ml I want to start in first itself. Can u tell abt this
What's aldopam?
Antidote for poisoning pt