WE NEED MORE resdients guide lectures!!!!! i love how detailed yet succinct this was for a resident level. Often times I find myself bogged down in learning material that I lose focus of whats important or even relevant.
Newer cardiac nurse here... I love seeing the algorithmic break down of the decision making. Sometimes the hospital course and treatment can be confusing from a nurses perspective. Thanks for another great video!
An up to date lecture with practice cases at the end, thumbs up! Time is muscle in AMI. Demand ischemia is very common in daily practice: heart failure, fast heart rate, infection, stress( medical, surgical,physical or mental such as in Takotsubo)etc. For stress testing you do have an option of ETT-myocardial perfusion study.
This was an awesome lecture.. I am amazed by the high quality content, updated, clinically relevant while still touching on basics. I would be happy if you do a similar style video on PE. just from the amount of caveats it has.
Scenario: high risk pt, cardiac pain until proven otherwise (diffuse exertional chest pain with typical radiation forget about tenderness on palpation, about 15% of proven MIs have tenderness on palpations
Yes! I actually go over it in this video: ruclips.net/video/PSeBU6AkhpY/видео.html it’s a term that really shouldn’t be used because it’s very nonspecific and people use it with different meanings which is the reason it’s so confusing. Most of the time it would be akin to the “non-MI troponin elevation” that I go over about halfway in the video though!
When you have a patient with high pretest prob and typical chest pain at rest, no EKG changes, but are still waiting for the troponin, do you just go ahead and start nitrates/beta blocker/aspirin?
Yes I would! If pretest probability is high it is basically always reasonable to start them on anti platelets and anti coagulation. You can always discontinue them the next day if everything continues to be negative, but missing early treatment for MI would be devastating
WE NEED MORE resdients guide lectures!!!!! i love how detailed yet succinct this was for a resident level. Often times I find myself bogged down in learning material that I lose focus of whats important or even relevant.
Thank you for your comment Maaz!!! I will definitely try to get back on track for making Resident's Guide vids :D
Newer cardiac nurse here... I love seeing the algorithmic break down of the decision making. Sometimes the hospital course and treatment can be confusing from a nurses perspective. Thanks for another great video!
This was AMAZING. More of these would be great, like CHF, COPD, etc.
Thank you so much!!! I definitely hope to make some more soon. I really appreciate your comment a lot, it means a lot to me! :)
One of the best lectures I have seen on ACS
The best presentation on this topic for resident level I have ever watched so far!
This guide is great. I like the scenarios at the end that show how the criteria is applied. Thanks
PLEASE make more of these!
This is superb, better than so many lectures out there.
An up to date lecture with practice cases at the end, thumbs up! Time is muscle in AMI. Demand ischemia is very common in daily practice: heart failure, fast heart rate, infection, stress( medical, surgical,physical or mental such as in Takotsubo)etc. For stress testing you do have an option of ETT-myocardial perfusion study.
Thanks mom!! Glad you liked it :)
You're amazing canon. Please please please please make more educational videos system wise
MORE! Thank you, Dr. Suppy
Excellent video!! Very helpful for my upcoming CCU rotation
This is the best video on the subject. Great job!!!
This was an awesome lecture.. I am amazed by the high quality content, updated, clinically relevant while still touching on basics. I would be happy if you do a similar style video on PE. just from the amount of caveats it has.
I have one! It’s on DVT/PE - let me know if you have questions on it :)
And thank you for the nice comment!
This is great! A similar guide for sepsis, COPD, a-fib, stroke would be god-send.
I have one for afib! Will work on the other ones
Absolutely phenomenal!
Thank you!! I really appreciate your kind comment :)
awesome review. keep up the good work and more power!
Thank you so much!
This is outstanding presentation
Great
Correction: aVR elevation is Not specific for left main occlusion
Scenario: high risk pt, cardiac pain until proven otherwise (diffuse exertional chest pain with typical radiation
forget about tenderness on palpation, about 15% of proven MIs have tenderness on palpations
Is there any way you can add a link with the slides? That would be greatly appreciated it and immensly helpful!!
very helpful!
Could you please do a video on indications for pacemaker and ICDs?
Thanks conaanaa! Can you explain what a 'troponin leak' is? I hear that term all the time but don't know what it is. Thanks!
Yes! I actually go over it in this video:
ruclips.net/video/PSeBU6AkhpY/видео.html it’s a term that really shouldn’t be used because it’s very nonspecific and people use it with different meanings which is the reason it’s so confusing. Most of the time it would be akin to the “non-MI troponin elevation” that I go over about halfway in the video though!
Tksss
Does the patient need to be NPO for a dobutamine stress test?
No not that I am aware of!
When you have a patient with high pretest prob and typical chest pain at rest, no EKG changes, but are still waiting for the troponin, do you just go ahead and start nitrates/beta blocker/aspirin?
Yes I would! If pretest probability is high it is basically always reasonable to start them on anti platelets and anti coagulation. You can always discontinue them the next day if everything continues to be negative, but missing early treatment for MI would be devastating
@@ConanLiuMD Thanks for the info! Would that include heparin/lovenox in this case?
liked it
Thank you! :)