Dear Sir thank you very much , although I had studied emergency medicine concepts my understanding was npt good ,so I easily forgot , Im thankful to you & all indian (I hope you are based on the name ) doctors who made medical content in youtube, I wish I knew about these channels before .
Thank you so much sir.My emergency medicine topics were weak but now after seeing your lectures I am feeling confident!!May God bless you sir😇😇😇😇Sir please upload rodenticide poisoning mgmt
Thanks for this informative video, sir. Can you please tell how to treat leg paralysis which is persisting even after severe poisioning happened 3yrs ago.
dear DR. thank you so much for this lecture. i have just one question that i didnt understand, i also looked up on google and still didnt understand, it is how do organophosphate poisoning cause muscle paralysis. if they block acetylcholinesterase enzyme. it means there is plenty of acetylcholine neurotransmitter in the neuromuscular junction to cause continous contraction of the muscle without relaxation. so how does it causes paralysis ?. thanks. hope you reply DR.
Good evening sir ,there is statement regarding the Rx of op poisoning,that give as much as atropine till the pupil full dialte ,can u please explain this in a practical approach ☺️?
Much larger doses of atropine are often needed for OP pesticide poisoning than when atropine is used for other indications. In order to achieve adequate atropinization quickly, a doubling approach typically used, with escalation of doses from 1 mg to 2 mg, 4 mg, 8 mg, 16 mg, and so on. A severe OP pesticide poisoning case has been known to deplete a hospital’s supply of atropine If atropine is unavailable or in limited supply, intravenous glycopyrrolate or diphenhydramine may provide an alternative anticholinergic agent for treating muscarinic toxicity; however, glycopyrrolate does not cross the blood-brain barrier and cannot treat central effects of OP poisoning
I had a test done in asheville for these pesisides and tested 95% exposure of d.d.e in my body fat how you treat that as I've gone in to respartory failure 9 times in 3 years
Thank you. 😊 Gastric lavage should not be used unless two criteria are met: it should be used within an hour of ingestion of the poison, and the amount of toxin should be substantial. It is believed that if the patients come too late, the stomach contents may have passed into the small bowel and gastric lavage would not be expected to retrieve such material. In addition, gastric lavage may push the gastric contents beyond the pylorus, which enhances the Absorption. Please check my video on general management of unknown poison.
what happens to a person if they did not receive treatment after 24 hours. e.g. the initial symptoms were moderate and did not receive hospital treatment. what symptoms would they have after years , and is there any imaging that can detect damage to the central nervous system? finally what would be the long term treatment plans for people after years of initial exposure.
In Thailand, my hotel used this insecticide, which, through the ventilation system, permeated into rooms, mine included, exposing me to it overnight. Three days in, no symptoms, but I'm worried about potential long-term effects. Considering it traveled through the ventilation, could the hotel be permanently contaminated, or is it likely that residue levels are too low to pose a health risk?
Sir, My Name is Sumit Kumar and I want consultation for my friend. Sir, on 07.07.2022 she attempted suicide, drinking insecticide “Dichlorvos 76% EC”, after that she was admitted in ICU for 13 days in Safdarjung Hospital, Delhi. After discharging from hospital her health was decreasing day by day, in the beginning she never felt pain in her feet and hand, but on 25.07.2022 her feet started swelling and she feel tremendous pain in her feet with burning sensation and its was increasing day by day. We run from one hospital to another in an emergency but no one can help us in this. On 03.08.2022 we goes in private hospital where they gave some medicines and prescribed some tests - NCS EMG for both upper and lower limbs and some blood tests. Sir, now more than 46 days past, her pain was reduced somehow, but she is still unable to walk her own and her both thumbs are not working properly. While she has trying to walk with the help of walker her body shivered continuously. She is also unable to move her fingers on both feet. Sir, please help us, we need good guidance in our case🙏🙏
Hello. Did you find a solution for you friend regarding the weakness in legs? I underwent a similar situation since oct last year that left me with weakness in my leg muscles and I've been doing physiotherapy since but seems not to work. Please get in touch
Yes she is now much better and almost recover 90% but her foot still not properly recover. She also go through with physiotherapy several months and still going there. She still feel weakness in her body. @@georgemunuve9332
Dear Sir thank you very much , although I had studied emergency medicine concepts my understanding was npt good ,so I easily forgot , Im thankful to you & all indian (I hope you are based on the name ) doctors who made medical content in youtube, I wish I knew about these channels before .
Can 200 ml carbosulfan or profenofos can cause death
Can you suggest me name of books for emergency medicine . Esp management part.
You make things very simple.... Thankyou...
Thank you very much 😊
Assalamualaikum sir , great videos , watched your videos to summarise topic before my FMT exam❤❤
Thank you so much sir.My emergency medicine topics were weak but now after seeing your lectures I am feeling confident!!May God bless you sir😇😇😇😇Sir please upload rodenticide poisoning mgmt
I am very happy to hear that. Will surely upload. 😊
Sir please suggest names of books of emergency management
Thanks for this informative video, sir. Can you please tell how to treat leg paralysis which is persisting even after severe poisioning happened 3yrs ago.
Amazing ; we need more topics on poisning : co poisning ; calcium Chanel blockers poisning
Antidote for calcium channel is administration of calcium gluconate..
dear DR. thank you so much for this lecture. i have just one question that i didnt understand, i also looked up on google and still didnt understand, it is how do organophosphate poisoning cause muscle paralysis. if they block acetylcholinesterase enzyme. it means there is plenty of acetylcholine neurotransmitter in the neuromuscular junction to cause continous contraction of the muscle without relaxation. so how does it causes paralysis ?. thanks. hope you reply DR.
your videos are really precious to us sir.... plzz keep on doing videos sir.... please do video on ecg.......sir.
Thank you Bhuvana Dadannala. Highly grateful 😊
Good evening sir ,there is statement regarding the Rx of op poisoning,that give as much as atropine till the pupil full dialte ,can u please explain this in a practical approach ☺️?
Much larger doses of atropine are often needed for OP pesticide poisoning than when atropine is used for other indications. In order to achieve adequate atropinization quickly, a doubling approach typically used, with escalation of doses from 1 mg to 2 mg, 4 mg, 8 mg, 16 mg, and so on. A severe OP pesticide poisoning case has been known to deplete a hospital’s supply of atropine
If atropine is unavailable or in limited supply, intravenous glycopyrrolate or diphenhydramine may provide an alternative anticholinergic agent for treating muscarinic toxicity; however, glycopyrrolate does not cross the blood-brain barrier and cannot treat central effects of OP poisoning
@@MedNerdDrWaqasFazal thank you sir ☺️
Thank u so much doc🙏
Need your good openion/ lecture about wheat pill poisoning
Sure, I will post a video on this topic. 😊
Great lecture
Keep it up very helpful
Thanks a lot for making topic clear 😊sir🙏🏻
Thank you sir very useful information
Awesome presentations !
Thanks for sir...for useful information 👍👍
Thank you Zahid Hussain. 😊
Boss your videos are simply perfect ❤
I had a test done in asheville for these pesisides and tested 95% exposure of d.d.e in my body fat how you treat that as I've gone in to respartory failure 9 times in 3 years
Sir i am inspired by your lecture delivered in a very simple langùage.plesse confirm whether pt require Gastric lavage or not
Thank you. 😊
Gastric lavage should not be used unless two criteria are met: it should be used within an hour of ingestion of the poison, and the amount of toxin should be substantial. It is believed that if the patients come too late, the stomach contents may have passed into the small bowel and gastric lavage would not be expected to retrieve such material. In addition, gastric lavage may push the gastric contents beyond the pylorus, which enhances the Absorption. Please check my video on general management of unknown poison.
Awesome 👌
well explained. thanks sir.
Thank u so much for the video sir 🙏
Thank u so much doctor…
what happens to a person if they did not receive treatment after 24 hours. e.g. the initial symptoms were moderate and did not receive hospital treatment.
what symptoms would they have after years , and is there any imaging that can detect damage to the central nervous system?
finally what would be the long term treatment plans for people after years of initial exposure.
Thank you sir its helpful for me 😊
Thank you sir!
Kindly tell about maintenance doses also.
Thank you!
Thank you sir ❤️..
Awesome,👏👏
Amazing job
Thank you, so much 🎉🎉
Thank you sir
Amazing
المنقذ🎉
Interesting way
Pralidoxime dose in paediatric population???
Thank you very much sir 💖
Your smile ❤️
Sir you have not mentioned about atropine maintenance dose ,,,I think it is 10-20%of total atropine given
Thanku sir 💐❤️❤️🙏
Sir i want which procedure and which diagramatic chat we prefered for patient as a nurse
Thankyou sir
In Thailand, my hotel used this insecticide, which, through the ventilation system, permeated into rooms, mine included, exposing me to it overnight. Three days in, no symptoms, but I'm worried about potential long-term effects. Considering it traveled through the ventilation, could the hotel be permanently contaminated, or is it likely that residue levels are too low to pose a health risk?
yes u are safe
Sir,
My Name is Sumit Kumar and I want consultation for my friend.
Sir, on 07.07.2022 she attempted suicide, drinking insecticide “Dichlorvos 76% EC”, after that she was admitted in ICU for 13 days in Safdarjung Hospital, Delhi. After discharging from hospital her health was decreasing day by day, in the beginning she never felt pain in her feet and hand, but on 25.07.2022 her feet started swelling and she feel tremendous pain in her feet with burning sensation and its was increasing day by day. We run from one hospital to another in an emergency but no one can help us in this. On 03.08.2022 we goes in private hospital where they gave some medicines and prescribed some tests - NCS EMG for both upper and lower limbs and some blood tests.
Sir, now more than 46 days past, her pain was reduced somehow, but she is still unable to walk her own and her both thumbs are not working properly. While she has trying to walk with the help of walker her body shivered continuously. She is also unable to move her fingers on both feet.
Sir, please help us, we need good guidance in our case🙏🙏
Hello. Did you find a solution for you friend regarding the weakness in legs?
I underwent a similar situation since oct last year that left me with weakness in my leg muscles and I've been doing physiotherapy since but seems not to work.
Please get in touch
Yes she is now much better and almost recover 90% but her foot still not properly recover. She also go through with physiotherapy several months and still going there. She still feel weakness in her body. @@georgemunuve9332
👍👍👍
@6:58 what's the infusion rate 8 or 80mg/kg?
❤
Sir What happen if serum cholinestrase level is high or low
n gastric lavage
Gastric lavage kr skte h sir ?
When to stop pam
🎉😢😮
Thank you sir
Thank you sir