It can only be used if the patient is spontaneously breathing, also, if there's bronchospasm it will only increase the turbulent flow. It's regularly used for oxygenation problems not for ventilation, except if the patient has it prescribed to blow out CO2 at the end of the day, but no bronchospasm present, otherwise intubate.
just curious as to why aspirin adm for chf @ 17:03 mark? Doing some research online, per Journal of American Cardiology: Arguments against the routine use of aspirin are that many CHF patients do not have underlying coronary disease, and that the benefit of aspirin lessens after the first 6 to 12 months after infarction. Also, several analyses suggest that aspirin may actually worsen outcomes in CHF patients, possibly because it inhibits prostaglandins, with resulting adverse hemodynamic and renal effects.Two recent prospective randomized studies have found that aspirin is associated with more frequent hospitalizations for worsening heart failure, although it did not have an adverse effect on vascular events. These results suggest that aspirin should not be routinely used in CHF patients and be avoided in those with refractory CHF, but that it may be beneficial in patients with recent infarction or multiple vascular risk factors.
So the lady collapsed at approx 3:05 and all of a sudden "Jim Farmer" is sitting in the back of the ambulance giving us a lecture! HEY JIM, why dont you get your a** out there and help them?? Im sure there will be time later to give your lecture!!
No you are correct, if it is a training video you would think they would at least know the correct terminology. If they are feeding us the wrong terminology what else is wrong in this video that we don't know any better?
True...I had very much difficulty focusing on what the guys was saying when he mentioned the "pharnyx" instead of the pharynx, really guys? All the production effort you made and couldn't get someone (or teach whoever is presenting) who knew the correct names of anatomical structures? Lesson the acidosis? Spelling anyone?...that'll teach it! :D
haha, The lady said she had ZERO past medical history then revealed she takes Dilantin for seizures. I know it's a training video, I just found it amusing. Since it is a training video you would think they would have the correct terminology, wtf is stating? Is this a knew term for coding?
Dr. Tan is annoying and pandering. He sounds like he’s reading a fairy tale to his kids at bed time. And what’s with the the balloons? That’s what you get when you get someone from AMR.
I like how she said "were gonna get you a twelve lead" like the patient is supposed to know what that is
uh duh all pt's are side kicks and can read minds
Your vids are the best I've found to help me calmly prep for Psychomotor. Thank you, Mr. Farmer.
Fyvggaqwh f3ev two y ysvxfxyecx yxv ysvx5ve two ysv
Great presentation!
I live in Denver, 5280 feet elevation. Those pulse ox percentages do not apply here. 90% is what we try to titrate to in the city.
Thanks for this
thank you sir, this video is very useful
''ROBERT".... LOL
shorness of breath - use the acrynm HORID. heart, obstructive, reactive, infection, distributive. problems with pulmonary issues
Nice sheriff badge.
I'm surprised CPAP wasn't mentioned to treat some of these respiratory problems.
It can only be used if the patient is spontaneously breathing, also, if there's bronchospasm it will only increase the turbulent flow. It's regularly used for oxygenation problems not for ventilation, except if the patient has it prescribed to blow out CO2 at the end of the day, but no bronchospasm present, otherwise intubate.
Pharynx is pronounced "phar -inks" Not "phar-nix"
Cool, thanks! 14:50 on was most useful for me. (No Atrovent for COPD?)
Albuterol is the drug of choice, it kicks in almost immediately...Atrovent is a maintenance drug, slow acting, lasting longer.
just curious as to why aspirin adm for chf @ 17:03 mark? Doing some research online, per Journal of American Cardiology: Arguments against the routine use of aspirin are that many CHF patients do not have underlying coronary disease, and that the benefit of aspirin lessens after the first 6 to 12 months after infarction. Also, several analyses suggest that aspirin may actually worsen outcomes in CHF patients, possibly because it inhibits prostaglandins, with resulting adverse hemodynamic and renal effects.Two recent prospective randomized studies have found that aspirin is associated with more frequent hospitalizations for worsening heart failure, although it did not have an adverse effect on vascular events. These results suggest that aspirin should not be routinely used in CHF patients and be avoided in those with refractory CHF, but that it may be beneficial in patients with recent infarction or multiple vascular risk factors.
otherwise, very informative video
So the lady collapsed at approx 3:05 and all of a sudden "Jim Farmer" is sitting in the back of the ambulance giving us a lecture! HEY JIM, why dont you get your a** out there and help them?? Im sure there will be time later to give your lecture!!
Gahhhh I hate being "that guy" but I can't stand it when people say the pt. it "statting" at 96%. It's SATING as in O2 SATuration. Stupid pet peeve.
No you are correct, if it is a training video you would think they would at least know the correct terminology. If they are feeding us the wrong terminology what else is wrong in this video that we don't know any better?
True...I had very much difficulty focusing on what the guys was saying when he mentioned the "pharnyx" instead of the pharynx, really guys? All the production effort you made and couldn't get someone (or teach whoever is presenting) who knew the correct names of anatomical structures?
Lesson the acidosis? Spelling anyone?...that'll teach it! :D
lung sounds? anybody?..otherwise this video is awesome, thanks!
pharnix??? bro come on. you are supposed to be an instructor. no one caught this?
Lmao, this has irritated me for so long. So many people say pharny-nx.
what im I watching
haha, The lady said she had ZERO past medical history then revealed she takes Dilantin for seizures. I know it's a training video, I just found it amusing. Since it is a training video you would think they would have the correct terminology, wtf is stating? Is this a knew term for coding?
I quit listening when she said stating
I'm sorry, but no gloves.
Dr. Tan is annoying and pandering. He sounds like he’s reading a fairy tale to his kids at bed time. And what’s with the the balloons? That’s what you get when you get someone from AMR.
More like GAY-M-R