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116 Education
Приєднався 27 жов 2018
Recognizing and Reporting Child Abuse
Presented by Meghan Richardson, NP
10-13-20
Information on how to identify child abuse and the proper way to report incidents as part of an emergency response service.
10-13-20
Information on how to identify child abuse and the proper way to report incidents as part of an emergency response service.
Переглядів: 103
Відео
Can you spot a STEMI?
Переглядів 4103 роки тому
In this video, Dr. Desai shows how to spot a STEMI and what indicators to look for in the EKG strip. Several examples are used in this training. For those looking for one (1) hour CE credit, contact Clinical Education for the test/certification.
Rise of Resilience
Переглядів 1224 роки тому
Brenda McBride discusses mental resilience during the Covid 19 pandemic
3M Respirators Don/Doff Tips for Covid 19
Переглядів 119 тис.4 роки тому
This is a short discussing some tips on donning/doffing the 3M respirators. There are 3 slides with some summary points at the very end so be sure to watch the whole video!
EKG Changes in Hyperkalemia and Treatments
Переглядів 2244 роки тому
Discussion of changes that occur on EKG with hyperkalemia and treatment approach
How to start an epinephrine drip
Переглядів 9 тис.4 роки тому
This video reviews starting an epinephrine drip. This is mandatory education; there is a followup test on 9th brain that all crewmembers are required to complete. Please leave questions/comments below.
Capnography
Переглядів 3495 років тому
Here is a bootleg copy of the capnography lecture, I will put up a professionally produced high quality version as soon as it is completed. If you have comments/questions, please leave below, and I will answer. Thank you!
Housekeeping the vent
Переглядів 935 років тому
Brief video on how to take apart, clean, and put vent back together
Sepsis, Vasopressors, and Shock
Переглядів 1,2 тис.5 років тому
Review of sepsis protocol, vasopressors, and the different kinds of shock. Sorry for the delay in getting this up, but it was getting polished up....let me know what you think!
Sepsis protocol introduction
Переглядів 1815 років тому
This is a brief explanation of a new protocol to identify sepsis.
Norepinephrine
Переглядів 8595 років тому
This video shows how to setup and use a norepinephrine drip. A few corrections for misspoken terms in the video: yes, it is an ampule, not a vial; norepinephrine comes 4mg/4ml, not 4mg/ml.
Followup on Improving Intubation Success
Переглядів 965 років тому
Followup on Improving Intubation Success
Is it possible to repost your Hamilton videos
good review concise
Outstanding "free" accessible updated information.
i understand this was posted several years ago but i would love a copy of that dosing chart for my truck
This is great and keeps it simple for those who tend to struggle with math!
Thank u so much!
Hasn’t it been found that low dose Epi drips (around 2mcg) can actually cause hypotension by acting on the beta receptors vs the alpha?
Haven't heard that personally but I'm intrigued now.... Going to research that now
Why use the 60drip set? Much easier to control drip rate with the 10 or 20. Seems hard to control 4dps vs 5dps. With a 10set 5mcg/min would be 50dpm and 4 would be 40dpm. Am I missing something?
Excellent suggestion!
I purchased a 3M face shield to keep my mask and filters cleaner.
Which filter is suitable for protection against covid19
At least N95, P95, P100 are recommended
Thank you for this. Stay safe as well.
Thanks, you too!
hello! what filter is recommended to be used for hospital settings? is 7093C p100 filter okay?
A P100 is good - better than N95 or P95.
Thank you very much for your illustration. I'd like to know after how long should we exchange the filters ?!
Can you use the mask everyday or you need to air dry it for 48 to 72 hrs before reusing
For disinfection after u use; Why not start on the strap? Before the mask.. Use another disinfectant for the inside..
Which particular filter will I buy to protect me from covid 19. I’m working in the frontlines and dealing with sick patients. I would appreciate it a lot if you would let me know. Thanks a lot.
I purchased the 3M disc filters on Amazon. Particulate Filter 2091, P100 or 3M 7093 Particulate Filter, P100 are still available. Good luck!
N95, P95, or P100 would be good.
Why not just dive the mask Into water with soap for a couple of hours?
That is a great way to clean the mask, but may not necessarily disinfect it. There are instructions for soaking in a diluted bleach solution for disinfection, but this is not very practical in a clinical setting use.
Better go for a full face respirator
Can we wash our mask with water and soap after removing filter?
Soap and water is great to simply clean dirt/residue off, but it may not necessarily disinfect the mask.
Will P100 filters with this respirator protect from Coronavirus
yes
Hi Doc. What is the model number for the respirator you are demonstrating. Can you also suggest the model number for the filters that go with this mask. This mask will be used by a newly minted RT in a covid ICU. How do you suggest sizing these as most are available for online purchase only. Thanks
This is the 3M 6200 respirator. I wear a size medium, which seems to fit a majority of people. I would recommend at least a P95 or P100 filter. 3M has multiple different types of filters that meet P95 or P100 filtration - whichever you are able to get your hands on would be good.
Thank you so much dr. For the video, I am a front line health care provider, I have two questions: 1- do these kind of masks need fit testing before use or how can I know the perfect size for me? 2- I what is the right filter to use with these to protect from the Covid 19 virus, Thank you .
Yes - fit testing is a must - ua-cam.com/video/fLPInrmBnpQ/v-deo.html; this video shows how to do a fit test with the mask. You should use at least a P95 or P100 filter.
Do we need to change the filter cartridge every day and reuse after 3 days as in N 95 masks
No, I don’t have an exact value in hours, but usually they last up to six months before you have to change
@@vallybaskar oho 🤔
Do the yellow coloured 6003 model cartridges that are rated to work against organic gases also work against viruses?
No - you would have to add a particle filter pad to it.
Sir sirf education se kha hoga...3 months se khoj raha hu. Market mein milta he nahi hai
Hi contact 3m dealers. There's one in Chennai.9840400236. his name is mahesh.
excellent video. only thing I would add is to wear a simple mask on top of the exhaust valve..you cannot assume you are not infected and go about breathing on others..not fair ! Also is only wiping enough or as the 3M site says, does one have to wash it ..and wiping is only an interim measure?
You are correct - if there is concern the wearer has infection, this is does not protect others. There should be a provider screening in place to prevent this. Soaking/washing with soap and water cleans dust/dirt/residue, but disinfection with a disinfectant product is still recommended.
so do you wipe as an interim cleaning method and then once in a few days wash with soap and water and disinfect properly?
The wipe is a disinfectant wipe that actually disinfects the mask. Soap and water are better for general cleaning of dirt/dust/residue, but not disinfection
what cartridge do you guys recommend with these masks?
filter 3M 2091
Are they dedicated health respirators or are they industrial pollution respirators ? In a covid situation , how do you disinfect the outsides and the exposed areas So many irregular surfaces Wuhan virus can hide inside them. These may prove more dangerous in the long run
hello doctor , thanks for that good information u gave . i have questions about cleaning the mask , i soaked my mask in water and soap for at least 8 hours , then i washed it with water again and the wiped it to dry then i sprayed alcohol on the external surface and wiped it again . is ma mask damaged? should i not use it anymore??????? please answer ,i don't know what to do !!!
Without looking at your mask, I cannot tell you if it is damaged. It should not be from just water/soap/alcohol. Be sure fit test is still good.
Thanks for the nice information The distributor of 3M respirator suggested me to keep the mask under sunlight for one hour after use. Is it correct advice. Thank you
I would use an actual disinfectant solution, not just sunlight.
HOW DO U DECIDE WHICH SIZE TO USE ?
Most people fit a medium, you can look at the 3m website for sizing.
Hi Doc! I have a question. My repirator creates a flap/flop sound when i inhale and exhale but i hear it more during exhalation. I think its from the valves but what does this indicate or mean?
This just happened to my mask spontaneously the other day while I was in a room and I was wondering the same thing.
Hali M Do you still hear it until now?
@@rendalnaj123 Yes, I readjusted it but it still makes the sound. I can only assume that the actual filter circles became loosened but I hope that's not the case as I was wearing the mask in a COVID patient's room at the time.
Hali M it’s normal for the mask to do that . Don’t worry . I use 3m 7502 series high performance silicone .nits very comfortable to wear as I use them for 12 hrs shift .
I suspect its likely the exhalation valve. Mine does the same thing
Great video for the layman as well! Got two of these for myself and my partner who is immune-compromised and can't afford to get Covid. May get some weird looks out in public but who cares.
Thank you, stay safe!
Which filter to use along with this mask in dental setup aerosol generating procedures
Shashikiran Prabhu use p100 filters 2097 . It’s protects you 99.97%
At least P95 or P100 if you can get it.
What is the recommendation for P100 filter ? When to change
rahul karwa once per month
@@walterestrada9523 thanks
Thanks for the very clear instructions. Would it make sense to wear a FFP1 mask over the respirator mask so as to reduce its contamination? Disinfection of course is to be done irrespective. Your suggestions please!?
You could, but might not fit very well over the respirator.
5:30 Though it is certainly a best practice, respirator wearers don't really need to be completely clean shaven. Example 1: Hitler's mustache looked so stupid so he could wear a gas mask. But it would be *quite the fashion faux pas* today; not recommended. Example 2: One might also wear a small "soul patch," though in my estimation, no one should under any circumstances anyway. (I wear a 6001 with additional HEPA filters before the main cartridge stage, but after the dust filters; they snap under the plastic retainers with the dust filters. That layer alone is as effective as an N95, and lasts longer because you're not exhaling through it.)
I have 3M 6003 series vapor mask. Can I use that against covid 19
Not from what I can tell - you need particulate filtration, not vapor filtration. You can get a P95 filter pad that goes over the vapor cartridge.
I have similar mask P100, can you please let me know how long these filters last.
3M recs change when you notice it is becoming more difficult to breathe through the filters. That suggests they are congested with particle matter.
Hi doc! When do we change the filters? How many months after the first use? Thanks!
It's unclear how many months it will last, so as long as you experience difficulty in breathing that's the sign that filter needs to be replaced.
3M recs change when you notice it is becoming more difficult to breathe through the filters. That suggests they are congested with particle matter.
Can anyone give me simple answer on which filter to use? I would prefer to just use a screw on filter, not a cartridge with the replaceable filter.
N95. N99. N100. P95. P99. P100.
3M 2091. Or 7093.
Hi Doc. What is the model number for the respirator you are demonstrating. Can you also suggest the model number for the filters that go with this mask. This mask will be used by a newly minted RT in a covid ICU. How do you suggest sizing these as most are available for online purchase only. Thanks
Can i just use a UV sterilizer instead ???
That may be acceptable - I cannot comment on efficacy.
How long can we wear the mask doc? Since wearing it seems like so difficult. Feels like we are breathing our own breath, more CO2 i guess..it gives me headache...
ex-hail port......
It is different for every individual - some people can wear for extended time without difficulty, others have trouble. Do what is comfortable for you.
Thank you good informative talk
Glad it was helpful!
Can you wear the mask without the Cartilage in Hospital setting?
That would be pointless. Without a cartridge or filter you are just breathing air unprotected.
Both replies are correct
How about if after sanitizing, I put all the item including filter(P100) to UV sterilizer box, is that OK??
There is studies that suggest UV sterilization works - I cannot comment on the efficacy, i have not used it.
Hello, 3M recommends cleaning warm water not exceeding 49° Celcius and optionally with detergent containing no lanolin, solvents or oils, as not to damage the thermoplastic layers, but i do not know if they mean certain oils or all oils and have no detergent as example to base my choices from? Many "Pure" dish washing soap without parfum, coloring and other ingredients (including glycerin...), do list anionic, nonionic and amphoteric surfactants on their ingredient's, but often do not specifically list what chemicals or oils the surfactants are, would it be a bad idea to clean 3M's 6500 and 7500 series with such? Oh, about the wipe, if it contains alcohol (eg, 70% isopropyl), know that you will damage the mask over time, quite a bit more quickly then using water and diluted sodium hypoclorite (3M does not warn enough, but watch out Very Very much for the Chlorine vapor when using that stuff), according to 3M, those wipes do work though if you really really need them, but make sure the surface is already clean or else the alcohol will not be to do its work effectively (also make sure to leave the alcohol for at least a minute). If you are using 3M 504 wipes, these are not meant for disinfecting your mask, but for cleaning, to remove perspiration and dirt, so it stays nice. The 3M 105 is for disinfecting, 3M says it should not damage the masks, but their product page does not specify What is in the wipes, like you are using some unknown chemical (that you might be allergic to or not be effective at all against covid-19?) that some guys with nice eyes tell you works... I found this PDF though: cdn-s1.lyreco.com/staticswebshop/sds/ENDA/SDS_ENSC_8109349_2014-09-30.pdf It lists the ingredients should be 85-95% water and 15-5% isopropyl, which obviously is enough not to damage the masks, but too little to do anything to SARS-CoV-2. A spray bottle of 70% isopropyl and a few paper towels looks more effective and cost effective to me than those expensive wipes from 3M, but again, compared to the recommended cleanup with diluted sodium hypochlorite, you will damage your mask faster, though when desinfecting using diluted sodium hypoclorite, you do want to very much watch out for the chlorine vapor. In case it might be useful, here is a actively updated PDF from 3M with instructions for cleanup for use against SARS-CoV-2: multimedia.3m.com/mws/media/1793959O/cleaning-and-disinfecting-3m-reusable-respirators-following-potential-exposure-to-coronaviruses.pdf
Thanks a lot.
Can I disinfect by keeping it in UV cabinet. Your comment on that
If your mask uses polypropylene and your UV bulbs generates ozone, you can damage the thermoplastic, as ozone degrades polypropylene, it might also damage the filter of a paper mask, including the rubber that holds it on your face.
If you are using the paper ones (n95,n100,p100, etc), these are meant for 1 time use and disposing after use. Cleaning these with water, alcohol, etc will damage the filter capability of these masks, as the entire mask is basically a filter. Reusing these paper masks is akin to reusing a filter, which means over time the filter effectiveness will lower, making it a risk. If you want to reuse these, putting it in a oven at 70°C for 30 Minutes is safer and easier than your UV solution: www.reddit.com/r/COVID19/comments/fo0rpe/stanford_researchers_confirm_n95_masks_can_be/ Otherwise, another way would be to keep the mask in a dry clean place for at least 10 days, then rotate masks. www.journalofhospitalinfection.com/article/S0195-6701(20)30046-3/fulltext If you want to reuse masks, just get a mask like the 3M 6000 series the guy in the video uses, or better yet, the 3M 6500 series or 7500 series (best), these are more comfortable as they use silicone and thermoplastic, make make sure to choose the exact right size for your face though, or else you will not get a proper seal. Combine with P3 (Europe) or P100 (America) filters (like the cardridges), you will have a much better time and the mask is more comfy too.