Відео

@sheema ---thank you for your donation , f💕inancial support from channel members like u help us in running it free - - in editing videos, payments to other vendors and billers. Moreover, we can create a website where journals and books can be made available . 🌹 🙏📚💰

@pradeep ...thank you for your donation , f💕inancial support from channel members like u help us in running it free - - in editing videos, payments to other vendors and billers. Moreover, we can create a website where journals and books can be made available . 🌹 🙏📚💰

@sabba...yes,every 2 months we conduct journal clubs There are 2 more uploaded Thank you

@Haywire91.. u hv to subtract bcz that wl give the true Na value,when there is hyperglycemia water is drwan into blood thereby lowering the sodium

@@kamaldalmia6085 excellent!🤩

@drpuma welcome to yi2,thank u for kind words♥️ The excellence emanates from the background🙏

Yes Rohit

My younger brother injury to burn​@@youngindiaintensivist7709

Please state clearly what help u want

Safdarjung hospital m burn and plastic surgery ki treatment ka process kya h ye puchna thaa sir..?​@@youngindiaintensivist7709

@ROHIT -- IF SUFFERING FROM ACUTE BURNS THEN HE HAS TO GO TO EMERGENCY IF NEEDS RECONSTRUCTIVE SURGERY HE HAS TO GO TO PLASTIC / RECONSTRUCTIVE SURGERY OPD BEST WISHES FOR RECOVERY , GOD BLESS

@rafik - u can take him to the emergency and he wl be seen by unit on call and if possible they may admit him since beds are mostly full// alternatively u can take her appt and show in opd if he can go to opd --hope this helps--best wishes

An adult patient capable of taking healthcare decisions may refuse LST even if it results in death 2. LST may be withheld or withdrawn lawfully under certain conditions from persons who no longer retain decision-making capacity, based on the fundamental right to Autonomy, Privacy and Dignity 3. AMD that meets specified requirements is a legally valid document 4. For a patient without capacity, FLST proposals should be made by consensus among a group of at least 3 physicians who form the Primary Medical Board (PMB) 5. The PMB must explain the illness, the medical treatment available, alternative forms of treatment, and the consequences of remaining treated and untreated to fully inform the surrogate 6. A Secondary Medical Board (SMB) of 3 physicians with one appointee by the Chief Medical Officer (CMO) of the district must validate the decision by the PMB 7. Active Euthanasia is not lawful u cannot remove the vent without the legal/admin process pl se post also

ALL ARE UPLOADED

,@bhavin.. u r right ...slip of tongue...thanks for pointing out

@dhoomachale6810 - this is a non profit free channel with no earnings ,as you can see there is no source of earnings. in fact i put in from my own pocket and rely on donations and request you the same I BELIEVE AND PROMOTE FOAMed for our student community

it v good if interested ,however its less concept based and more knowledge based loaded with facts, there is less competition

Yes, cerebrospinal fluid (CSF) lactate can be a reliable marker to monitor the response to treatment in bacterial meningitis and may even be superior to CSF glucose in certain scenarios.: as glu has limitations in dm/ sampling etc, slow response Advantages of CSF Lactate: Marker of Infection Severity: Elevated CSF lactate (>4 mmol/L) strongly suggests bacterial meningitis. It is less influenced by systemic factors like blood glucose levels compared to CSF glucose. Lactate increases in response to bacterial metabolism, local tissue hypoxia, and inflammation, making it a sensitive marker for bacterial infection. Faster Normalization: CSF lactate tends to normalize within 2-4 days of effective antibiotic treatment, reflecting rapid control of infection. This provides a clearer and more immediate indication of therapeutic success compared to CSF glucose. Utility in Special Populations: In conditions where CSF glucose interpretation may be challenging (e.g., diabetics or individuals with impaired glucose metabolism), CSF lactate offers a more reliable alternative. HOWEVER DX SHOULD BE CLEAR OF ABM AS CSF LACTATE CAN RISE BCZ OF OTHER REASONS AND ALL LABS DO NOT MEASURE IT

@youngindiaintensivist7709 thank you so much sir for your time Also in case of surgical meningitis where cellularity and protein etc may change due to disruptive effects of surgery ..lactate can have better specificity..

Pl write q clearly

@anwar,,, HLH-94 Protocol (most commonly used): 1Initial Immunosuppressive and Cytotoxic Therapy Etoposide: Key agent to suppress overactive immune cells. Dexamethasone: High-dose steroid to reduce inflammation. Cyclosporine A (CSA): Added in some cases to control T-cell activation. Intrathecal therapy (methotrexate) may be needed if there is CNS involvement. 2. Treat the Underlying Trigger 3 bmt in some

Ketamine is ok for icp if patient is sedated And BP rises with iv bolus for a short time and that too not in all

In suprer refractory status it has become a widely used and effective drug

u asked a good q, i hv posred detailed answer ..pl see in post

@ well honestly, we have ended up using ISOflurane to control this kind of situation with ofcourse ENTROPY monitoring… but never used ketamine for the haemodynamic issues…. Also with all due respect to sir, Propofol used clinical doses will not cause Prof infusion syndromes… do add a comment on DEXMEDITOMODINE, i have had excellent results so far

@Me.doctor_j sorry missed ur q hence the late response Dexmedetomidine is a valuable sedative in the neurocritical care setting, particularly for TBI patients. Its ability to provide light sedation thus allowing earlier examination ,, manage agitation and thus less delirium ,and mitigating autonomic dysregulation, also maintain respiratory function makes it an excellent choice.

ARBs are not routinely recommended during AKI due to the risk of worsening renal function. However, in select clinical scenarios (e.g., mild AKI with a compelling indication like heart failure or acute on CKD), they may be cautiously used with close monitoring of renal function and k There is no real compelling situation except low ef

@anwar,, Kindly search in our channel & go through the video on c/s

yes, but not in pts with hx of af, as ivabrad use can cause af at times. also monitor for brady. it is being used. levosimendan is an option ,does not increase hr// sorry late reply..i had posted it earlier somehow missed

Bcz of sirs/trauma induced coagulopathy

@youngindiaintensivist7709 how long tranexemic acid is used I mean duration and frequency of tranexa in trauma sir???

@ranjith,,,,Given 1 gm stat over 10 min and then 1gm over 8h as early as possible ,further doses can be given if TEG shows hyperfibrinolysis as Txa is antifibrinolytic -,usually not given

@@youngindiaintensivist7709 and tranexa is it contraindicated in ihd previous stroke , dvt patients sir?

@ranjithkumar-rm8zw if pt is ongoing thrombosis at some site then u would like to not give it.These are relative c/i .Absolute ci is urethral bleed as it can cause clot formation and urinary obtn