Відео

I had/have still (kind of) WPW. My heart would randomly just race like crazy for like 20 mins and started being very irregular and out of sink towards the last year or so. From being about 12 years of age, but was only diagnosed at 36 years of age. As I got older it became more regular and for longer spells. I had Adenosine and it was awful. Dropped my heart rate to 8 bpm for 10 seconds. Then the consultant just said he didn’t get the answer he wanted and walked off. My heart would get up to 280 bpm and that wasn’t nice. I did the Valsalva maneuver which I taught myself as a kid. In the end I had 4 pathways ablated. Then 2 years later I thought it was back. But never been told a name for what I have. It the same feeling but the consultant said it different. It’s in my far left upper chamber and can’t be triggered by the electrical pulse they used on WPW. I’ve been on Carvedilol and have very mild attacks and only few a year. Just not sure what I actually have as my condition. Thanks

Great information! Thanks for all that you do.

This is just such good teaching! Well done, y’all!

Solid information, the education for the T1 is never ending!

Great information. I have spoken to him a couple of times and he always has the correct information.

I Like that. Simple and straightforward. Do our job to the best of our ability and be a patient advocate.

Wow this was so good. So quick. Thank you!

When's more coming out?! The animation could just be a drop of blood flowing through the body over and over.

best use of Play-doh ever

No Morphine my friend... Fentanyl if needed. What do you think about Nitric either via NC or ett? I can tell you that a nitro gtts will relieve cp. If your giving massive dosages via SL you will have side effects.

Ali mentioned she has a check list when she gets to bedside. Would she be willing to publish that?

Great episode!

Before you pick up the laryngoscope, use a folded blanket to set up the tragus to sternal notch alignment! Then there’s no need to manipulate the head, instead use your R hand to manipulate the trachea externally via the patient’s anterior neck. Takes time to retain your R hand but it’s worth it. Thank me later 😊✌️

Looks great

Wait, finger thoracostomy on spontaneously breathing patients over say a Russell pneumofix?

You wouldn’t give it in a micro drip infusion?

Getting fight club vibes bro

Just out of curiosity how were is that on my lifepak

Please post a link to the paper from U of Maryland that shows increased efficacy of AP vs. AL pad placement. Great presentation, thanks.

Nice 👍

What is that device? Where can I get one?

Hi, would you mind attaching a link to the free critical care transport class please? I tried to find it online, none of it is free as he mentioned.

Jack, I am totally baffled by this one. How in gods name do you tell that is a WPW let alone a-fib when the rate is so damn fast that the QRS are gonna be so close to each other that you’re not gonna be able to tell if they’re regular or not, even if you marched them out, they’re so darn close at that rate I don’t see how you can do it let alone recognize it. All I see is a wide rapid ventricular rhythm. Now granted the only thing you can do with that is synchronized cardiovert. But just coming to the conclusion of WPW with a fib just totally eludes me again at that rate I don’t see the irregular irregular you’re talking about. Totally Confusing 🫤

Excellent discussion and review.

Exactly my thoughts. Don’t give adenosine to. THIS patient, meaning myself. Once they mentioned that drug, I would say go take five or 10 minutes to read up on diltiazem as an alternative that does not have the horrific side effects

Great info🙏

Excellent!

Pretty accurate

Can I ask if you gave neuromuscular blocking agent before like it is always given??

Tyler, thanks for interviewing Dr. Slishman. I'm a National Ski Patrol 'Outdoor Emergency Care' technician and instructor. We're always trying to improve and simplify the care of our patients, who may or may not be getting a ride in a helicopter. I hadn't heard of the Slishman Traction Splint until I broke my femur skiing in Colorado on April 7, 2017. Patrollers applied the STS to my injured leg, and I became an instant fan! If only they'd followed all of the instructions, it would have worked. They didn't seem to be familiar with the device, and put the groin strap around my waist. The strap wound up slipping up to my ribs as they got me into the toboggan for transport down the mountain, which removed all traction. Knowing what I know, I was able to hold traction on my own leg by pushing down on the head of the splint, which stabilized it for the duration of the sled ride. Thank you, Dr. Slishman!

Okay. This is nice.

Oh snap, the new meta just dropped - time to strike while the iron is hot

Very informative video! Thanks

This needs to make it to Apple Music and Spotify

This needs to make its way to Spotify.

Never heard of Lo-Fi before, but I absolutely dig it.

That's not 3058 is it? Looks like Mark's driving 😅

As a regular Lo-Fi enjoyer. This is sweet. One of y’all doing this on the side now?

The workbook link does not appear to work. Is there a new link that is functional?

Great teaching! Could you give me the name of the microphone on the trainers neck?

Add CV to the list . When I got covid in Jan 2020 I got it bad for 3 weeks and lost 20 lbs! 6 months later I tried to give blood and they say my pulse was too slow , below 60 . Went heart doc. Bradycardia.

Like to see more of such discussions

I'm 21 and worried abt this

Love it. Great to see you Brian!

It was a pleasure to take part in this episode! Thank you for having me @FOAMfratStudios

Absolutely incredible.

Love it! Would like to see more of these!

Cool!! What will these animations be used for?

I thought nitro vasodialates the arteries potentially increasing blood flow to the effected area? When I was in school, we were taught the acronym MONA -- Morphine Oxygen Nitro Aspirin. Now, giving morphine is bad to a person with chest pain, nitro is of no use now too?