5 Common Errors in Shock, Amal Mattu, Essentials of Emergency Medicine 2018

Поділитися
Вставка
  • Опубліковано 27 чер 2024
  • Amal Mattu goes through the most classic and common pitfalls when treating shock, from Essentials of Emergency Medicine 2018.
    Grab more great high-yield lectures and watch anytime, anywhere with Essentials On-Demand: bit.ly/2A4qQjG

КОМЕНТАРІ • 58

  • @hufgu
    @hufgu 4 роки тому +30

    Excellent lecture as always! DDX Shock= Septic, spinal,, deHydration/hemorrhage,, Obstructive tamponade, tension Pneumthx, Compartment synd, cardiogenic,, K=endoKrine, anaphylaKtic. Hypotenisve pt--May add pressors (Norepi) if fluids not enough by 30 min. ( mortatlity/infarction increases 5% /hr if hypoTensive). be more liberal with cardioversion/shock. If pressure drops with fluid, think PE. Raising legs is like giving a bolus of 250--to see if fluids need to be given. Calculate shock index,, hr/sbp0.8. DO NOT intubate.

  • @Packman33
    @Packman33 3 роки тому +6

    As a new paramedic this guy is teaching me so much more than any textbook could

  • @thepalettewhispererasmr1227
    @thepalettewhispererasmr1227 4 роки тому +32

    Freaking love this guy

  • @DManC855
    @DManC855 3 роки тому +4

    This gentleman/doctor is SPOT ON when he talks about hypotension and tissue infarction. Every minute a patient is hypotensive tissue is dying and much of this organ injury is completely irreversible. Even if a patient is non-toxic appearing do not let them sit with suboptimal perfusion. Great lecture. His K was a bit of a stretch though haha!

  • @medicwebber3037
    @medicwebber3037 4 роки тому +13

    Sir...... if only I had seen this in the early days of my medic career!! Those HypoK+ strips... I had so many of those in the field. Was taught "prolonged QT with inversion". Even a couple ED docs didn't recognize it. Shaking my head! And fascinating info on the Shock Index!!
    I love this field! I love how there is always more to learn! 23 years in and STILL learning!! Thank you for doing the vids, sir!

  • @ivandr2923
    @ivandr2923 5 років тому +6

    We live 2 parts of our lives in diastole! Genius! I used to have a problem explaining that to surgeons that I have worked with, during the part of my career working in Cardiac Surgery ICU. They just love SBP below 120 mmHg no matter what the MAP value is.

  • @sesevesp831
    @sesevesp831 5 років тому

    Thank you from Italia

  • @marksmadhousemetaphysicalm2938
    @marksmadhousemetaphysicalm2938 3 роки тому +2

    Amazing medical educator...wish more were like Dr. Mattu...

  • @DrSudipBose
    @DrSudipBose 5 років тому +3

    Succinct and packed with great info! Great job!

  • @jolantameizikiene6252
    @jolantameizikiene6252 5 років тому +1

    Simple and clear

  • @ahmedouennahoui7369
    @ahmedouennahoui7369 3 роки тому

    Excellent!

  • @johnmarcmichaelfedele646
    @johnmarcmichaelfedele646 Рік тому

    This stuff is gold!

  • @davantlag2000
    @davantlag2000 3 роки тому

    Genious!

  • @jessicaponce402
    @jessicaponce402 5 років тому +1

    Gracias !

  • @srinivasaraosirasapalli5104
    @srinivasaraosirasapalli5104 4 роки тому

    excellent

  • @EstarMM
    @EstarMM 4 роки тому

    Amazing

  • @anishatolat9094
    @anishatolat9094 4 роки тому +1

    amazing presentation! such useful info for practice. thank you:)

  • @Angelusloco15
    @Angelusloco15 5 років тому +1

    Amazing presentation Sir! Thank you so much for this valuable information!

  • @baha2ali65
    @baha2ali65 5 років тому

    Awsem and great
    Thanks a lot ^^

  • @user-in6bi2wv6o
    @user-in6bi2wv6o 5 років тому +1

    Amal is a great EM physician

  • @amardeepbishnoi226
    @amardeepbishnoi226 3 роки тому

    Thanks. Very helpful and practical

  • @drgadham
    @drgadham 2 роки тому

    GREAT TEACHER

  • @amateeo
    @amateeo 4 роки тому

    Excellent lecture Sir! Greetings from Poland!

  • @drgadham
    @drgadham 5 років тому

    Very very relavent and high quality education

  • @phuongpupa4734
    @phuongpupa4734 4 роки тому

    thank you very much! thanhhoa 22/9/2019

  • @borafrusciante3328
    @borafrusciante3328 3 роки тому

    I adore Amal

  • @leminh9897
    @leminh9897 4 роки тому

    Great! I come from Vietnam.

  • @johndunn9885
    @johndunn9885 2 роки тому

    He’s absolutely brilliant he is! Highly highly intelligent and marvellous to watch

  • @khanhgiangtruong1442
    @khanhgiangtruong1442 5 років тому

    Thankyou from Viet nam

  • @waqarkhan1367
    @waqarkhan1367 5 років тому +1

    legend

  • @drgadham
    @drgadham 2 роки тому

    Very good teaching 👏

  • @XX-ru5wu
    @XX-ru5wu 5 років тому +3

    You are great & my god of cardiology!!! It's a pleasure to hear & see you & your presantations!! *Please weekly* :)) !!! Greetings from Gemany

  • @tttt-pb5eb
    @tttt-pb5eb 4 роки тому

    Wao what a teaching.v impressive

  • @saadyousfani5036
    @saadyousfani5036 4 роки тому +2

    Wonderful job Dr Mattu,
    Thanks
    ER Physician From Pakistan

  • @akhilraghavan1843
    @akhilraghavan1843 Рік тому

    Great sir. Thank you. Lots of new learning. Shock index, DBP importance, Pressors right away in PE- all life altering . Both for physicians and PATIENTS

  • @Tennissoccergolfski
    @Tennissoccergolfski 4 роки тому +3

    I just love this guy and his ecg weekly.

  • @user-vg6kc2hh7t
    @user-vg6kc2hh7t Рік тому

    Very nice

  • @evaeva1932
    @evaeva1932 2 роки тому +1

    Awesome lecture. Will be using your information in my TNCC shock lecture. love it!

  • @louisvarre2197
    @louisvarre2197 5 років тому +17

    Such a high caliber of useful information! Amazing!

    • @moristhetiger
      @moristhetiger 5 років тому

      Brother I want to make a whatsapp group and I want to add doctors in it so that knowledge is shared and all of us learn please be a part of my group - chat.whatsapp.com/Eji8SQbPUEhA3yxzmS10Lh

  • @nourhanbelal3111
    @nourhanbelal3111 3 роки тому

    Greetings from Egypt

  • @hanyelbanna3673
    @hanyelbanna3673 Рік тому

    Wonderful explanation 👏
    I appreciate your effort
    May Allah bless you
    Thanks

  • @alhasanasaad9850
    @alhasanasaad9850 2 роки тому

    Great little lecture. Great delivery. A little comment here tho; please do NOT wait for an X-ray to pick up tension ptx as mentioned here 2:20

  • @touseefbeig915
    @touseefbeig915 Рік тому

    Nice

  • @AlexanderRoux
    @AlexanderRoux 2 роки тому

    4:58 I theoretically knew this but now #MINDBLOWN

  • @77hoolie
    @77hoolie 3 роки тому +1

    This pneumonic - isn’t easier. Learn the categories and understand their sub groups. BUT the talk was great and some great advice.

  • @Hamzakhan-jv2st
    @Hamzakhan-jv2st 3 роки тому

    Hail You Professor ! 😎

  • @abdullahk3300
    @abdullahk3300 Рік тому

    Xcellency of xcelleny

  • @doggyppants9846
    @doggyppants9846 2 роки тому

    6:13 link

  • @indefat
    @indefat 3 роки тому +2

    What happens when you give 1L of fluids in patients with low hb (5g/dl) and low bp 90/35mmHg?
    Are we treating the shock or worsening with hemodilution?

    • @sumitrajput9993
      @sumitrajput9993 Рік тому +1

      Triangle of death - hemodilution ,acidosis and hypothetmia is killer so if u have low hb in go warm blood and blood products ,giving fluids is a bad idea

  • @eugenioferretti2203
    @eugenioferretti2203 2 роки тому

    Cavallo vero

  • @joestevenson5568
    @joestevenson5568 Рік тому

    What classes is he talking about with antiarrhythmics? If it's the Vaughan Williams classification he's got it totally wrong...

  • @azaraliyev2064
    @azaraliyev2064 3 роки тому

    Hat off my hat before dear colleague!

  • @BlueSky-lb8fw
    @BlueSky-lb8fw 8 місяців тому

    Dr amal makes me look like an idiot.

  • @drgadham
    @drgadham 9 місяців тому

  • @srinivasaraosirasapalli5104
    @srinivasaraosirasapalli5104 3 роки тому

    excellent