Doctor Mattu , you are an iconic figure in the field of emergency medicine and as a lifetimelearner of medicine I benefit very much from your knowledge and advice my colleauges to follow your invaluable lectures.I kindly ask you one point that I feel confused. Morphine , reduces the anxiety associated with the shortness of breath in these patients .Relieving this anxiety caused by feel like suffocating or imminent death feeling provides good management of these patients .Isn't it too early to say that ''morphine is history''?
Giving morphine for anxiety in this pt is equivalent to making them comfortable while they die. Theres much, much better interventions you could be doing for this pt during that time that actually help correct the underlying issues
Brilliant and backs up a lot of what Ive learnt from clinical experience. The amount of time you see Frusemide being given and then absolutely nothing happening is scary. Also turns out Ive also been under-dosing GTN too eek!.
Nitro paste has very little if any place in the acute prehospital setting due to the high variability of onset time, as well as amount of medication that actually reaches systemic circulation. Sequential Nitro sprays titrated based pt BP and CPAP are you best prehospital options.
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Lovely
Doctor Mattu , you are an iconic figure in the field of emergency medicine and as a lifetimelearner of medicine I benefit very much from your knowledge and advice my colleauges to follow your invaluable lectures.I kindly ask you one point that I feel confused.
Morphine , reduces the anxiety associated with the shortness of breath in these patients .Relieving this anxiety caused by feel like suffocating or imminent death feeling provides good management of these patients .Isn't it too early to say that ''morphine is history''?
anxiety is probably BEST treated by fixing the underlining issues of hypoxia and alleviating the distress.
Giving morphine for anxiety in this pt is equivalent to making them comfortable while they die. Theres much, much better interventions you could be doing for this pt during that time that actually help correct the underlying issues
what an incredible lecture. love the metaphor
excellent presentation !
Brilliant and backs up a lot of what Ive learnt from clinical experience. The amount of time you see Frusemide being given and then absolutely nothing happening is scary. Also turns out Ive also been under-dosing GTN too eek!.
What a legend!
NPPV should be number one
Why don't my colleagues listen to me but still want to use morphine? I can't convince them
please be my attending
beyler aydinlaniyoruz.
incredible lecture. love the bucket analogy!
I usually take the med list and point to the Viagra and say...DID YOU TAKE ANY OF THIS TODAY?
Cuts the embarrassing question a bit
For us prehospital providers, should we consider NITRO PASTE ? and CPAP ? since we dont carry iv nitro
Nitro paste has very little if any place in the acute prehospital setting due to the high variability of onset time, as well as amount of medication that actually reaches systemic circulation. Sequential Nitro sprays titrated based pt BP and CPAP are you best prehospital options.
What a great lecturer!
Does this apply to just cardiogenic pulmonary oedema ONLY or any types of pulmonary oedemas?
Thanks.
Muy bueno. Love it. Thank you so much Doctor Amal Mattu.
Best explaination on chf
Love