I am a nursing student in my final semester and your MedCram videos have been incredibly helpful. They provide that added background information that may not be available during lecture to answer the "why" questions. Thank you and keep up the great work!
Thank you so much. I am an EMT working to become a paramedic. Your videos are easy to understand and very useful in both an academic and practical sense. Keep up the great work. You are an excellent educator.
See the whole series at www.medcram.com along with other top quality videos including reviews in pulmonary, cardiology, infectious disease, and hematology!
Dr. Seheult, thank you for taking time out of your I assume, pretty hectic schedule to make these lectures for medical students around the world. As a paramedic intern that is about to take the national registry exam, this was a great (under statement) review. Keep up the great work! Thank you
Your lectures are great! I love that they are directed towards visual learners (which I am), and that you hit such important topics. I always use these to supplement all of my notes in my nursing school classes
I'm just a second year university computers student that writes in his spare time, and even I found this video clear, concise, and 85% of which was quite easy to understand. Thanks for the video!
Thank you so much for these lectures! I had no idea what was going on with respect to shock in my EMT class! I really hope you consider making more videos that can help EMT's and future EMT's such as myself!
Thank you for your videos. I use them when I teach EMTs and First Responders so they don't have to listen to me all night. They appreciate your work!!!
Oh my gosh --- this was the missing piece in my brain. Thank you for bringing this topic altogether! I look forward to the next video on treatment of the different shocks. :)
Hi Doctor, I love all your topics very much. They are all explained clearly. can I ask for your help to do on other lecture topics? If its possible, I hope you can explain also topics such as ECG, acute coronary syndrome, myocardial infarction, pneumonia, TB, hepatitis, neoplasm, gastritis and ulcer, intestinal obstruction and inflammatory bowel disease. Hope this long lists wouldn't be too demanding. its okay if you wouldnt like to cover all. but I really hope you can choose from some of it.
I have such a better understanding of this subject now!!! Take the time to watch this video and take the time to write it out independently and you will be so great about yourself!
Can you cover anaphylactic shock? This video is great, helped me understand the concepts of shock so much better, especially septic shock, which occurs on a regular basis in my patient population at work.
My girlfriend is Filipino and she is in nursing, I’m just the average white guy but I tried to take interest in her nursing, and I have come to study and learn much as I can.
very well explained,,, I looking forward to see your other topics as well... Such kind of clean explaination can save your much time from jumping into books.... Thanks a lot
Dear Dr. Seheult, Thank you for the wonderful video, it is very helpful and much appreciated. I would just like to confirm that the reason for a decrease in EF for septic shock is due to increased HR that leads to increased CO which therefore decreases filling time that results in decreased SV. Hence given the equation EF= SV/EDV, it goes down. Warmest Regards, Roman
this was the most helpful video I have seen yet! thank you for your wonderful teaching methods! I have subscribed to your videos in hopes of lots more like this! Big test coming up tomorrow, this has helped me a lot!
My friend had septicemia and ended up with septic shock from a botched back surgery. The surgeon left an open wound to his spine which caused a streptococcus infection in his blood stream. It took 4 days for acute renal failure and a x2 code. He survived.
Hi Rodger, great videos! This video is good but I think it may be worth your time to break down each form of shock because as you know, there are various stages to each form of shock with altered hemodynamics. Thanks again!
Your work here is greatly appreciated. I really enjoy seeing how physicians work through pathophysiology, and they do not always have time to explain to the nursing staff due to patient loads. Thank you for positively impacting my practice!
Good lecture. Have been suggesting my nursing school have a separate workshop on shock. In clinical practice, wondering how often we would have immediate access to JVP and PCWP measures as those are key features of the differences between. IS there time when shock sx appear to get those pressures? From my readings, other key features, easily readable, early visible signs of any shock would be rapid respirations, thready pulse. Tachy, tachy, hypo. Yes? I'll look at the EGDT to see if its the same for all three.
This is a great and clear explanation. I have a question from a paramedic student point of view. You list the major indices for distinguishing between the different types of shock as the PCWP and the JVP; how would a paramedic in the field distinguish between cardiogenic and hypovolemic shock? Thanks!
Hi Dr. Seheult. Thank you for your clear easy-to-understand lectures (listening to them since my graduating year in RN in 2012). Can you explain how ejection fraction is decreased in septic shock?
Great video. I don’t understand why EF would be high if CO is low. I understand that contractility and HR would increase to compensate, but as preload decreases, would expect that EF would also decrease?
What about obstructive. Looking at Tintanali's they specify 4 categories of shock: hypovolemic, cardiogenic, obstructive, distributive??? please explain why obstructive is not included?
Hi Rebecca, Yes obstructive shock is another category, it just doesn't fit very well into this particular lecture/diagram. Obstructive shock is often fairly obvious / quickly fatal in the setting of tamponade, pneumothorax etc. Thanks for the question
I am a nursing student in my final semester and your MedCram videos have been incredibly helpful. They provide that added background information that may not be available during lecture to answer the "why" questions. Thank you and keep up the great work!
reading the textbook helps too.
not everyone has the same learning style, I learn a lot more from watching videos that I do from reading my books
Yeah, reading the textbook doesn't help me very much; that just isn't my learning style. These videos are fantastic.
@@neglectedurchin Why you salty tho hypernatremia bruh
Thank you so much. I am an EMT working to become a paramedic. Your videos are easy to understand and very useful in both an academic and practical sense. Keep up the great work. You are an excellent educator.
I am an ICU nurse from Angola Africa and found your videos wonderful. Made learning easier and fun.
Saving my life with these videos, as a nursing student these help me understand so much more then in class lectures. Thank you so much
You lectures are amazingly clear and very systematic. As a nursing instructor, It gives more understanding. Thanks for all your efforts.
Thank you so much. I am a 2yr nursing student. You don't know how helpful this video is to me.
See the whole series at www.medcram.com along with other top quality videos including reviews in pulmonary, cardiology, infectious disease, and hematology!
MEDCRAMvideos
Thanks for your feedback and support. More lectures coming soon.
Dr. Seheult, thank you for taking time out of your I assume, pretty hectic schedule to make these lectures for medical students around the world. As a paramedic intern that is about to take the national registry exam, this was a great (under statement) review. Keep up the great work! Thank you
Your lectures are great! I love that they are directed towards visual learners (which I am), and that you hit such important topics. I always use these to supplement all of my notes in my nursing school classes
I'm just a second year university computers student that writes in his spare time, and even I found this video clear, concise, and 85% of which was quite easy to understand. Thanks for the video!
easy to understand for this nurse who has always had a problem with the differences in shock.
Thank you so much for these lectures! I had no idea what was going on with respect to shock in my EMT class! I really hope you consider making more videos that can help EMT's and future EMT's such as myself!
Absolutely love your diagrams (and hand writing)--your videos have been very helpful. This will help with my transition to ICU as an RN
.
Thank you for your videos. I use them when I teach EMTs and First Responders so they don't have to listen to me all night. They appreciate your work!!!
Thank you so much for this, I have no idea how people can dislike this, it was perfect
Loved your video on the different types of shock. I particularly like the way you break down the types in a way that is easy to follow and comprehend.
Love it
so simple and clear :)
I will remember it for ever :D
God bless you and looking forward for more videos
very easy to understand...im an RN student who learn a lot from your videos! thanks!!
Always appreciative of Dr . Seheult's brilliant lectures
Oh my gosh --- this was the missing piece in my brain. Thank you for bringing this topic altogether! I look forward to the next video on treatment of the different shocks. :)
Excellent and simple explanation. You have made a complex topic very simple. A great building block to learn from. Thanks!!!!
oh, forgot to mention, this is for EMT, so there are several more stages of shock we have to know, but this is a great start! thank you
All your videos are awesome doc.I'm your biggest fan.I suggest all my friends to watch your videos.You are doing a great job.Thank you doc.
Glad to hear the video was useful for your RN program
You make it simple. I love your lecture. Thanks you so much.
Thank you! Your videos help me learn what is being taught in pathophysiology!
The best video I have seen in my life.
+Alexander Tarazona Thanks for your feedback!
This was superbly informative, both interesting and easy to understand. Thank you for the effort and consideration, i learnt a lot!
+dean winchestette Good to hear- thanks for the comment.
8
You have a gift for helping people understand.
Yes this explanation was extremely clear. I thought I understood before but now I really understand. THANKS!!!! Getting NCLEX ready
Natasha Lee Thanks- best of luck on NCLEX
Thank you for clarity of thought and content Dr. Rodgers
You made it so easy to understand. This finally makes sense. Thanks
I am an RN student. I really enjoyed this video and found it to be incredibly helpful. Thanks! liked and subscribed!
Hi Doctor, I love all your topics very much. They are all explained clearly. can I ask for your help to do on other lecture topics? If its possible, I hope you can explain also topics such as ECG, acute coronary syndrome, myocardial infarction, pneumonia, TB, hepatitis, neoplasm, gastritis and ulcer, intestinal obstruction and inflammatory bowel disease. Hope this long lists wouldn't be too demanding. its okay if you wouldnt like to cover all. but I really hope you can choose from some of it.
I have such a better understanding of this subject now!!! Take the time to watch this video and take the time to write it out independently and you will be so great about yourself!
You sir are a born teacher!!
Very nice job, helped me a lot. Thank you, it is very nice to have somebody dedicate to share.
Fantastic! Easy to follow along with your explanations... Keep them coming!
Can you cover anaphylactic shock? This video is great, helped me understand the concepts of shock so much better, especially septic shock, which occurs on a regular basis in my patient population at work.
I love your videos, so informative and clearly laid out. Your voice is very soothing.
Great post helped me pass my exam on shock and hematologic disorders ... thanks
My girlfriend is Filipino and she is in nursing, I’m just the average white guy but I tried to take interest in her nursing, and I have come to study and learn much as I can.
Quick and easy to understand for nursing . Thank you!
Love this lecture on shock, really helps for my pathophysiology class, thanks!
preyesrn glad the lecture helped- thanks for the feedback
very well explained,,,
I looking forward to see your other topics as well...
Such kind of clean explaination can save your much time from jumping into books....
Thanks a lot
amazingly clear and understandable explanation! Thank you!
Dear Dr. Seheult,
Thank you for the wonderful video, it is very helpful and much appreciated.
I would just like to confirm that the reason for a decrease in EF for septic shock is due to increased HR that leads to increased CO which therefore decreases filling time that results in decreased SV. Hence given the equation EF= SV/EDV, it goes down.
Warmest Regards,
Roman
+brudforce co in late sepsis goes down because of chemokines and acidosis. Ef Goes down. Hr probably goes up
this was the most helpful video I have seen yet! thank you for your wonderful teaching methods! I have subscribed to your videos in hopes of lots more like this! Big test coming up tomorrow, this has helped me a lot!
+cyndy loguercio Great to hear- thanks for the feedback and good luck on the exam.
Very Good...the best explanation I've ever seen.
My friend had septicemia and ended up with septic shock from a botched back surgery. The surgeon left an open wound to his spine which caused a streptococcus infection in his blood stream. It took 4 days for acute renal failure and a x2 code. He survived.
This was always a difficult topic for me to understand. I used get these questions wrong when doing q banks. Thank you so much!
Hi Rodger, great videos! This video is good but I think it may be worth your time to break down each form of shock because as you know, there are various stages to each form of shock with altered hemodynamics. Thanks again!
very helpful for our final for nursing students not too detailed and i shared this with them thank you
Very good shock pathogenesis axplanation!
Thank you for such a clear explanation and outline. You are a great teacher.
Yanky Doodle Thanks for the feedback
Your work here is greatly appreciated. I really enjoy seeing how physicians work through pathophysiology, and they do not always have time to explain to the nursing staff due to patient loads. Thank you for positively impacting my practice!
My wife's family is from Trzebinia, Poland. Thanks! dzien dobry
Very informative! We are using this in my nursing class to reinforce our lecture. Great video! Thanks! :0)
Thanks for all your videos! How about something on neurogenic shock too?
Thank you so much, I wish I would have watched this the first time I took critical care.
thank you very much for the explanation..Im a visual learner and these videos helped me a lot
Very informative and easy to understand. Can you please do a presentation over ARDS or burn patients?
+Andrew Blair Thanks for the comment and topic suggestions
Simplest explanation I've heard. Thank you!!!!
Good lecture. Have been suggesting my nursing school have a separate workshop on shock. In clinical practice, wondering how often we would have immediate access to JVP and PCWP measures as those are key features of the differences between. IS there time when shock sx appear to get those pressures? From my readings, other key features, easily readable, early visible signs of any shock would be rapid respirations, thready pulse. Tachy, tachy, hypo. Yes? I'll look at the EGDT to see if its the same for all three.
This was a great lecture!!! Thank you for the simple explanation. The graph has helped me greatly
This is a great and clear explanation. I have a question from a paramedic student point of view. You list the major indices for distinguishing between the different types of shock as the PCWP and the JVP; how would a paramedic in the field distinguish between cardiogenic and hypovolemic shock? Thanks!
Thank you, it helped me to understand the concept in a short time. please continue your effort.
Great video. Thank You. Wonderfully explained.
Hi Dr. Seheult. Thank you for your clear easy-to-understand lectures (listening to them since my graduating year in RN in 2012). Can you explain how ejection fraction is decreased in septic shock?
Excellent Lectures! Thank You, wonderful tool to use while I study for my CCRN.
excellent series, would like to see liver failure / hepatic encephalopathy. Also including drugs to Tx if this is within your scope
Best explanation ever!
This is incredible. Simply awesome video thank you for posting
Thank you for the comment!
Thanks for this video. Wonderfully explained. You didn't talk about Anaphylactic and Neurogenic shock though.
thanks, your various lecture were incredibly helpful.
This was so well put !
You amazing. Always look forward for your videos
Thank you! so helpful for my RN studies!
Thanks for the clear explanation! Great video
excellent, thank you. keep the lectures rolling.
+Isabelle Joseph Thanks for the comment. More lectures coming soon.
Awesome explanation! Cleared my concepts! Thanks a lot sir!
thanks I did not understand why EF increase in septic shock.please include lecture topic on hajards of blood transfusion and anaesthesia
I HAVE SURVIVE D SEPTIC HEMOORHAGIC SHOCK IN UK 2021 THANKS STILL ALIVE IN 2023
Please consider SVT vs Ventricular tachyarythmias and management!!!
would you consider doing a lecture specifically on Systemic inflammatory response syndrome (SIRS) ? thank you so much for your work!
Excellent video, but could you please explain why does the ejection fraction goes down on the septic shock??
DuePancho EF typically goes up with initial rise in sympathetics. Then, the EF typically goes down if and when the sepsis decompensates and pH drops.
thank you for posting your informative and easy to understand videos!
Where is the second video about clinical aspects of vasopressor selection?
This just helped me SO MUCH!!!! THANK YOU!!!!
Glad it helped!
Wonderful explanation of shock thanks
Please cover chest x-rays, and head injury! Thank you for the lectures. Are you going to publish a book?
Darren Peck thanks for the comment. No book planned, but thanks for the topic ideas.
Great video. I don’t understand why EF would be high if CO is low. I understand that contractility and HR would increase to compensate, but as preload decreases, would expect that EF would also decrease?
You said it...HR increases, that's it
thanks so much ! is very informative. gonna recommend to my friends! any lecture on cardiomyopathy
Thank you from Cairns Queensland Australia
very easy to understand! Thank you.
This was reall awesome. Really helpful!!
Excellent and very simple explains many thanks for you
eman mahmoud Thank you for the feedback
What about obstructive. Looking at Tintanali's they specify 4 categories of shock: hypovolemic, cardiogenic, obstructive, distributive??? please explain why obstructive is not included?
Hi Rebecca, Yes obstructive shock is another category, it just doesn't fit very well into this particular lecture/diagram. Obstructive shock is often fairly obvious / quickly fatal in the setting of tamponade, pneumothorax etc. Thanks for the question
very good explanation.Thanks.
well explained........what more can I say. Thanks