Secondary Brain Injury EXPLAINED

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  • Опубліковано 26 сер 2024

КОМЕНТАРІ • 130

  • @ICUAdvantage
    @ICUAdvantage  4 роки тому +16

    Thank you guys so much for watching! Please leave a like if you enjoyed the video. I truly do appreciate it! Also I love hearing your comments so feel free to tell me what you think of the video. Also, I have a Patreon now! 😍 If you are looking for additional content 💻and more information 📝to go along with these videos, then please consider showing support over there!
    www.patreon.com/icuadvantage
    👍🏼Don't forget to check me out and give us a like on Facebook & Instagram as well!
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    🎥👁 Don't forget to check out these other great series of lessons that I have available!
    Hemodynamics: ua-cam.com/play/PL2oVjKTYocdMBZlcIcWlESbOFFaGugQS2.html
    Shock: ua-cam.com/play/PL2oVjKTYocdPP0K8Fi49GfUgprICS-xMf.html
    Arterial Blood Gases: ua-cam.com/play/PL2oVjKTYocdMz1qF-3iS6iUZ-R_fKbeJw.html
    ECG/EKG Interpretation: ua-cam.com/play/PL2oVjKTYocdPMaNwn4xbg6xAIaAnyraMj.html
    Heart Failure: ua-cam.com/play/PL2oVjKTYocdNdFoS31yGhylKwib9lRf73.html
    Endocrine System: ua-cam.com/play/PL2oVjKTYocdO74cmXgmKjexoq59j93-Wv.html
    🤷‍♂️🤓 OR these individual lessons!
    Blood Tubes - Order of Draw: ua-cam.com/video/mAmwdDdbkUI/v-deo.html
    Glasgow Coma Scale: ua-cam.com/video/zYwJVPIjW6I/v-deo.html

    • @ManjitKaur-gr6jj
      @ManjitKaur-gr6jj 4 роки тому +1

      You r good
      Ever think of going back to medical school

    • @ICUAdvantage
      @ICUAdvantage  4 роки тому +1

      @@ManjitKaur-gr6jj Thank you. And no, for me, it never was something that I had a desire to do.

    • @sararooney924
      @sararooney924 4 роки тому +2

      Are you still an icu nurse? How did you become so educated? Any tips? Watching these vids is very educating but also overwhelming 😅

    • @theabeaton1
      @theabeaton1 4 роки тому +1

      I believe the explanation for hypoxia/hypoxemia is backwards. Hypoxemia (decreased O2 content in the blood) will lead to hypoxia (decreased tissue oxygenation) and subsequent lactic acidosis via anaerobic metabolism.

    • @mystiganine7505
      @mystiganine7505 3 роки тому +1

      Hi there, I have a possible concussion. CT w/o contrast returned from the ER PA that everything "came back _normal_ ". However, I've been experiencing headaches after 36 hours of a mechanical exertion of force around the hundreds to thousands (in Newtons). Is there anything I should be watching out for if this may progress whether it's intensity, area of difficulty, etc.? I am a student, so I will be practicing due diligence. I need to carefully and watchfully take this under consideration even though I am the one effected. Chiropractor indicates whiplash and plans for MRI. What is the likelyhood for TBI and the type of TBI condition considering the CT scan, of course dependent on the orientation of impact? Can the CT scan even peer into imaging of the brain?

  • @sajma.camovic
    @sajma.camovic 5 місяців тому +3

    4 years later, still best explanation not just on youtube but on the whole web including articles and books. Honest respect!

  • @angeltran6930
    @angeltran6930 2 роки тому +14

    I’m waiting for your next lectures about Management of TBI and I would love to watch your lectures on Spinal Cord Injury too !

    • @ICUAdvantage
      @ICUAdvantage  2 роки тому +6

      I definitely need to loop back to those!

    • @elabits514
      @elabits514 2 роки тому +2

      Me too. I'm at home 3 months in from a TBI with zero treatment because workers comp and offices are dropping the ball. .. I'm now just becoming aware and advocating for myself. These videos are helpful

    • @ThePrsBee
      @ThePrsBee 2 роки тому +4

      @@ICUAdvantage we r waiting 🙏

    • @najmiusman7028
      @najmiusman7028 Рік тому +2

      We are waiting for management part

  • @MurseGuy
    @MurseGuy 4 роки тому +6

    I am watching your videos to prepare for my exam. Thank you, Eddie!!!

    • @ICUAdvantage
      @ICUAdvantage  4 роки тому

      Wishing you the best on your exam! You'll have to let me know how you do.

    • @MurseGuy
      @MurseGuy 4 роки тому +1

      @@ICUAdvantage I did great and honestly, your lectures make more sense and easy to follow than my instructor's outlines.

  • @Luluisraging.86
    @Luluisraging.86 3 роки тому +2

    Okay so Eddie, I’ve had many, many Brain Surgeries throughout my life. I was born with Hydrocephalus in 1966, and had my shunt placed when I was six weeks old in Denver. I’ve had many revisions throughout my life, and in 1987 at 21after 15 years of being stable, I had emergency rain surgery for another revision, I was living in Utah by this time, and attending College three wees away from my very first 4.0! However, I missed two weeks of school and so, it never happened. At the time of this 87 Surgery, it was discovered that I had a Colloid Cyst in the middle of my Brain, but at the time it was determined that it was risking my life to go in and remove it, but that it should be monitored. Fast forward to 2011. After having several more shunt revisions insincerity’s 87, a mild concussion from a horrible blow to the back of my head, and for a time having my shunt tied off, because I was being used as a guinea pig. “Is this woman really shunt dependent?” “Hey why don’t we put a programmable shunt in?” Sorry, I know this is a long comment, but IREALLY DO HAVE A QUESTION at the end!! I had moved to a new city and didn’t have a neurosurgeon, OR Insurance at the time. I was having excruciating migraines, but I KNEW it was my shunt failing. I had to pick a Surgeon. I made an appointment for a consult, the Dr. took one look at my scans, and said, “I know you just met me, but you must be admitted tonight. Straight from my office. Your Cyst has grown and is in a dangerous spot. If it were to move even a FRACTION, you would be Dead in an instant. I know you’ve been told this before, (I had) and that it was at a spot where it was inoperable. (I had). But there have been advances in recent years, and if you are willing to put your trust in me, I will admit you tonight, observe tomorrow, remove the cyst on Saturday, remove the old shunt, and then in a few days when you are stable, we will go in and place a new shunt in a slightly different spot. SO, THE END OF THIS LONG STORY, HERE IS MY QUESTION..
    I was told before the first surgery to remove the cyst, I could possibly lose some of my short term memory. I DID, I STILL HAVEN’T regained that part of my brain function. I never will. In fact, it has gotten much worse. I was told that this was because of where the cyst was located, (smack dab in the middle of my brain just right above my Corpus Collossum.) And due to all the trauma my brain had been through over the years I was told I had a TBI. SO, THAT IS MY QUESTION? Is everything I’ve been through, is that considered a TBI? Due to Multiple Brain Surgeries and past history of concussions? (If you made it this far, CONGRATULATIONS, and thanks for being patient! (I’ll be 54 in December. I know one other person who is my age who has a shunt, without any other Comormibidities. (We call each other Shunt Buddy!)

  • @forrest1372
    @forrest1372 8 місяців тому +1

    thank you for this!! have my final exam in 2 days and this is saving me

  • @mariaeugeniaperez1387
    @mariaeugeniaperez1387 2 роки тому +2

    I-95, Jersey barrier going 65 mph led to my disability in 2013, Im on 8 years since this accident and my cognition is getting worse, not better.

  • @kevintorres3632
    @kevintorres3632 Рік тому +1

    Bruh thank you so much for this video. It’s been really hard to internalize information and I never really understood why. After my anoxic event, I noticed cognitive problems but I would just blame it on my ADHD, thinking I simply had built up a tolerance to my medication and that’s why I was having cognitive issues. Never thought much of it until 6 months after the injury (2 months ago) when I went from doing nothing to being a full time student at a rigorous institution. This video really put things into perspective and helped me understand my summary report

  • @coleenbest6512
    @coleenbest6512 9 місяців тому

    I'd love some videos on Spinal Cord Injuries, Meningitis, and management of TBI!! I'm in nursing school and these are the topics we cover in our Neuro unit! You're videos are super helpful

    • @mackenziedog1872
      @mackenziedog1872 7 місяців тому

      Why isn't your neuro unit super helpful? I got TBI GCS 8 complete Amnesia 6 months. GP had told I was GCS 15. INTENSIVE Care Unit saved my life but gave me back to the bent doctor who deleted everything about the hospital finding him and his wife had been wrong about EVERYTHING. GP physicians bury their mistakes. It's like the police investigating themselves then awarding themselves medals for heroism. The people they've silen ced can't complain. The lower down the power chain women are really nice but get silenced too. LIES RULE!) Have a happy war))🇺🇸🇺🇦🔥Here comes the sun. Putin's Poseiden tsunami nukes on his Balgorod submarine won't make a nuclear Winter. The US nukes will( it was nice to meet you before our phone's☠️Our🌍needs Intensive Care but will nurse ensure her work is not stolen by anon?

  • @jonathanmesa9790
    @jonathanmesa9790 2 роки тому

    Currently working in ICU, where we manage TBIs. Your TBI lessons, is just awesome! Very simplified and straight to the point, especially for new clinicians ...
    Looking forward to the management video 👍🏾💯.

    • @ICUAdvantage
      @ICUAdvantage  2 роки тому +2

      I do need to get around to that management video sooner than later!

  • @incredibleindian953
    @incredibleindian953 4 роки тому +6

    Please upload your videos more frequently, kind of addicted to your videos, I have completed all your video and recommended to my friends, please upload new videos frequently, I hope u are doing great there during this COVID time, take care bro

    • @ICUAdvantage
      @ICUAdvantage  4 роки тому +2

      Haha, I really wish I had the time to be able to do more! Especially right now, free time is not my friend. I should have another video soon and will do my best to stay on a more frequent schedule in the midst of this pandemic, but it might be hard for a couple months. Thank you for the recommendations and taking the time to leave an awesome comment!

    • @incredibleindian953
      @incredibleindian953 4 роки тому

      @@ICUAdvantage take care bro, it's my pleasure

    • @braubraw7509
      @braubraw7509 4 роки тому

      Agree

  • @stephaniefullerton1212
    @stephaniefullerton1212 4 роки тому +6

    Thanks so much for your video! It was a huge help in understanding secondary brain injuries. I was wondering if you have happened to release your video on treatment and management of some of the modifiable secondary causes?

    • @ICUAdvantage
      @ICUAdvantage  4 роки тому +1

      I have not yet. I was planning that video next and then this pandemic hit and my free time disappeared. I had the notes for the lesson all prepared and just have to record it at some point in the future, although right now I'm focusing my limited time on COVID topics for the moment. Glad you found this video useful!

    • @daveybattams8578
      @daveybattams8578 4 роки тому +2

      Please have a look at my new channel. It’s my vlog from my sever brain damage caused by a 5m fall from a roof at work. I want to help as many people as I can as I have a great rehabilitation manager so I can pass on helpful skills and tips for family rehab ua-cam.com/channels/YcKtCZJj9kxwkE9hEBGt-w.html

    • @faisalbi1330
      @faisalbi1330 2 роки тому +1

      @@daveybattams8578 hi are you fully recovered

    • @faisalbi1330
      @faisalbi1330 2 роки тому

      @@daveybattams8578 hi share your experience please

    • @benjaminortiz387
      @benjaminortiz387 2 роки тому

      @@daveybattams8578 where is your video

  • @BellaNTheBeast
    @BellaNTheBeast 3 роки тому +9

    Thank you for making this video series! 20 years ago, this was my life after a car wreck when the uneducated ER staff sent me home in the middle of the night with a diagnosis of "Just Fine." Over the next few days, this is exactly what happened to me. Alone. With the world closed for Christmas. (In the snow, uphill, no shoes.) So in addition to living with TBI, I also had to battle criminal, insurance, and civil entities just to prove that anything had happened to me--on scrambled brains--and I've barely received any treatment for my TBI.
    This is the same staff who didn't take neck X-rays because they couldn't figure out how to get my necklace off--a different issue that gave me years of seizures from backed-up CSF. Being on a state low-income medical program, every 6 months I got rotated through new graduating doctors who heard the word "seizures," but told me there was nothing to be done since I hadn't been sent to a neurologist for the initial incident, and the worthless MRI they took of my brain after 6 months showed there was "nothing wrong with me." Same with the EEG on a day I wasn't seizing.
    Having educated medical staff would have changed my life, and maybe I wouldn't be on disability today. So thank you, thank you, thank you on behalf of those being injured after me! This is crucial stuff, not only for ICU. You don't need to have broken bones, breathing problems, or so much as a scratch to be significantly impacted for life.
    PS That "Keep Calm/Intubated" Tshirt is great! We have to keep a (dark) sense of humor about this stuff, man!

  • @debblackmore7460
    @debblackmore7460 4 роки тому +5

    Staysafe everyone doing amazing keep going sending love from headway Nottingham uk x

    • @ICUAdvantage
      @ICUAdvantage  4 роки тому

      Likewise to you as well Deb!

    • @lav856
      @lav856 3 роки тому +1

      You too tc and stay safe. Sending 🤍 🌷🌠

  • @jwang6309
    @jwang6309 2 роки тому +1

    Thank you so much, Mr.Eddie

  • @shir9080
    @shir9080 3 роки тому +1

    great video! really needed it for my surgery final and it helped a lot! thank you

  • @KC-gg5mf
    @KC-gg5mf 4 роки тому +1

    Thanks ICU Advantage. You teach me a lot of knowledge.

  • @habibyounes8711
    @habibyounes8711 Рік тому +1

    Waiting on TBI manegment ... rly helpful videos thank you very much

  • @michelletamuno1965
    @michelletamuno1965 Рік тому

    Thank you so much, really enjoyed watching this. Please where is the lecture on the management?

  • @normanyoung1135
    @normanyoung1135 3 роки тому +1

    That's really good I had a brain injury in 2005 sometimes I can talk sometimes my brain freezes then I think what have I just said so it's really good I got support me so I always ask them i'm just learning now what part of your brain does for you it's interesting crazy

  • @maryanneville4397
    @maryanneville4397 4 роки тому +1

    Very interesting video, how can you increase ur memory, and get less headaches

  • @MrGILLY63
    @MrGILLY63 4 роки тому

    very useful thank you so much .. helps with studies.

  • @kylekeenan8290
    @kylekeenan8290 3 роки тому +1

    I hope this information will save my life haha I’ve never had my cranium checked before.

  • @yujiro-lm6ye
    @yujiro-lm6ye 6 місяців тому

    Nice lecture❤

  • @sandhyatelluri2346
    @sandhyatelluri2346 3 роки тому

    great information , well presented. thank you .

    • @ICUAdvantage
      @ICUAdvantage  3 роки тому

      Thank you and glad to hear you liked it!

  • @laikencherrington9006
    @laikencherrington9006 10 місяців тому

    Thanks Eddie for the ℹ️

  • @MPQueen11
    @MPQueen11 3 роки тому +1

    Please do one on CSF leak

  • @Royosankar
    @Royosankar 3 роки тому +1

    I had someone involved in a motorcycle accident on 10/16/2020...he's still unconscious after15 days...They took off his breathing machine but given oxygen through the nose...
    today, the doctors said he's still not responding...what are the prognosis and chances?

  • @yanbingzhu4650
    @yanbingzhu4650 4 роки тому +1

    Thank you very much. Very helpful. Where can I watch how to manage TBI?

    • @ICUAdvantage
      @ICUAdvantage  4 роки тому

      Right now I don't have a video on that. Hopefully soon the future I'll have one.

  • @margaretprawl313
    @margaretprawl313 3 місяці тому

    Genius!

  • @kavi8586
    @kavi8586 Рік тому

    Very effective video ❤

  • @KrisMiss97
    @KrisMiss97 3 роки тому +1

    Hey eddie! Can we expect a followup video for treatment for TBIs??? I couldn't find it anywhere. Thanks!

    • @ICUAdvantage
      @ICUAdvantage  3 роки тому +2

      Hopefully in the future. This was the last lesson I got to before COVID hit and then got sidetracked for a while and picked back up with COVID lessons. I do plan to loop back at some point.

    • @jo.j927
      @jo.j927 3 роки тому

      Hi Kristie, I would recommend you watch this video on management of TBI from Dr. Campbell. He is also one of UA-cam good nursing lecturers: ua-cam.com/video/p2U8h6Zg0xw/v-deo.html

  • @rachelconem.m.t.5448
    @rachelconem.m.t.5448 2 роки тому

    I need the therapies clip mentioned at the end of the video as being the next up . . . Please and thank you ;)

    • @ICUAdvantage
      @ICUAdvantage  2 роки тому

      Ahhh yes, I really do need to get to that video sooner than later. This was the last video I made before COVID rocked our world and I wasn't able to get to it at that time. Hopefully soon! 😊

  • @toddriesland3858
    @toddriesland3858 3 роки тому

    I have TBI from a server traumatic skull fracture from 09

  • @user-ce8pw9xi8y
    @user-ce8pw9xi8y 24 дні тому

    great

  • @hasinthakasamarajeewa6509
    @hasinthakasamarajeewa6509 3 роки тому

    Thank you so much 💛 from Sri Lanka 🇱🇰

    • @ICUAdvantage
      @ICUAdvantage  3 роки тому

      How cool! You're welcome and hello in Sri Lanka!

  • @OnguboVenick-yl3zl
    @OnguboVenick-yl3zl Рік тому

    Superb

  • @justinparker9892
    @justinparker9892 3 роки тому

    Thanks Eddie!

  • @gc8328
    @gc8328 4 роки тому +2

    I got hit on the top of my head 2 months ago and now I still have a chronic dull ache on the spot I got hit. It's really irritating. When do you think it will go away?

    • @ICUAdvantage
      @ICUAdvantage  4 роки тому

      I don't give any medical advice online. Please see a doctor if you have any questions or concerns about something going on.

  • @brittanylightbourn8896
    @brittanylightbourn8896 4 роки тому

    Awesome facts,&,Video .

  • @newmai85
    @newmai85 4 роки тому

    Thank you. 🙏

    • @ICUAdvantage
      @ICUAdvantage  4 роки тому

      You are so welcome

    • @marco_marvelous
      @marco_marvelous 4 роки тому

      @@ICUAdvantage ​ I have a question. At 12:08 you talk about how CO2 increases cerebral blood flow via vasodilation. How does it do this? I thought vasodilation lowers blood pressure, leading to a ↓MAP? I don't understand how it increases CBF.

  • @itsfootballer503
    @itsfootballer503 4 роки тому

    So in other words you are saying a tbi can cause diabetes? Since you mentioned inability to store glucose in your body after tbi ? Wanna know something, I had a major head Injury back in June 26, 2014 a lot of bleeding , had to get stitches, got partially blurred vision from there to now, no skull injury that I know of...i was diagnosed with type 1 diabetes November 3, 2015... Do you see any correlation with this? Thank you.

  • @jacobmcnett3508
    @jacobmcnett3508 4 роки тому +1

    feel pain? If I feel pain around my brain what is hurting and why? How can I tell if this is a symptom of a TBI?

    • @ICUAdvantage
      @ICUAdvantage  4 роки тому

      I'd talk to your doctor.

    • @daveybattams8578
      @daveybattams8578 4 роки тому

      Please have a look at my new channel. It’s my vlog from my sever brain damage caused by a 5m fall from a roof at work. I want to help as many people as I can as I have a great rehabilitation manager so I can pass on helpful skills and tips for family rehab ua-cam.com/channels/YcKtCZJj9kxwkE9hEBGt-w.html

  • @cmygamelife
    @cmygamelife 7 місяців тому

    Is this why i couldnt walk or talk or eat after the first 2 days?

  • @davegilmour2250
    @davegilmour2250 4 роки тому

    your video is awesome!

  • @alexandraschinas9995
    @alexandraschinas9995 Рік тому

    I tried finding the lesson you mentioned about management but it’s not there 😢

    • @ICUAdvantage
      @ICUAdvantage  Рік тому +1

      Yeah unfortunately this was the last video made before COVID hit. Focus changed once I was able to get back to making videos and hadn't gotten around to this. One day I will!

  • @janesonlineavenue1511
    @janesonlineavenue1511 4 роки тому +1

    Thank you so much

    • @ICUAdvantage
      @ICUAdvantage  4 роки тому

      You're very welcome and thanks so much for the comment! :)

  • @brianbordenkircher52
    @brianbordenkircher52 4 роки тому

    Could the pressure be whats causing my new symptoms 10 years later? Twitching and jolting (myoclonus) is even affecting breathing, yet I’m on a waiting list to hear back from the VA. Head hurts so bad. Told to wait it out. Lots of resting lately which could theoretically help reduce the fatigue and swelling I’m sure, yet my twitching increased when I try to rest, even if sitting up. My breathing jolting and my head shakes can be quite painful. Not as concerned about extremity jolting as much as I am injury from breathing issues or head jolting. Hurts for any vibration, so uncontrollable “head banging” is very painful at times. With covid, being put on the back-burner for now from the VA. Even over the counter treatment ideas would be greatly appreciated!

    • @shainmein
      @shainmein 4 роки тому

      how are you coping i have the same thing

  • @learning-and-fun
    @learning-and-fun 3 роки тому

    Hi i had c section emergency 2months ago,i dodnt feel baby move for 48 hours until i went to hoapital baby still in nicu facing a lot of difficulties and has brain bleeding on brain and on front wenticlues an cysts that dint go away

  • @meiki4345
    @meiki4345 4 роки тому

    Question: MAP- ICP=IPP, why in 12:38, decrease ICP would lead to ischemia ? if ICP decrease, IPP should go up and blood perfusion increase? thanks

    • @ICUAdvantage
      @ICUAdvantage  4 роки тому

      I think what you are referring to is when I talk about reducing the blood flow in the brain.

    • @meiki4345
      @meiki4345 4 роки тому

      @@ICUAdvantage should be 12:32 to 12:36. Your video is amazing, I just don't understand this single point, thanks for answering me.

  • @najmiusman7028
    @najmiusman7028 Рік тому

    U are best

  • @USMANkhan-mg2zv
    @USMANkhan-mg2zv 3 роки тому

    good

  • @ahmedshaji2593
    @ahmedshaji2593 Рік тому

    Waiting for the management video 😢

    • @ICUAdvantage
      @ICUAdvantage  Рік тому

      Sorry one day. COVID ended up preventing me from making it at the time.

  • @SquatsAndThoughts
    @SquatsAndThoughts 3 роки тому

    Skip to 1:30 to start getting information....

  • @judypeng4748
    @judypeng4748 3 роки тому

    Lol, My professors also use your videos!

  • @mekdes3923
    @mekdes3923 Рік тому

    👏👏👏👏🎖🎖🎖

  • @AKHIL-mg7cz
    @AKHIL-mg7cz 4 роки тому +1

    At age of 25 years old , i drank 15 Litres of water in 15 hours .
    I was drinking 1 Litre of water after every 1 hour . Then i suffered from LightHeadedness .
    I think i have suffered brain damage . My ability to understand and think have decreased . Please help please

  • @dallindavis2915
    @dallindavis2915 3 роки тому

    video starts at 1:25

  • @TBuilds888
    @TBuilds888 4 роки тому

    People think im joking but ive had it dir 11 years now and i can drive and do motocross but i cant focas well at al and my language is terrible plz help someone🙁

    • @edwinaastley6421
      @edwinaastley6421 3 роки тому

      Go on to BrainHarmony.com and take their free quiz. YOu can then have a free consult and they are trained to rewire the brain for these types of issues..

  • @7amzawi-Senpai
    @7amzawi-Senpai 3 роки тому

    How much MAP is our goal?!

  • @Grapesforbananas
    @Grapesforbananas 3 роки тому

    I have gotten a lot of CTI'S before and let me say they aren't fun whatsoever. Last year I had an overdose on medicines from the physicians and doctors and so many more people. I had a lot of seizures, hitting my head a lot from the overdose on medicines. I feel like I have sustained a brain injury from it. But I don't know... I just don't trust doctors or physicians anymore...

  • @Tsudkyk
    @Tsudkyk 11 місяців тому

    Why does your intro of the sound of somebody Flat lining? Bad taste. Dude.