The Critical Care Practitioner
The Critical Care Practitioner
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Dr Rob MacSweeney Critical Care Symposium 2024
One of the most helpful and nicest people you could wish to meet and architect of the Critical Care Reviews website and conference. I met him at the above conference and grabbed him for a quick chat about recent studies.
I have produced many other resources for you to access:
Podcast- 'The Critical Care Practitioner'- podcasts.apple.com/gb/podcast/critical-care-practitioner/id830803893
Website- Critical Care Practitioner- www.criticalcarepractitioner.co.uk/
Teaching Courses on Podia- criticalcarepractitioner.podia.com/
Join the Critical Care Skills Group on Facebook- groups/5337685082938857
I have produced the Guidelines for the management of tracheal intubation in critically ill adults as a set of infographics which you can have for free from here-
mailchi.mp/f5a4f11e79e4/intubation-guidelines
I have more resources for you to look at on my website at:
www.criticalcarepractitioner.co.uk
You can also access my podcasts in iTunes 'Critical Care Practitioner'
zhlédnutí: 99

Video

Easy ways to understand the capnograph!
zhlédnutí 309Před 3 měsíci
I have produced many other resources for you to access: Podcast- 'The Critical Care Practitioner'- podcasts.apple.com/gb/podcast/critical-care-practitioner/id830803893 Website- Critical Care Practitioner- www.criticalcarepractitioner.co.uk/ Teaching Courses on Podia- criticalcarepractitioner.podia.com/ Join the Critical Care Skills Group on Facebook- groups/5337685082938857 I have ...
Acid Base Balance cell level
zhlédnutí 162Před 5 měsíci
What is happening at the cellular level with acid-base balance? A quick reminder. I have produced many other resources for you to access: Podcast- 'The Critical Care Practitioner'- podcasts.apple.com/gb/podcast/critical-care-practitioner/id830803893 Website- Critical Care Practitioner- www.criticalcarepractitioner.co.uk/ Teaching Courses on Podia- criticalcarepractitioner.podia.com/ Join the Cr...
Why we Prone our Patients.
zhlédnutí 721Před rokem
I have produced the Guidelines for the management of tracheal intubation in critically ill adults as a set of infographics which you can have for free from here- mailchi.mp/f5a4f11e79e4/intubation-guidelines I have more resources for you to look at on my website at: www.criticalcarepractitioner.co.uk You can also access my podcasts in iTunes 'Critical Care Practitioner'
How do they work- Cardiac Pacemaker cells
zhlédnutí 547Před rokem
I have produced many other resources for you to access: Podcast- 'The Critical Care Practitioner'- podcasts.apple.com/gb/podcast/critical-care-practitioner/id830803893 Website- Critical Care Practitioner- www.criticalcarepractitioner.co.uk/ Teaching Courses on Podia- criticalcarepractitioner.podia.com/ Join the Critical Care Skills Group on Facebook- groups/5337685082938857 I have ...
CPAP in Congestive Heart Failure
zhlédnutí 5KPřed rokem
I was not sure why CPAP helped when someone went into heart failure. I thought I knew but wanted to know more. In this video I help explain what I learned. I have produced the Guidelines for the management of tracheal intubation in critically ill adults as a set of infographics which you can have for free from here- mailchi.mp/f5a4f11e79e4/intubation-guidelines I have more resources for you to ...
ALT and AST- what do they mean?
zhlédnutí 45KPřed 2 lety
This is another in the series on Liver Function tests I have produced to help me clear the fog and therefore help you. What are transaminases and what do they do. What does it mean when they are abnormal? I go into all of this in bite size viewing. I have produced the Guidelines for the management of tracheal intubation in critically ill adults as a set of infographics which you can have for fr...
Bilirubin and Jaundice
zhlédnutí 1,5KPřed 2 lety
Another in the series on Liver Function tests. Here I talk about the relationship between bilirubin and whether the problem is pre, intra or post liver. I have produced the Guidelines for the management of tracheal intubation in critically ill adults as a set of infographics which you can have for free from here- mailchi.mp/f5a4f11e79e4/intubation-guidelines I have more resources for you to loo...
What is Bilirubin?
zhlédnutí 4,9KPřed 2 lety
What is Bilirubin?
FREE Friday 15 Minutes Teaching Peak and Plateau Pressures
zhlédnutí 644Před 2 lety
FREE Friday 15 Minutes Teaching Peak and Plateau Pressures
Blood Gases- for beginners!
zhlédnutí 1,8KPřed 3 lety
Blood Gases- for beginners!
Respiratory Rate, Tidal Volume and Minute Volume
zhlédnutí 41KPřed 3 lety
Respiratory Rate, Tidal Volume and Minute Volume
COVID Chronicles- ICU- Common tasks and observations
zhlédnutí 439Před 4 lety
COVID Chronicles- ICU- Common tasks and observations
COVID Chronicles
zhlédnutí 187Před 4 lety
COVID Chronicles
Critical Care Monitor, Ventilator and Infusion Pumps
zhlédnutí 1,3KPřed 4 lety
Critical Care Monitor, Ventilator and Infusion Pumps
COVID Chronicles- Webinars and resources
zhlédnutí 183Před 4 lety
COVID Chronicles- Webinars and resources
COVID Chronicles- SCCM guidlelines, SCCM free resources and Nursing assessment of proned patient
zhlédnutí 457Před 4 lety
COVID Chronicles- SCCM guidlelines, SCCM free resources and Nursing assessment of proned patient
Mechanical Ventilation- the basics using Hamilton Simulator
zhlédnutí 4,7KPřed 4 lety
Mechanical Ventilation- the basics using Hamilton Simulator
Mechanical Ventilation Basics!
zhlédnutí 5KPřed 4 lety
Mechanical Ventilation Basics!
COVID Chronicles- Measure patient, St Emlyns primer, BACCN(Prepare to Prone), FT Coronavirus tracker
zhlédnutí 232Před 4 lety
COVID Chronicles- Measure patient, St Emlyns primer, BACCN(Prepare to Prone), FT Coronavirus tracker
Why do we Prone...the basics
zhlédnutí 17KPřed 4 lety
Why do we Prone...the basics
COVID Chronicles- Tape measures, forecasting ICU strain, New to ICU resources and Social distancing
zhlédnutí 376Před 4 lety
COVID Chronicles- Tape measures, forecasting ICU strain, New to ICU resources and Social distancing
COVID Chronicles- Continulus, BACCN and COVID Simulation video
zhlédnutí 3,5KPřed 4 lety
COVID Chronicles- Continulus, BACCN and COVID Simulation video
Mechanical Ventilation- Physiology- Anatomy and Physiology of the nose.
zhlédnutí 464Před 4 lety
Mechanical Ventilation- Physiology- Anatomy and Physiology of the nose.
Rapid Sequence Intubation- Checklist
zhlédnutí 1,2KPřed 4 lety
Rapid Sequence Intubation- Checklist
Non Invasive Ventilation and the BTS Guidelines
zhlédnutí 1,1KPřed 4 lety
Non Invasive Ventilation and the BTS Guidelines
BiPaP Physiology of COPD
zhlédnutí 4,9KPřed 4 lety
BiPaP Physiology of COPD
Why do we need to intubate our patients?
zhlédnutí 8KPřed 5 lety
Why do we need to intubate our patients?
Mechanics of BiPaP
zhlédnutí 37KPřed 5 lety
Mechanics of BiPaP
Anatomy and Physiology of the Nose
zhlédnutí 8KPřed 5 lety
Anatomy and Physiology of the Nose

Komentáře

  • @achekholbeckal889
    @achekholbeckal889 Před 17 dny

    Thank You 🎉 I need this as my blood test reading shows two times than normal

  • @asankasanjeewa9790
    @asankasanjeewa9790 Před 27 dny

    Very simple and meaningful

  • @nurula.shaari5001
    @nurula.shaari5001 Před měsícem

    Very useful video. Thank you so much,sir.

  • @taz9221
    @taz9221 Před měsícem

    Thank you. Makes sense.

  • @AmirAbuleil92
    @AmirAbuleil92 Před měsícem

    Absolutely amazing

  • @anthobacaanthobaca9766
    @anthobacaanthobaca9766 Před 2 měsíci

    #9 Once worked a place where the residents had to put their wire in plastic baggie after the procedure and show it to their attending. No one ever forgot the wire. 😂

  • @SuperKhalidjaved
    @SuperKhalidjaved Před 2 měsíci

    Thanks for sharing 👍

  • @book67891
    @book67891 Před 2 měsíci

    I had a bad cold or flu last week and for 1.5 hours while I was trying to sleep on my back I was constantly coughing and I had a lot of gurgling and bubbling of fluid in my lungs. I've had that before so I was not alarmed but it was distressing to think I had the whole night ahead of me. I flipped over to sleep on my stomach and ALL of the bubbling and gurgling in my lungs went away and the coughing reduced to near zero. I was shocked at how dramatic the change was. I was basically able to sleep the rest of the night. I also slept on my stomach the 2nd night, though I had a little bit of coughing but I was eventually able to sleep most of the night. To sleep on my stomach I sleep with my head on the edge of the pillow so my face is angled slightly down and I prop up my shoulder with 3 folded towels and I also lift my hip on that same side with a crumpled up bedsheet. This reduces the amount of neck rotation needed to sleep on my stomach. Another trick is to add something to keep your head from sliding off the pillow. It's hard to describe but basically I use pillowcase with the T-shirt in the end of it that sticks out from under my pillow and that creates a stop (like a wedge) to prevent my head from sliding off the side of the pillow. I've worked out these tricks for sleeping on my stomach over the past 2 years because I find stomach sleeping helps me sleep a lot better. I'm 57 years old and turning my head to the side to sleep on my stomach is more difficult than a younger person, so these methods reduce the amount the head needs to be turned for stomach sleeping.

  • @shawnb9193
    @shawnb9193 Před 2 měsíci

    How long it takes to lower AST from 200 to normal after quitting alcohol and switch to a better diet??? please

  • @sharkymoon422
    @sharkymoon422 Před 3 měsíci

    Do u ever help cancer patients stage 4? Cure them?

  • @sebinasia
    @sebinasia Před 3 měsíci

    Excellent explanation - thank you!

  • @nurngigi
    @nurngigi Před 3 měsíci

    Thank you

  • @vanessarenda1393
    @vanessarenda1393 Před 5 měsíci

    Are these tests reliable? I read on- line that a person can have liver disease with normal liver tests. Also how reliable is the GGT test to diagnose liver disease or pancreas cancer?

  • @oldlifter530
    @oldlifter530 Před 5 měsíci

    Thankyou 😊

  • @user-gg5lw6ld2z
    @user-gg5lw6ld2z Před 5 měsíci

    Understanding 😅

  • @johnvarvatoss142
    @johnvarvatoss142 Před 6 měsíci

    thxxxxxxx

  • @benben90b
    @benben90b Před 6 měsíci

    thank you very helpfull , but some tips are notspecifically in central line procedure only , but all critical procedure , thank you very much

  • @drrmk
    @drrmk Před 6 měsíci

    Good stufff 🇯🇲

  • @romanvssvmromania
    @romanvssvmromania Před 7 měsíci

    My alt is 124 and my ast is 118. The blood test was taken a week ago. Before the blood tests, after simple abdominal ultrasound, I was diagnosed with NAFLD. I also am grade 1 obese, at the limit with overweight. I will go for further investigation this week. The doctors said the ast, alt should have been lower in this condition. I did take Paracetamol/Nurofen and got to the gym the weeks before the blood test. I stopped the heavy workout at this time.

    • @utilpiese6324
      @utilpiese6324 Před 6 měsíci

      Te salut! Esti roman? Cum esti ? How are you now ?

    • @romanvssvmromania
      @romanvssvmromania Před 6 měsíci

      @@utilpiese6324Salut, da, vestea buna e ca nu a fost nimic foarte grav, analizele refacute mai tarziu au iesit ok, cu mici iesiri din normal de plus-minus 10% la unii indicatori, dar nimic grav. Ficatul inca gras, nu isi revine intr-o luna de regim, o sa merg intr-o luna iar la medic la ecografie abdominala si iar in 6 luni. Oricum este un proces lung de revenire la normal pe care sper sa il trec cu bine.

  • @berry.x9388
    @berry.x9388 Před 7 měsíci

    very good video, sir, thank you!

  • @NFLclipsnhighlights
    @NFLclipsnhighlights Před 7 měsíci

    How do you calculate the arterial O2 pressure? Is it just given from the ABG?

  • @user-js8je9xy2o
    @user-js8je9xy2o Před 7 měsíci

    Thank you

  • @checkm8852
    @checkm8852 Před 7 měsíci

    Thanks. This was more helpful than reading a book with fancy words and 10 pages of dialogue explaining it.

  • @dcasanova26
    @dcasanova26 Před 7 měsíci

    Best explanation

  • @Heyitzpuppies7136
    @Heyitzpuppies7136 Před 8 měsíci

    My ALT is 8.0 IU/L and says abnormal on my results

  • @Fred-px5xu
    @Fred-px5xu Před 9 měsíci

    Thank you for sharing this information!👍

  • @user-wy7pv8rj1o
    @user-wy7pv8rj1o Před 10 měsíci

    My ast is 48 is that bad

  • @brian4117
    @brian4117 Před 10 měsíci

    I wish he would’ve actually given us the normal range numbers so that we have something to gauge his commentary by. Otherwise this is a great video, as usual 👍

    • @SelmanYasirSezgin
      @SelmanYasirSezgin Před 9 měsíci

      Less than 40

    • @ryanwaguespack3611
      @ryanwaguespack3611 Před 6 měsíci

      Something VERY notable to bring to your attention, that I learned from listening to Dr Robert Lustig, an authority on this topic, is that the "goal posts" has moved, to statistically account for a fatter, & and more metabolically UNhealthy society!! And one of his lectures.He said the "high figure" was anything above 25 in the 70's when he was in medical school..... So, now, in our present day, a 30 is normal, yet was high in the mid-70s. Do your own interpretation of that... The lower the better!

    • @tomfisher44
      @tomfisher44 Před 2 měsíci

      Alt less than 56. Ast less than 34. U/L

  • @cyanoko1
    @cyanoko1 Před 10 měsíci

    Thanks doc. Is AST 52 and ALT 20 dangerous? I don't drink alcohol. Other labs are within normal limit.

    • @yvonnemurray1253
      @yvonnemurray1253 Před 9 měsíci

      Mine is 50, it's the beginning of Non fatty alcohol,liver disease.. Before stage 1..

    • @cyanoko1
      @cyanoko1 Před 9 měsíci

      I repeated the labs 1 month after and got better results of AST/ALT 27/12. My doc said the elevated AST might be related to inflammation as I had back pain at the time or just an error. Hope yours would be ok. @@themeekshallrule

  • @samionita2008
    @samionita2008 Před 10 měsíci

    you are magnificent

  • @Brumstarz
    @Brumstarz Před 10 měsíci

    Where I live a normal ALT is 0-41. In May 2022 mine was at 48. This May 2023 it was 55. Do I need a liver ultrasound? Here the normal range for Albumin Creatine Ratio is 0-20. In May 2022 mine was 30. This May 2023 it was 95. In August 2023 it was 127. I see a lot of bubbles in my urine. Doctor prescribing Metformin for elevated blood sugar. Will Metformin help to bring my numbers down and lessen the bubbles?

  • @blackbox6841
    @blackbox6841 Před 11 měsíci

    really valubal video thanks a lot

  • @user-ro4fb9nj1t
    @user-ro4fb9nj1t Před 11 měsíci

    amazing video, thank you!

  • @tomcruise9317
    @tomcruise9317 Před 11 měsíci

    what is a normal platue pressure for us without ventilation what dose it tell ...is it intra alveolar pressure at inspiratory pause or trans pulmonary which is intraalveolar minus intraplural pressure

  • @dr.srinivasanperumal6069
    @dr.srinivasanperumal6069 Před 11 měsíci

    Thank you sir 🙂

  • @edwardstanley2195
    @edwardstanley2195 Před 11 měsíci

    Excellent! Thanks.

  • @user-xs9tf3xc6k
    @user-xs9tf3xc6k Před rokem

    So good!

  • @pallavsingh5863
    @pallavsingh5863 Před rokem

    Thanks

  • @SubashneeArchary-nr7rz

    Like

  • @CaseyRoff
    @CaseyRoff Před rokem

    Exactly what I needed to hear mate! Thanks for the video

  • @hafizasidra1682
    @hafizasidra1682 Před rokem

    Finally after wasting so much time i landed at the right place.... Thankyou for such an easy explanation ❤

  • @patriotsplaya7
    @patriotsplaya7 Před rokem

    Wow, so helpful. Thank you!

  • @miriamespino9739
    @miriamespino9739 Před rokem

    Thank you!

  • @rico1357
    @rico1357 Před rokem

    All of you Doctors only seem to understand what it means to have elevated ALT and AST, but have no idea what it means to have low levels too low. Doesn't the proper function of your body also depends on the proper amount of these enzymes. Obviously if ALT is too low then the protein conversions are not going to happen. Correct? WHY IS THIS NOT IMPORTANT?

    • @anomalyp8584
      @anomalyp8584 Před rokem

      That's because primarily these tests are designed to sniff out damage to liver cells (not gauge the function of the liver). Both are linked, but not in a certain formula. AST and ALT leak out of damaged cells...so you expect them to be higher than normal in certain pathologies. When that pathology is supposed, the lab test will be requested. To answer your question: levels of AST/ALT are not directly linked to liver function (too much variability within and between people). Only if clinical signs are present you can search more precisely and have other tests performed.

  • @alpro8542
    @alpro8542 Před rokem

    1:59 Just wanted to clarify if he really means "end of EXPIRATION" and not INSPIRATION.

  • @7deucegangsta
    @7deucegangsta Před rokem

    My ast is 117 and my alt is 183 . My creatine and Bun is slightly elevated also. . I was diagnosed with fatty liver disease, three years ago but I’ve also lost 200 pounds since then and all of my labs have been within range till now. Any info would be great

    • @anomalyp8584
      @anomalyp8584 Před rokem

      Damn dude! Respect to you. Keep on going till you have the desired weight. If you have any symptoms you can look further into what you need to do. Other than that you are just looking at numbers (which doesn't tell you all that much). Keep on doing what you do: eat healthy would be the primary goal (you can lose weight, but still have a shitty diet) and MOVE (this will activate metabolism and get those fat cells activated). If you have any questions on what you can do: go for a diet you can maintain (crash diets are bullshit), same with sports: do something you like and keep it light so you don't get bored, don't get injured, can maintain frequency (rather light and often than heavy and once a year).

    • @romanvssvmromania
      @romanvssvmromania Před 7 měsíci

      My alt is 124 and my ast is 118. The blood test was taken a week ago. Before the blood tests, after simple abdominal ultrasound, I was diagnosed with NAFLD. I also am grade 1 obese, at the limit with overweight. I will go for further investigation this week. The doctors said the ast, alt should have been lower in this condition. I did take Paracetamol/Nurofen and got to the gym the weeks before the blood test. I stopped the heavy workout at this time.

    • @utilpiese6324
      @utilpiese6324 Před 6 měsíci

      @@romanvssvmromania Te salut! Cum esti acum ?

    • @romanvssvmromania
      @romanvssvmromania Před 6 měsíci

      @@utilpiese6324Salut! Mai bine, am facut iar analize la 8 zile dupa primele in care transaminazele au iesit foarte mari. De data asta au iesit 24, rspectiv 42, adica in limite normale. Era cel mai probabil de la faptul ca am facut analizele la 1-2 zile dupa antrenament greu la sala, inca aveam febra musculara care a generat multa distrugere de celule, de aici transaminaze mari. De asemenea mi-au mai spus ca pot fi marite si de Paracetamol/Parasinus, pe care eu le luam in perioada rece. Am facut si verificari sange din nou pentru hepatita A,B,C si alte cateva cerute de doctori (in principal de la transaminazele iesite triplu initial) si nu am nimic iesit mult din comun la analize. M-au scos si de pe arginina si Lagosa pe care mi le prescrisesera initial, doar regim si niste suplimente care sa ajute ficatul si sa imi de pofta de mancare. Problema o am acum ca renuntand la carbohidrati si infometandu-ma am scazut foarte mult in greutate, respectiv 8-9 kg intr-o luna. In rest sunt mai bine, trebuie sa slabesc, ficatul e inca gras, regim samd. Trebuie sa imi fac mancare acasa, fara zahar, alcool, fumat, prajeli in ulei, mancaruri procesate, fara exces de grasimi si carbohidrati samd. In rest mai bine, sper sa ajung incet incet catre normal.

  • @topkgoo-sb4px
    @topkgoo-sb4px Před rokem

    I did an x-ray of my chest. My eyes remained open during the x-ray. Is there damage to the eyes.... and should we close our eyes during the x-ray?

  • @aungthurashwe3775
    @aungthurashwe3775 Před rokem

    TQ,sir . Clear explanation,save tons of books & time for me

  • @charitaborgonia4856

    My analysis in AST showed 177 what are d possible medications to lower it

  • @hashimmanzoor7669
    @hashimmanzoor7669 Před rokem

    25 year old male got my blood work done today.. ALT value is 1162 and AST value is 339 .. considering these insane values.. am i going to die now ..

    • @joeivo911
      @joeivo911 Před rokem

      Did you ever find out if something was wrong?

    • @haaatg
      @haaatg Před rokem

      Do you work out spontaneous?

    • @dharmachinna1237
      @dharmachinna1237 Před rokem

      Hi how is your health can you please replay me

    • @remogatron1010
      @remogatron1010 Před 10 měsíci

      @@dharmachinna1237 he died