Oxygenation Strategies in the Emergency Department: A COVID-19 Simulation Walkthrough

Dr. Midhun Mohan, faculty of Emergency Medicine at Calicut Medical College takes us through this simulation exercise to help us optimize the oxygenation strategies available at our disposal while managing a COVID-19 case. Beginning with the nasal cannula, which requires minimal expertise, this simulation takes us through NIV and intubation and the precautions to be adhered to while doing these lifesaving measures. These experts were the frontline warriors in the fight against Nipah Virus in 2018

[@Boneteacher]

Excellent simulation! Very valuable information 💙💙💙

[@doctorsoncars1393]

Great video. I think even senior doctors need to be sat down and shown this video. Been working on the front line but unfortunately tested positive and I’ve been spending my isolation period solving marrow Q banks. Really appreciate how up to date Marrow is.

[@smithabb8915]

I lost my brother in law 6 days back... He went through all these phases... I wish i had seen this video before.. So that.. I could tell him... Wat s happening to him.. N he could recover!!

[@anjalimalik6710]

Once u have put the pt. on nasal cannula or mask, reassess after 15-20 mins as it takes that much time for O2 level to show on pulse oxymeter. Same goes for if u change the O2 level delivered..

[@prinkapathirage9051]

Its a nice and great oppurtunity to learn how handle and treat safely for a covid positive patient....im from sri lanka..thank you sir....

[@thedocwithdreams5678]

Woah! Learning about an ongoing pandemic sure hits different! ʘ‿ʘ
Thank you professors and marrow for keeping us updated with such valuble information!😃🤓

[@chiragn6972]

Thank you so much sir for valuable information 😊

[@neelan8673]

Sir,pls share your opinion regarding career as an emergency physician and it's further potential super specialty......

[@KK-gc5lj]

Imagine yourself as emergency physician when ur age is 50 or 55 years , will you be enjoying it or not ? Answer that ur self n thn decide accordingly.

[@DrS357]

@@KK-gc5lj at that age..u become HOD ..your residents..will take the charge...those who are passionate could go for it

[@uvtube2008]

Highly informative and meticulously simple. Expect many more such demonstrations, simulations and presentations. - വിശ്വപ്രഭ

[@driqbalshaikh4384]

Need to have more videos like this

[@bosvarkutube]

Lovely presentation thank you

[@beenamanick25]

Excellent ....Global standards lecture good for all medical college faculty.

[@utkarshdubeyingoogleplus]

Thanks Marrow for this Update.
Plz make a video on doing the same thing at home as many hospitals now are filled!

[@mycooltube1912]

Yes

[@staphaureus596]

Crystal clear margination of patients,as when to do what...

[@aswathikrishnan3362]

Very informative.. Thank you sir

[@muniruddinsk8078]

Wonderful presentation ❤️❤️❤️

[@c.johnpanicker6955]

Very informative and Comprehensive video explained in simple language. Congrats the whole team

[@sheebasaradaniel8930]

Wow...wonderful presentation . Thank you sir....God bless you

[@doctoriqra9936]

very informative thanku for guidelines

[@arvindjoshi8779]

Very informative and Comprehensive video

[@NitinKumar4u]

Well explained but the technique of insertion of laryngoscopes doubtful can anyone from Anesthesia explain; did she insert laryngoscope correctly?

[@khairunnisamattummal4133]

Excellent presentation ! Valuable information👌

[@kkwperera3478]

Excellent. Informative. Great effort. Really appreciated. From srilanka

[@ralph6022]

Extraordinary demonstration 💥

[@yashchandak7621]

A very clear understanding and explanation 💥

[@arvindjoshi8779]

Excellent simulation!

[@sayaleedhane1732]

Extraordinary presentation!!! Very informative !

[@driqbalshaikh4384]

Great information sir 👌

[@parvishkumar1205]

wonderful presentation

[@sumithamk6037]

Excellent presentation 👌👌 Very simple and informative. Thank you

[@outdaridhh8045]

I'm satisfied with your interpretation

[@drjayprakash5735]

Thanks marrow and teachers for such knowledge at the time of pandemic...

[@RS-yq1ty]

Thank for this valuble video Sir !! Highly apprectiated Marrow and Daily rounds team🙏

[@surejashreykkantibhai6165]

Excellent video
Thank you sir

[@sakthivela8387]

Thank you ,nicely demonstrated .

[@OhCrazyEggs]

Great video. Very instructive!

[@samanimali676]

Thanks

[@sevvandhikuilan4745]

Thank you so much sir

[@rebecalumang279]

Very informative, thank you so much!

[@shynisharon638]

Super..
V well explained.
God bless you..

[@mkj9517]

God left 2 years bck

[@amaranathl9864]

Extended good presentation sir Thank you

[@parthshahani3071]

Thank you so much, this is helpful 😀

[@rashilm6967]

👏 excellent 👏

[@jitendrachothani5969]

Valuable information excellent ,,,

[@karunakarlllareddy1520]

It is very useful information doctor tq so much

[@BrijeshKumar-vm9gw]

Superb 🙏

[@sugunakumari7548]

Great vedio, thank you so mech for sharing sir

[@marycole9620]

Excellent presentation Sir.

[@nirmalamary7866]

Thank you so much sir.. Explanation was very nice.. It's was marvelous 🤗

[@V14466]

Great information

[@depengurung3115]

Thank u 🙏 . Best video simulation at time of pandemic

[@alprazolamrx9710]

Tqsm... Real doc alz teaches others. 😊

[@nehasharma6629]

Thanks lot sir 🙏 very helpful in this pandemic time even o was not aware h
How it gives after watching ur video got some confidence 🙏

[@dr.abhaysingla222]

Wonderful session. Thank you teachers 🙏🏾

[@dr.shradhagoswami7057]

excellent demonstration!

[@pratikshah5137]

For maintaince post intubation,is muscle relaxant compulsory or only given if there is ventilator -patient dissynchrony???

[@6486midhun]

Covid patients are seen to have very high respiratory drive and there is more chance of patient ventilator asynchrony requiring high doses of sedatives and maybe paralytics. Not compulsory. Most covid patients requiring intubation may benefit from proning. Paralysis is required for that as well.

[@drradheyshyamdhiman8898]

Excellent presentation

[@sharadgavhane5230]

Informative session ...Thanks sirjee

[@medicos4health39]

Just what i needed

[@dr.dbchhetri1584]

Excellent

[@gratitudegratitude8825]

Excellent explanation sir...

[@rechargemindrechargelife3520]

Please sir
One home one doctor policy peh discussion kiya jaaye

[@Dr.Housenbergstark]

Amazing!!

[@dashribulanadi2938]

Does using high nasal flow cannula really help critical covid patient? My grandfather had been in the hospital for 9 days, and on his 9th day his doctor advised to put on HNFC, the next day he became unconscious and eventually died.

[@Solet-sks]

👌👌

[@sarakamamo1724]

Excellent presentation. Thank you for sharing.

[@jayachandrasarangapani6546]

Great 👍

[@pradeepganipineni4310]

CPAP and HFNO are different. Please correct.

[@wanchamiccheal6038]

This is something very good

[@desi_daactarni916]

Amazing video

[@GoShayarana]

Best explanation ❤️🙏

[@chsaifullah95khan44]

Sir plx tell physiotherapy exercises for covidd

[@rosemaryjose2047]

Good job 👍 👍

[@kamalkhandelwal6853]

Thankyou for the valuable information

[@hayang22]

Thank you Dr!!!

[@chsaifullah95khan44]

Sir plz tell physiotherapy exercises

[@mycooltube1912]

1 doubt sir: is hudson mask placed over the surgical mask? Y? Does it not allow germs to enter the patient's mouth?

[@Dr.KN007]

It is placed over mask to prevent aerosolozation ( protection for healthcare providers) and for ur next question , keeping all the viral particles at one place is better than spreading all over (logically speaking)

[@mycooltube1912]

@@Dr.KN007 thank u r u a medical student?

[@Dr.KN007]

@@mycooltube1912 yes im a medical graduate.

[@poorni2069]

Hi doctor my mother is 93% with oxygen support but 88% only without support. She has been given oxygen for the last three days. Please tell what to do

[@chichi8081]

What has happened now

[@girishreddy2514]

Tysm

[@teresalepcha8620]

Sir what should be saturation... If the patient is provited with niv

[@6486midhun]

Initially target for a saturation of 94%. But try to reduce the FiO2 as the respiratory distress decreases. Over a matter of a few days many patients are seen to be doing alright with a saturation of even 88%.

[@teresalepcha8620]

Sir after niv now he is in mechanical ventilator with oxygen saturation 84

[@AJ-qe4on]

I wish i watched this class a week before😣😣😣my covid duty over now

[@sanguineacct3728]

Wht to do for pts having SPO2 of 98 percent and still having breathlessness

[@6486midhun]

Management depends on the severity of breathlessness. Oxygenation and ventilation strategies are only supportive measures till the pathology is resolved. Patients can have shortness of breath because of the pneumonia even when the saturation has not dropped. Such patients may be maintaining their saturation by increased work of breathing.

[@swapnilghosh3010]

Thanks a lot

[@digvijaychavan319]

Wonderful

[@dr.ankitjadon5378]

App mai kha hai yeh video ?

[@alekhyam7150]

Instead of single outlet, multiple outlet oxygen cylinders are better na?..so that one oxygen cylinder can be used for more than one patients? how is my idea?

[@Buttercup1242]

Thankyou very very mch

[@sanjaykoul7979]

Excellent presentation, is it possible to connect with dr on email or telephone. We wish to present some innovative devices

[@sugunaappa9356]

Nice

[@amantabenny2836]

Anyone from kerala

[@bhushan05naitam]

Thank u sir.

[@uwimanaappoline4481]

Nj

[@tanvibatra6649]

Hello sir,
My mother is on high flow oxygen cos of Covid pneumonia. Her oxygen level fluctuates a lot (77-99%) Sp2o.
What could be the reason fir such fluctuation??

[@vizx8574]

How is your mother now ?

[@vismayas1629]

It will.. fluctuate bcz of the infection pneumonia

[@nehasharma6629]

Please share wot is necessary 🙏

[@maabdulraouf1175]

❤️❤️❤️

[@sanjaychoudhary6381]

👍

[@dctordctor]

👌🏻👌🏻👌🏻👌🏻👌🏻👌🏻👌🏻

[@noushadpk1478]

Hai doctor

[@ashishsaimon6511]

Koikodeeee uyir 🙈❤️

[@sanketshah4326]

tht guy totally smashed the dummys tooth, omg this actually doesnt happen with experienced docs....

[@waqarqazi3412]

What kind of stupid accent he is using.
unnecessary show off..bhai use your natural