Good discussion Dr. Gireesh Kumar sir and team.👍 Use of LABAs causes tolerance due to downregulation of β2-adrenoceptors. Therefore the use of LABAs alone is contraindicated.Always give combination with inhaled corticosteroids. Indications for intubation in Asthma patients : -If continued threat of airway obstruction despite first line and second line treatment. -If PCO2 normalizes or elevated (patient should be hyperventilating leading to low PCO2, if the patient becomes fatigued, PCO2 will begin to increase)
Yeah most of the time unit chiefs are like ... "stupid fellow , useless fellow, don't know anything, u don't know the mechanism of steroids also, how did u pass mbbs, u idiot!!"
Sir you are a legend. Indian doctors are best doctors in the world. I m a fan of indian doctors.. sir Allah will bless you long healthy life.. love from Pakistan
Awesome informative video Sir ,,you(all aetcm physicians/consultants) are my guru ,n I m ur shisya,,soon from all over the world there will be a n number of shisyass/followers........🙏........
Can you guys do more cardiac cases like ccf with renal failure or pulmonary edema and how to give fluid, Arythmia in emd. I think lcardiac disease have more complications that needs to be discussed
Thank you so much for this informative and amazing video o have a question in regard of using hydrocortisone in diabetic patient who is not controlled would that be of an adverse effect and might cause complication?
sir you skipped aminophyline and antihistamines , do they dont have any role in acute phase of asthma? plz do also tell if incentive spiromters play any role in improving pateint with acute or extrinsic asthamas?
Sir, thank you for posting video on acute asthma.just a question to clarify myself patient is having fever, mucopurelent sputum, should not we do X-ray first to rule out following conditions as well ? pneumonia Tuberculosis Lung abscess
Doctor's were prescribing me antibiotics every time I had asthma in childhood and even in adolescence age . I lost my stomach health because of it. I have much problem because of acidity. Plz avoid unnecessary meds.
Good discussion Dr. Gireesh Kumar sir and team.👍
Use of LABAs causes tolerance due to downregulation of β2-adrenoceptors. Therefore the use of LABAs alone is contraindicated.Always give combination with inhaled corticosteroids.
Indications for intubation in Asthma patients :
-If continued threat of airway obstruction despite first line and second line treatment.
-If PCO2 normalizes or elevated (patient should be hyperventilating leading to low PCO2, if the patient becomes fatigued, PCO2 will begin to increase)
I like the approach of senior Dr with junior Dr , hope all junior Dr get this kind of mentor who keep sharing their knowledge.
True 👍
Yeah most of the time unit chiefs are like ... "stupid fellow , useless fellow, don't know anything, u don't know the mechanism of steroids also, how did u pass mbbs, u idiot!!"
Scripted rehta bro🤧🙌
Sir you are a legend. Indian doctors are best doctors in the world. I m a fan of indian doctors.. sir Allah will bless you long healthy life.. love from Pakistan
Beautifully taught.crisp.concise.main points to take in consideration in emergency room.
Informative video
Thank you doctor
Excellent concept to learn better ! This makes visualise what we read
you sharing such a great job , really to much knowledge I will apply in my life Thank you sir 🙏🏻
Very informative session.... thank you Dr.Girish sir🙏
Very informative video docs.. Thanks for uploading ❤️
Awesome informative video Sir ,,you(all aetcm physicians/consultants) are my guru ,n I m ur shisya,,soon from all over the world there will be a n number of shisyass/followers........🙏........
So much appreciated.
It was very informative..Thank you for the session Sir..🙏
With each video, I learn new information... I appreciate your efforts with thanks👌👍🙏
Really very informative.. Thanks a lot😊
Thank you so much for sharing your skills and knowledge. 🙏🙏🙏
Very useful & Superb discussion session.. I gained some additional knowledge about BA👏👏
Very useful, thank you Dr🌟
It's very useful 🙏💕..really appreciate the conversation..
Every video is superb...
Excellent presentation Sir 👍🙏
Very helpful 👍, thank you Sir
Awesome video!
Nice Presentaion .... Good Information.
Love it ☺️
Very helpful..Thank you 👍
Very helpful sir🙏🏻
Indebted to every team members of AETCM🧡
Your are really Great sir...i wach your videos
Excellent presentation 🥰
Very useful...thank you Sir 🙏😃
Thank you, please continue the classes.
Very Nice Explaination Sir 😊 Your Videos are Helping me alot🙏😊
Excellent discussion sir
Great work
Effective session , from choosing ideal drug therapy 😀
Awesome sir🙏
Very nice doctor👨⚕ and team andi like your speak English doctor nice nice
Thank you
Great 🖤
Respect from Pakistan for AETCM team, specially Dr. Gireesh ❤
Thank you team
Great initiative.....
Thanku sir
great
It was indeed a good session
Very informative session
Continuing the learning .... 😊
Mst tha.
Thank you sir 🙏
Thank you very much sir
Dr. Girish sir, 👌& 🙏
Nice thanks 🙏🏻🙏🏻
Dr.Gireesh Sir is the best. 🙏🙏🙏🙏🙏.
This clip was shorter and very informative. Please do more respiratory cases , thank you so much
Thku sir yu r a great teacher
😍
V gud
Very nice
Sup sir Tqq explained detail pls more videos upload 🙏🙏🙏👌
Legend sir
Thank you so much sir 😊
Very useful discussion Sir ❤❤❤❤❤❤
Can you guys do more cardiac cases like ccf with renal failure or pulmonary edema and how to give fluid, Arythmia in emd. I think lcardiac disease have more complications that needs to be discussed
Try to make videos on patient in wards their complications and how to treat them.
thaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaanks
please what is the dose of sulbutamol mg/ salin ml
🧡
Which one is good salbutamol + sterile water or salbutamol+ saline
Isn't ipratropium act on large airways as more number of muscarinic receptors present on large airways instead of small bronchioles?
Sir what about Deriphyllin , can we use it in an acute presentation?
Organize more cases on DKA
Keep it up❤
2:04 Examination
🙏🙏🙏
Thank you so much for this informative and amazing video
o have a question in regard of using hydrocortisone in diabetic patient who is not controlled would that be of an adverse effect and might cause complication?
Risk vs benefit titrate with insulin if hydrocortisone indicated
Pls do bed side cases it is more informative..
The presentation looks great.... But the examination part should be elaborated more.....
Have in one Query ?. In case of industrical area one Victim get H2s chemical inhataion. What are the sudden emergency cares .
🙏🙏🙏🙏🙏🙏
It's all worked for me...thank you doctor,but patient is very week... not able to walk...can we start IV fluids age is 62yr with 40kg weight
4:21 treatment
sir you skipped aminophyline and antihistamines , do they dont have any role in acute phase of asthma? plz do also tell if incentive spiromters play any role in improving pateint with acute or extrinsic asthamas?
No role in acute
Sir, thank you for posting video on acute asthma.just a question to clarify myself patient is having fever, mucopurelent sputum, should not we do X-ray first to rule out following conditions as well ?
pneumonia
Tuberculosis
Lung abscess
Chest X-ray is needed
Please mention the dose of Magnessium Sulphate
2g
Inhalation with Adrenaline works too
So is it ideal to give if other drugs fail??
Not first line
Hi. Can we nebulize with ipratopium and beclomethasone together?
No
YOU CAN GIVE TOW TO THREE TIMES NEUTRALIZATION BUT FORGET TO MENTION DURATION ?
You can administer 20 min apart
Great , what about epinephrine ?!
Not first line agent
Doctor's were prescribing me antibiotics every time I had asthma in childhood and even in adolescence age . I lost my stomach health because of it. I have much problem because of acidity. Plz avoid unnecessary meds.
Low dose steroid like wysolone on discharge. Kindly enlighten.
Regards.
Aryan
How much oxygen in literes in needed
How not to overdose with oxygen therapy
Use of steroids in setting of ongoing lrti?? Thoughts sir?
Depends on pt status.. Yes /no depends on that
This kind of case will gonna come in future NEXT part 2 exam 😊
What is the Diagnosis method of acute asthma sir ?
Watch tomorrows video
@@AETCMEmergencyMedicine thank you sir
Kindly tell how to differentiate & diagnosis copd vd asthma
Watch the video on COPD
@@AETCMEmergencyMedicine thanks boss
Sir can u explain what all breathing exercises should be advised for the patient
Incentive spirometry is the best
@@AETCMEmergencyMedicine Thanku sir
love from nepal
Thank you sir