A review of the definition, etiology, and cost-effective work-up of syncope (e.g. fainting or passing out) For more information: eurheartj.oxfordjournals.org/c...
I am a student who graduated from a college in the United States, and came back to my home country, S.Korea. I'm currently a med student, and your lectures have clarified so many things that I previously felt difficult to understand. A a enthusiast about an education (particularly science and medicine), I've found that your lecture series have given me great ideas on how to teach, inspiration, etc. Although I'm not in the States anymore, at least via online, I'd like to express my gratitude and great respect to your efforts and passion in education.
I passed out at red light, thank god I didn’t wreck or hurt anyone, I went to heart specialist three days later and was admitted to hospital for stenting and monitoring
sir i have a request to put forth you- I am an intern and i find it extremely difficult to prioritize what to learn first...(I mean which disease , as there are thousands and thousands in number out there) So, here is my humble request: could you please make a presentation clearly stating the diseases which beginners like us should pay more attention to(coz,of their high incidence of occurrence) like 1)Top 50 in endocrinology 2)top 50 in blood 3)top 50 in cardiovascular system 4)top 50 in pediatrics 5) top 50 infectious and so on and finally a list which is a mixture of all above stating the TOP 100 diseases with highest incidence among humans.....like anaemia , hypertension ,malaria ,tuberculosis , stroke, depression, etc. I think this kindda guide would be a very valuable resource for beginners......as it would prioritize their goals and improve our capability to learn common problems of our society/community first (I.e., improving our efficiency) Thank you very much.
ACID REFLUX INDUCED SYNCOPE. If you have bad acid reflux for many weeks or months the lower gullet sphincter seems to stop working so food backs up in the gullet and feels like you cannot swallow or are choking. Then the pressure of the food causes pressure on the blood vessels from the hart and that reduces blood flow to the brain which suddenly shuts down. It is quite terrifying when it occured to me three times in ten days.
Hi Dr Strong, The tilt table measures how the blood pressure and heart rate respond to the force of gravity, so Why is this checked in the context of suspected reflex syncope and not orthostatic syncope?
Thank you! Is orthostatic hypotension same as orthostatic syncope? If not is orthostatic hypotension a cause for vasovagal syncope? And what type of syncope is passing out after prolonged sitting in one position?
Orthostatic syncope is syncope that occurs secondary to orthostatic hypotension. In other words, orthostatic syncope is the symptomatic manifestation of orthostatic hypotension. Syncope triggered by prolonged sitting would be very unusual, but that triggered by prolonged standing can be either neurocardiogenic or orthostatic in mechanism.
I revised this after i have a female 86 years old with syncope, ECG done with A Fib with RVR, Hb 6, BP at presentation 85/55...... All this is bad,. But the clinically you can add a striking observation which is the patient is frail BMI is 17, and that was the straw that broke the camel's back, she died after nearly 72 hpurs post admission
+Dr.SUSHEEL DUTT I'm sorry for delay. The material is ready except I've been unsatisfied by the fidelity of recording breath sounds using the same techniques that I use for heart sounds. So it's on the back burner until a better means of recording presents itself.
+theresa bowne Thanks for the suggestion. I actually had the opportunity to test out an EKO prototype at their headquarters. It was interesting, but I really wasn't sold on it. I've never tried out the final product though - maybe I'll track one down.
+shif442 Videos are on temporary hold for a few weeks...working on a time-sensitive non-MedEd project at the moment. When the videos resume, high priority topics will be some more ECGs, another hemostasis video, maintenance fluids, new sepsis guidelines/septic shock, pressors, advanced topics in clinical reasoning, and measuring blood pressure. Haven't decided the precise order yet.
i am a high school senior and i plan to study paramedicine or EMS. i would like to start over with my independent studying and i want to use this channel as a source. what videos or playlists should i watch first to best understand and retain the information? and then i guess what order should i watch the videos in?
Hard to say since my videos more or less assume a foundation of some anatomy and physiology, which many high schools don't provide. As far as paramedicine is concerned, the most relevant videos I have would be the series on shock, IV fluids, the first 5 videos in the mechanical ventilation series, and my Intro to EKG videos. The most "foundational" videos (i.e. relevant for conventional physiology courses) are the "normal physiology" videos that are at the beginning of the series on acid-base, the various electrolyte disorders, and diabetes. While it's wonderful that your are pursuing independent study, keep in mind that much of the medical material you learn now may be forgotten by the time you are training to become a paramedic, and there may be an advantage to using your extra time now to excel that much more in your current classes. Or using your extra time now to just enjoy being a senior! Good luck!
You mean because your blood pressure can't normalize until you are lying down? It depends on the mechanism of syncope, but in some circumstances, yes absolutely. If someone appears to pass out while in the seated position, and are remaining in that position (e.g. slumped over in a chair or restrained some how), you should almost always try to lie them down as safely as possible.
@@StrongMed thanks. I experienced this VVR for the first time in my life two days ago. I had just donated blood (500ml whole blood) and I went to the toilet afterwards, standing up. Within minutes I was being laid on the toilet floor by two nurses as they could see I was not right. Blood pressure dropped to half of what it was before I donated. Being anxious didn’t help and I almost fell asleep on the floor. I was sweating and nearly vomited. The nurses were fanning me to keep me cool. One of the worst experiences of my life, but glad to know it wasn’t dangerous. Recovery was just being monitored and lying on a bed for 30 minutes. After that I walked out of there with no problems. Does this preclude me from donating blood again?
I'm sorry but I can't give you specific, individualized medical advice here. However, I can say that *in general*, an episode of vasovagal syncope following blood transfusion is relatively common, and it usually doesn't preclude an individual from donating blood again, but I would make sure that individual is well hydrated prior to future donation, and I would recommend that they inform the nurse taking the blood about the prior event. (The nurse might ask them to hang out in the donation center for a little bit longer, just to make sure there's not a repeat). But again, not specific medical advice for you per se - one should always discuss personal health concerns with one's own medical provider.
Assuming you are referring to the Wingate syncope test, I don't know enough about it to have an opinion. But I've never heard of someone here in the US using it in clinical practice.
@@StrongMed Interesting and thank you for getting back to me so soon. Yeah I was asking because I only just started to feel woozy after anaerobic activity. My assumption is that it might have been because I haven't exercised in over 2 weeks and that I'm getting back into it. Either way, like many a curious folk, I consulted Doctor Google with regards to "anaerobic fainting" and it threw a whole bunch of results about "wyngate syncope" at me. So I thought I'd consult Doctor CZcams to do some good old fashioned comparative analysis and your channel is one that popped up :) Also, regarding that kid that fainted during the spelling B, I'm not a medical expert but if someone faints like that, could getting right back up and standing upright be something to avoid if the person in question just fainted?
I am a student who graduated from a college in the United States, and came back to my home country, S.Korea. I'm currently a med student, and your lectures have clarified so many things that I previously felt difficult to understand. A a enthusiast about an education (particularly science and medicine), I've found that your lecture series have given me great ideas on how to teach, inspiration, etc. Although I'm not in the States anymore, at least via online, I'd like to express my gratitude and great respect to your efforts and passion in education.
Thanks so much for your kind words! I'm glad the videos have been helpful!
The best lecture on Syncope that I've "attended" ever!! Great job by a skilled and accurate teacher.
+Vic Froelicher Thanks Vic!
I passed out at red light, thank god I didn’t wreck or hurt anyone, I went to heart specialist three days later and was admitted to hospital for stenting and monitoring
Very nicely done. Thanks Dr. Eric
This was an amazing lecture 👌👌👌👌👏🏻👏🏻👏🏻👏🏻even better than what was being taught in medschool
sir i have a request to put forth you- I am an intern and i find it extremely difficult to prioritize what to learn first...(I mean which disease , as there are thousands and thousands in number out there)
So, here is my humble request: could you please make a presentation clearly stating the diseases which beginners like us should pay more attention to(coz,of their high incidence of occurrence)
like
1)Top 50 in endocrinology
2)top 50 in blood
3)top 50 in cardiovascular system
4)top 50 in pediatrics
5) top 50 infectious
and so on
and finally a list which is a mixture of all above stating the TOP 100 diseases with highest incidence among humans.....like anaemia , hypertension ,malaria ,tuberculosis , stroke, depression, etc.
I think this kindda guide would be a very valuable resource for beginners......as it would prioritize their goals and improve our capability to learn common problems of our society/community first (I.e., improving our efficiency)
Thank you very much.
Thanks, Professor!
Very helpful lecture! Thank you.
Very nice way of making topic interesting and simplified 🙏🙏🙏🙏
ACID REFLUX INDUCED SYNCOPE.
If you have bad acid reflux for many weeks or months the lower gullet sphincter seems to stop working so food backs up in the gullet and feels like you cannot swallow or are choking.
Then the pressure of the food causes pressure on the blood vessels from the hart and that reduces blood flow to the brain which suddenly shuts down.
It is quite terrifying when it occured to me three times in ten days.
Very Helpful! Thanks a lot!
as always....... very useful.
great work
Hi Dr Strong,
The tilt table measures how the blood pressure and heart rate respond to the force of gravity, so Why is this checked in the context of suspected reflex syncope and not orthostatic syncope?
Hi dr Eric, I suggest doing lectures on pacemakers/ICD/CRT and on anti arrhythmic drugs.. Thanks for the great lectures
Thanks for the suggestions. Both topics are on the list. Working on some more EKG vids right now - advanced arrhythmias.
thank you.
Great class! Do you know where I can find the video of vagal syncope?
This video is good and useful 👍
Lecture of quality and relavecnce 😀👌
Great presentation. Similar approach to the ESC guidlines
+ahmedmed The ESC guidelines were actually a major resource for the video. I've added a link to them in the description.
Very interesting
Had my first episode yesterday. It was so scary :(
gud explanation, thanx
Thank you! Is orthostatic hypotension same as orthostatic syncope? If not is orthostatic hypotension a cause for vasovagal syncope? And what type of syncope is passing out after prolonged sitting in one position?
Orthostatic syncope is syncope that occurs secondary to orthostatic hypotension. In other words, orthostatic syncope is the symptomatic manifestation of orthostatic hypotension. Syncope triggered by prolonged sitting would be very unusual, but that triggered by prolonged standing can be either neurocardiogenic or orthostatic in mechanism.
4:16 What a comeback!
I know, right!
I revised this after i have a female 86 years old with syncope, ECG done with A Fib with RVR, Hb 6, BP at presentation 85/55...... All this is bad,. But the clinically you can add a striking observation which is the patient is frail BMI is 17, and that was the straw that broke the camel's back, she died after nearly 72 hpurs post admission
sir u promised before 8 months that u will upload a video on breath sounds....
eagerly waiting for the video.....thank u
+Dr.SUSHEEL DUTT I'm sorry for delay. The material is ready except I've been unsatisfied by the fidelity of recording breath sounds using the same techniques that I use for heart sounds. So it's on the back burner until a better means of recording presents itself.
+theresa bowne Thanks for the suggestion. I actually had the opportunity to test out an EKO prototype at their headquarters. It was interesting, but I really wasn't sold on it. I've never tried out the final product though - maybe I'll track one down.
Please explain briefly about cardiac syncope
what will be the next videos and what is going with your planned ecg textbook?
+shif442 Videos are on temporary hold for a few weeks...working on a time-sensitive non-MedEd project at the moment. When the videos resume, high priority topics will be some more ECGs, another hemostasis video, maintenance fluids, new sepsis guidelines/septic shock, pressors, advanced topics in clinical reasoning, and measuring blood pressure. Haven't decided the precise order yet.
i have this i start to cough an black out if i am standing i fall diwn an look like a fish out of water i go into seizures
i am a high school senior and i plan to study paramedicine or EMS. i would like to start over with my independent studying and i want to use this channel as a source. what videos or playlists should i watch first to best understand and retain the information? and then i guess what order should i watch the videos in?
Hard to say since my videos more or less assume a foundation of some anatomy and physiology, which many high schools don't provide. As far as paramedicine is concerned, the most relevant videos I have would be the series on shock, IV fluids, the first 5 videos in the mechanical ventilation series, and my Intro to EKG videos. The most "foundational" videos (i.e. relevant for conventional physiology courses) are the "normal physiology" videos that are at the beginning of the series on acid-base, the various electrolyte disorders, and diabetes.
While it's wonderful that your are pursuing independent study, keep in mind that much of the medical material you learn now may be forgotten by the time you are training to become a paramedic, and there may be an advantage to using your extra time now to excel that much more in your current classes. Or using your extra time now to just enjoy being a senior!
Good luck!
Strong Medicine thank you! and as a matter of fact i took anatomy and physiology last year!
Thanks! If you get caught on the way down and faint in a sitting position, can it be dangerous?
You mean because your blood pressure can't normalize until you are lying down? It depends on the mechanism of syncope, but in some circumstances, yes absolutely. If someone appears to pass out while in the seated position, and are remaining in that position (e.g. slumped over in a chair or restrained some how), you should almost always try to lie them down as safely as possible.
@@StrongMed thanks. I experienced this VVR for the first time in my life two days ago. I had just donated blood (500ml whole blood) and I went to the toilet afterwards, standing up. Within minutes I was being laid on the toilet floor by two nurses as they could see I was not right. Blood pressure dropped to half of what it was before I donated. Being anxious didn’t help and I almost fell asleep on the floor. I was sweating and nearly vomited. The nurses were fanning me to keep me cool. One of the worst experiences of my life, but glad to know it wasn’t dangerous. Recovery was just being monitored and lying on a bed for 30 minutes. After that I walked out of there with no problems. Does this preclude me from donating blood again?
I'm sorry but I can't give you specific, individualized medical advice here. However, I can say that *in general*, an episode of vasovagal syncope following blood transfusion is relatively common, and it usually doesn't preclude an individual from donating blood again, but I would make sure that individual is well hydrated prior to future donation, and I would recommend that they inform the nurse taking the blood about the prior event. (The nurse might ask them to hang out in the donation center for a little bit longer, just to make sure there's not a repeat). But again, not specific medical advice for you per se - one should always discuss personal health concerns with one's own medical provider.
What are your thoughts on Wyngate syncope?
Assuming you are referring to the Wingate syncope test, I don't know enough about it to have an opinion. But I've never heard of someone here in the US using it in clinical practice.
@@StrongMed Interesting and thank you for getting back to me so soon. Yeah I was asking because I only just started to feel woozy after anaerobic activity. My assumption is that it might have been because I haven't exercised in over 2 weeks and that I'm getting back into it. Either way, like many a curious folk, I consulted Doctor Google with regards to "anaerobic fainting" and it threw a whole bunch of results about "wyngate syncope" at me. So I thought I'd consult Doctor CZcams to do some good old fashioned comparative analysis and your channel is one that popped up :)
Also, regarding that kid that fainted during the spelling B, I'm not a medical expert but if someone faints like that, could getting right back up and standing upright be something to avoid if the person in question just fainted?
Passed out again but I went to the er this time
I have this 2
What did they find out please.
I passed out and cracked my skull 10 staples i my head.
Im scared
17.58
I was coughing when I blacked out maybe 10-20 seconds then everything was good again