Excellent lecture as always! DDX Shock= Septic, spinal,, deHydration/hemorrhage,, Obstructive tamponade, tension Pneumthx, Compartment synd, cardiogenic,, K=endoKrine, anaphylaKtic. Hypotenisve pt--May add pressors (Norepi) if fluids not enough by 30 min. ( mortatlity/infarction increases 5% /hr if hypoTensive). be more liberal with cardioversion/shock. If pressure drops with fluid, think PE. Raising legs is like giving a bolus of 250--to see if fluids need to be given. Calculate shock index,, hr/sbp0.8. DO NOT intubate.
@drmaninjoseph35542 ай бұрын
A
@thepalettewhispererasmr12274 жыл бұрын
Freaking love this guy
@requiemforjustinКүн бұрын
Right? He’s incredibly easy to listen to. Funny, and so smart. He keeps it simple.
@medicwebber30375 жыл бұрын
Sir...... if only I had seen this in the early days of my medic career!! Those HypoK+ strips... I had so many of those in the field. Was taught "prolonged QT with inversion". Even a couple ED docs didn't recognize it. Shaking my head! And fascinating info on the Shock Index!! I love this field! I love how there is always more to learn! 23 years in and STILL learning!! Thank you for doing the vids, sir!
@Packman333 жыл бұрын
As a new paramedic this guy is teaching me so much more than any textbook could
@ivandr29235 жыл бұрын
We live 2 parts of our lives in diastole! Genius! I used to have a problem explaining that to surgeons that I have worked with, during the part of my career working in Cardiac Surgery ICU. They just love SBP below 120 mmHg no matter what the MAP value is.
@DManC8553 жыл бұрын
This gentleman/doctor is SPOT ON when he talks about hypotension and tissue infarction. Every minute a patient is hypotensive tissue is dying and much of this organ injury is completely irreversible. Even if a patient is non-toxic appearing do not let them sit with suboptimal perfusion. Great lecture. His K was a bit of a stretch though haha!
@louisvarre21976 жыл бұрын
Such a high caliber of useful information! Amazing!
@moristhetiger5 жыл бұрын
Brother I want to make a whatsapp group and I want to add doctors in it so that knowledge is shared and all of us learn please be a part of my group - chat.whatsapp.com/Eji8SQbPUEhA3yxzmS10Lh
@indefat4 жыл бұрын
What happens when you give 1L of fluids in patients with low hb (5g/dl) and low bp 90/35mmHg? Are we treating the shock or worsening with hemodilution?
@sumitrajput99932 жыл бұрын
Triangle of death - hemodilution ,acidosis and hypothetmia is killer so if u have low hb in go warm blood and blood products ,giving fluids is a bad idea
@saadyousfani50364 жыл бұрын
Wonderful job Dr Mattu, Thanks ER Physician From Pakistan
@evaeva19322 жыл бұрын
Awesome lecture. Will be using your information in my TNCC shock lecture. love it!
@marksmadhousemetaphysicalm29383 жыл бұрын
Amazing medical educator...wish more were like Dr. Mattu...
@77hoolie3 жыл бұрын
This pneumonic - isn’t easier. Learn the categories and understand their sub groups. BUT the talk was great and some great advice.
@Realitycheck-mqtАй бұрын
Acute adrenal insufficiency!!!
@BlueSky-lb8fw11 ай бұрын
Dr amal makes me look like an idiot.
@akhilraghavan1843 Жыл бұрын
Great sir. Thank you. Lots of new learning. Shock index, DBP importance, Pressors right away in PE- all life altering . Both for physicians and PATIENTS
@joestevenson5568 Жыл бұрын
What classes is he talking about with antiarrhythmics? If it's the Vaughan Williams classification he's got it totally wrong...
@anishatolat90945 жыл бұрын
amazing presentation! such useful info for practice. thank you:)
@hanyelbanna3673 Жыл бұрын
Wonderful explanation 👏 I appreciate your effort May Allah bless you Thanks
@Angelusloco155 жыл бұрын
Amazing presentation Sir! Thank you so much for this valuable information!
@alhasanasaad98502 жыл бұрын
Great little lecture. Great delivery. A little comment here tho; please do NOT wait for an X-ray to pick up tension ptx as mentioned here 2:20
@touseefbeig915 Жыл бұрын
Nice
@johndunn98852 жыл бұрын
He’s absolutely brilliant he is! Highly highly intelligent and marvellous to watch
@章先生-i2j5 жыл бұрын
Amal is a great EM physician
@AlexanderRoux3 жыл бұрын
4:58 I theoretically knew this but now #MINDBLOWN
@amardeepbishnoi2263 жыл бұрын
Thanks. Very helpful and practical
@XX-ru5wu6 жыл бұрын
You are great & my god of cardiology!!! It's a pleasure to hear & see you & your presantations!! *Please weekly* :)) !!! Greetings from Gemany