MBBS Case Discussion || Atrial Fibrillation || Heart Failure

#af#AmritaHospitals#AETCM

[@meenatyagi8185]

Dr Gireesh ,this is marvellous way of teaching , students feel confident , idea is to teach them not to harass very good

[@palaniappanvkr9019]

Sir why tab.ccbs is not described instead of.betablocker./ CTZ /Torsemide in place of lasix in. Follow upsir.

[@nitagunns549]

I have huge respect for the teaching doctor, he never puts down his interns or residents otherwise this toxic culture of humiliation of juniors by seniors is rampant. I have no idea what satisfaction they get by insulting the new doctors infront of everyone.

[@solslastcannula5665]

Small duum syndrome of the great brown

[@Doctors-online]

Never focussed on any lecture in my class even for 2 mintues, but listened the whole lecture without blinking an eye. May u be blessed with more skills 👌

[@Damitrii111]

I have learned more today than I learned in my hometown hospital's emergency department Thank you so much!! Well done Keep it up❤️

[@zodarmy1889]

What a kind and gentle man , always grateful for your time and effort.😌

[@amoghavarshanrupatunga1914]

What I like the most is that Dr Gireesh Sir also focuses on Management and tells practically how to proceed with the case in Emergency Department That's so helpful in actually treating the case 🙏

[@sunnyy116]

In the whole case discussion, I only saw an interaction between the Doctor and His juniors but not Authority. That's how a Good teacher will be. A Good teacher wouldn't thump his Authority on his Juniors Rather will Enlighten them with the knowledge and Charm which is clearly visible in the video. Great job to the whole team.

[@omarelhadi5262]

I wish I have mentor like dr Gireesh appreciate this effort

[@nadirabbas8114]

Sir is living legend

[@mohanapriyadevaraj8181]

It was very use full to us sir.,i learned more about AF with a help of your teaching..thank you Dr.Gireesh for giving an idea to deal patient with atrial fibrillation.

[@communityhealth5003]

Excellent work . I love to watch all these case presentation.... during my MBBS in 1997 ...teachers used to shout very much and we could not rewind or dare to ask teacher....if we had any querry... Thanks 👍

[@bryananthonyfarol5341]

Watching from the Philippines. This is the best learning method for doctors online. Keep up the good work!!

[@prabalpratapsingh3544]

best way of teaching with coolness. I love your case discussion nicely.

[@sagaringale5616]

Dr gireesh sir... Is excellent mentor...i have ever seen..

[@Doc_Rahul_FMG.]

Nice teaching style sir 🙏 thanks to You and your team for giving us clinical scenario......

[@parthshahani1041]

So beautiful 🤩 Thank you thank you for all the work you do for the community ✨💫

[@masumsoni9182]

excellent case diacussion and a good learning purpose for fresher. The case diacussion is very nice & make a diff.diagnosis in emg. department with rapidly & correctly handling the cases.

[@shyamalaramesh1813]

Awesome teaching sir! Took me back to my pg/ug days👍

[@dr.maryamhashmi9285]

Excellent sir. Great respect from Pakistan

[@ligygeorge2422]

These students are lucky to have a kind intelligent teacher.

[@madhurjyaroy3968]

Amazing discussion,, thank you to all the team members,,

[@Punny95]

Very well presented case. But requested to show the imaging tests as well as the dosages and adverse effects of medications along with the case presented🙏

[@aminullahsargand9475]

Excellent way of teaching sir 👏 keep up the good work 👏

[@adityasharma-qo4lm]

Always love the way you teach medicine sir

[@DREAM_CATCHER.]

Omg . I m impressed both by teacher and student .❤

[@rekhakadam6393]

V well explained. Thanks to the entire team!! 🙏🏻🙏🏻🙏🏻

[@pashteen8348]

Yess evryone here learned alot.. Thanks sir... Continue it

[@vaakatali9224]

Great job sir.Thank you very very much.God Bless You.

[@babubhaipanchal1096]

excellent way of presentation and very helpful ,Sir

[@Nagesh9999]

Hat's off Dr. Gireesh... Thanks for the information, it was very useful...

[@dr.saurabhkumar7084]

Love u sir...the way u presented the scenario is superb...

[@sheelapillai3675]

Very nice.Extremely educational.

[@piyushlahoti7629]

Amazing session 👌. Great Teacher and docs.

[@nadirabbas8114]

To add some points....this pt seems to be a case of HFpEF with Afib...acutely if he is in pulmonary edema with Afib, then why not going for DC? And BetaBlockers are usually avoided in acute HF acc to literature....So here amiodarone would be better choice to control rthym and also rate??...Also better to avoid verapamil or diltiazim as pt having signs of right heart failure also evident by pedal edema...kindly correct me if im wrong respected Sir..thanx

[@Ma3lomatMofedah]

Thaks alot for this amazing video I have a question please, In the same senario, If my patient has a low saturation level and not improved by face make ... which is the next step BiPAP or non rebrether face mask ?

[@nilnil8480]

Thank you so much Dr gireesh sir 🙏🏻💐

[@midhunabhatta5340]

Thank you very much sir for doing a very good job 👏🏼

[@grow2infinity803]

Thankyou very much..these videos are very helpful... 🎉👏👏🙏🙏

[@srinivasankrishnamurthy1982]

Excellent discussion.. thanks to both doctors..

[@dsarkar2593]

Please can you make a video on case discussion of vulvular heart diseases.. And these videos are so helpful

[@AETCMEmergencyMedicine]

Already available please check

[@SalmanKhan-bl1ok]

Patient is unstable with high BP and signs of heart failure. Isn’t cardioversion ideal treatment?

[@nodalkumo5416]

Thank you team🙏🏻🙇‍♂️

[@shrinivassutar2864]

You have said a lot of detail thank you Sir

[@definitesuccess9872]

Beautiful session thankyou aetcm team!

[@sasmac1829]

Marvelous teaching as usual Sir

[@_c_ovid1962]

You are doing great job ❤️❤️❤️🙏🙏

[@DASH-o9w]

There's already pulmonary edema, wouldn't it be risky to give B-blockers in such setting?!!!

[@Dr_robin]

Sir please add subtitle for each video we are watching from Nepal

[@hemasubrahmanyamd426]

Nice presentation

[@ravidabhi1270]

Sir, on discharging pt which one better drug choice for this type of cases ... Beta Blockers or Calcium Chanels blocker for Maintaining Heart Rate..... Warf and Diuretic and antiplates already continue..

[@vatsalshah4582]

Perfectly presented but honestly speaking, in an emergency setting, do you really run through a detailed history taking session?

[@AETCMEmergencyMedicine]

This is for academic purpose

[@gopalpillai8004]

Sir, since clinically there’s heart failure, could DC cardioversion be done to reduce the rate instead of metoprolol?

[@Punny95]

Sir Giresh,please mention the dosage of medications as well?

[@drgadham]

Nice discussion and good learning 👌

[@livingearth4166]

Very supportive mentor. What if the screening echo shows RWMA. Can we give beta blockers??

[@AETCMEmergencyMedicine]

With failure associated no Beta blocker

[@livingearth4166]

@@AETCMEmergencyMedicine cant pupmonary edema considered as failure?

[@fiazniaz6041]

If ECHO shows New RWMA ,then more likely ACS and SOB more likely LV Failure. So BB is not indicated in acute LV Failure

[@nishitparwani9762]

Sir why did you not recommend giving amiodarone bolus on diagnosis of af on ecg and instead choose to stabilise rate with beta blocker?

[@nenjoramluvdub9637]

Hello sir, As always Great lecture sir. what will be anti arrythmatic of choice in Rheumatic heart d/s presented to ER with Acute CVA with hemiparesis and Atrial fibrillation with normal or low BP.

[@AETCMEmergencyMedicine]

Beta blocker / Amio

[@nenjoramluvdub9637]

@@AETCMEmergencyMedicine Thanks sir

[@nischaydave2228]

Hello Respected Girish sir Based on pt detailed History & physical Examination we have considered as Acute CHF with AF. Sir Can we give Rx Digoxin for the management AF as in this case..???

[@tanukabanerjee1731]

Why can't we treat the patient be given Lasix and digoxin with bipap ? Since the patient has failure

[@ManpreetKaur-xr6je]

Best channel sir AED pr lecture lelo pls

[@RIYAKUMARI-ge3sn]

Thank you sir.... really helpful video 😃🙏

[@meghasule8949]

I like all case discussion 👍👍🙏

[@singhjassi93]

You are gem sir ❤️

[@mpschint7362]

Tx.. It's really helpful video...

[@sharmilashaikh7943]

Superb teaching dr 🙌

[@Nagesh9999]

.Dr. Greesh, one 92 years male patient having hiccups from past 2 days, he is non diabetic and he is hypertensive, he had acute pneumonia last year now I feel little bit gurgling sound, can you please suggest me what treatment can be given in this case? Regards

[@AETCMEmergencyMedicine]

Please email to [e-mail] with your qualification details

[@AghaJavaid-b2j]

Wonderful

[@prakharjain9601]

Literally great sir

[@gairanliuthaimei5242]

God bless you Sir

[@anandgupta414]

This video is great....

[@saptarshibhattacharya]

I canr understand whats the problem in giving Amiodarone to this pt.

[@amoghavarshanrupatunga1914]

Dr Gireesh Sir 🙏

[@drjainendrakumar4418]

Good

[@arungupta6463]

I have suffered from recurrent episode of ABPA .3_5 yr. Can you hilight any casse of this for treatment. Please

[@harikasiddi7630]

Plz do about laboratory normal values exactly, 🙏🙏🙏🙏plzzzz sir, we have some confusion

[@TheManojsaini45]

Sir please decrease the monitor sound it disturb our concentration

[@Jit3112]

WHY ABG was not sent in this scenario

[@rameshnatikar9151]

Thank you so much sir..

[@venkatesh2992]

Thank you sir 🙏

[@dr.harivarma6388]

Helpful video sir

[@abhishekkhandal1224]

Very helpful

[@mpschint7362]

Sir... Pt had already tachycardia... At this time NTG increase HR...?

[@AETCMEmergencyMedicine]

No

[@jaihind4601]

Hello doctor what are the benefit/adverse effects of digoxin in such a case?

[@AETCMEmergencyMedicine]

Can give in af with failure Good rate control

[@jaihind4601]

@@AETCMEmergencyMedicine the books say that digoxin should be given carefully as it has alot of side effects..why is that

[@azadkhanna2388]

Sir NTG+BETA BLOCKER , THEN WHY NOT LABETALOL

[@khkhmoh4651]

Thank you sir

[@nagaratnamsuthakaran3639]

Thanks a lot sir

[@azmaalifia9445]

Grt presentation 💙

[@azmaalifia9445]

@@muhammedbilal9355 no🙄

[@gayathrim4560]

Hi sir, I have one doubt regarding abt inj. Aldopam infusion related how much ml I want to start in first itself. Can u tell abt this

[@AETCMEmergencyMedicine]

What's aldopam?

[@gayathrim4560]

Antidote for poisoning pt

[@fatemehpoormehr7298]

perfect

[@drmusthafamohammed1603]

❤

[@parinafaruqui3393]

U r best sir

[@aswinkutan]

Thnq sir

[@lordvoldemort9989]

WOW 😮

[@EATERYFoodie]

Lmwh heparin also used in AF patients sir ?

[@AETCMEmergencyMedicine]

Yes

[@jaihind4601]

21:54 what is anti gi?? ...u mentioned here

[@AETCMEmergencyMedicine]

Ntg

[@khkhmoh4651]

100/100 Thank you

[@Tiwarifamily9211]

Is there any clubbing, barrel chest what's spot status

[@sirikelothu]

Really useful

[@sarathchandran5912]

Sir wat if patient comes in shock (AF in failure)

[@AETCMEmergencyMedicine]

Cardiovert

[@parinafaruqui3393]

Sir please tell dosage too

[@abokaiser1393]

Thaaaaaaaaaaaaaanks