How Coronavirus Kills: Acute Respiratory Distress Syndrome (ARDS) & COVID 19 Treatment

How COVID-19 causes fatalities from acute respiratory distress syndrome (ARDS) by pulmonologist and critical care specialist Dr. Seheult of www.medcram.com/?Y...
This video illustrates how viruses such as the novel coronavirus SARS-CoV-2 can cause pneumonia or widespread lung inflammation resulting in ARDS.
Includes evidenced-based ARDS treatment breakthrough strategies: Low tidal volume ventilation, paralysis, and prone positioning.
Note: this video was recorded on January 28, 2020, with the best information available. Acute respiratory distress is, of course, not the ONLY way COVID 19 causes fatalities (other causes include heart failure, thrombosis (stroke), etc.)
OUR RECENT COVID-19 UPDATES CAN BE ACCESSED FREE AT OUR WEBSITE: bit.ly/3OmHLnU
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LINKS REFERENCED IN THIS VIDEO FROM NEW ENGLAND JOURNAL OF MEDICINE
www.nejm.org/doi/10.1056/NEJM...
www.nejm.org/doi/10.1056/NEJM...
www.nejm.org/doi/full/10.1056...
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Speaker: Roger Seheult, MD
Co-Founder of MedCram.com
Clinical and Exam Preparation Instructor
Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine.
Video produced by Kyle Allred
MedCram = More understanding in less time
Topics from our COVID-19 pandemic series include: coronavirus spread, How Hospitals & Clinics Can Prepare for COVID-19, The ACE-2 Receptor - The Doorway to COVID-19 (ACE Inhibitors & ARBs), Flatten The COVID-19 Curve, Social Distancing, New Outbreaks & Travel Restrictions, Possible COVID-19 Treatments, Italy Lockdown, Global Testing Remains Limited, Coronavirus Epidemic Update 32: Data from South Korea, Can Zinc Help Prevent corona virus? Mortality Rate, Cleaning Products, A More/Less Severe Virus Strain? More Global COVID-19 Outbreaks, Vitamin D May Aid Prevention, Acute respiratory distress syndrome (ARDS), Rapid antigen tests, mutations, COVID-19 in Iran & more.
MedCram.com has medical education topics explained clearly including: Respiratory lectures such as Asthma and COPD. Renal lectures on Acute Renal Failure, Urinalysis, and The Adrenal Gland. Internal medicine videos on Oxygen Hemoglobin Dissociation Curve / Oxyhemoglobin Curve and Medical Acid Base. A growing library on critical care topics such as Shock, Diabetic Ketoacidosis (DKA), aortic stenosis, and Mechanical Ventilation. Cardiology videos on Hypertension, ECG / EKG Interpretation, and heart failure. VQ Mismatch and Hyponatremia lectures have been popular among medical students and physicians. The Pulmonary Function Tests (PFTs) videos, how coronavirus causes morbidity and mortality, and Ventilator-associated pneumonia lectures have been particularly popular with RTs. NPs and PAs have provided great feedback on Pneumonia Treatment and Liver Function Tests among many others. Mechanical ventilation for nursing and the emergency & critical care RN course is available at MedCram.com. Dr. Jacquet teaches our EFAST exam tutorial, lung sonography & bedside ultrasound courses. Many nursing students have found the Asthma and shock lectures very helpful. We're starting a new course series on clinical ultrasound & ultrasound medical imaging in addition to other radiology lectures.
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#coronavirus #COVID19 #ARDS

[@Medcram]

You can support our frequent COVID-19 updates by subscribing and visiting us at MedCram.com The professor featured in this video is Roger Seheult, MD, and you view all of his medical videos here: www.medcram.com/collections We offer CME/CEUs for clinicians and provide videos for medical programs, institutions, and hospitals. Thanks for watching!

[@offgridjohn871]

MedCram - Medical Lectures Explained CLEARLY ... well that got ya a sub.👍 God Bless from Australia bud

[@charlesvandenburgh7008]

Are there other medications added in order to hasten the healing process?

[@Medcram]

@@offgridjohn871 Thanks!

[@christinelawrence4315]

Medcram - Brilliant explanation and thank you for explaining the processes via visual drawings .. I understood you perfectly !!! Let's pray that this insidious virus goes as quickly as it's arrived.

[@timdowney02]

You simplified how the lung works very well I definitely have a better understanding I’ve started watching your videos and have subscribed I also have a thought and was wondering if anyone has tried something like it So I’m looking at this from a mechanic point of view just curious if you could tap into a artery run the blood through a artificial oxygenation taking some of the work off of the lungs long enough for the swelling to go away I understand it’s invasive but if it’s a last ditch effort or maybe becomes as easy as dialysis I would like to see feed back from the medical community on this idea

[@abyssiniantubee]

Who ever reading this - I pray for you and your family's good health.

[@patty16po]

I was in ICU from having covid. I had covid pneumonia and ARDS. I felt like I was dying continously. It was a horrible experience. I still need oxygen now and I still have severe breathing problems. I was also left with pulmonary embolisms. It's going to be a long recovery but I'm glad to be alive.

[@sddhvjlsdfhvjlsdfhvlhvkjsbnvs]

2 days back my father passed away due to COVID, he was given plasma therapy too but his age 74 and poor health didn't support any treatment. He was stable for 7days but on 8th day his oxygen saturation went low, BP dipped low and suddenly died. May he rest in peace forever.

[@FelixTruvere]

My dad died exactly this way. Lost him Friday, April 16, 2021. After escaping it all year, both my parents caught it at my acoustic show in Lakehills, TX on March 6, just over a month earlier. I watched it kill him like a diseased animal. Stole him right from our lives. Nurses played his machines like a video game, just watched & countered his problems with whatever they knew. It was a race between his heart & lungs. Which will give first? I watched my dad die slowly on a bipap machine with a nonrebreather instead of a ventilator. If he survived intubation, he wouldn’t survive extubation. So we watched his oxygen level drop until his color instantly changed to yellow and he was just suddenly gone. I will have PTSD from this forever.

[@Medcram]

It’s so hard to watch for anyone. Even though I’ve seen it many times it is something that a loved one will never forget. My condolences!

[@jjosyde]

You can’t be an actual doctor due to your outstanding penmanship

[@francisruizyamba6149]

Jason Jo well at least its in computer not on an actual paper

[@gillie3696]

@@francisruizyamba6149 but he's drawing lmao..

[@SmittyOne883]

Hahaha 😂😂🤣🤣

[@thuynguyen-wk9cg]

He is an actual Dr. He works at the same one I am at.

[@Mark13091961]

thuy nguyen i think you missed the joke!

[@Mel-59]

I feel the urge to take a deep breath just watching this.

[@shardeabre]

Mel yesss

[@jaiwhi]

Mel I took ah thousands breaths. Oh that sounds like a song!🙂

[@midnightsstar8864]

Me to

[@crystalgrose]

Exactly! If you can breathe and breathe on your own, you have a lot to be thankful for.

[@Fenlan1233]

Try wim hof

[@diegojacobo3038]

I just lost both of my parente because of this if someone could pray for me and my siblings for strenght I would really appreciate it please people be carerul out there

[@ahnafislam8931]

Hey I am a covid 19 patient. I am suffocating badly and breathing is really uncomfortable and painful. No doctor or hospital is treating the normal patients other than VIP or political persons. Please pray for my recovery. I dont want to suffer anymore.

[@macb.43]

Sometimes you "meet" people who are perfectly suited to their profession. This is a case in point.

[@vincentdelvecchio1509]

@Wal Leece the

[@sgtrock2821]

@Wal Leece Coronavirus is qualitatively different. 40 to 70% of the world will get coronovirus according to a Harvard doctor who was just on Dateline.

[@Anomize23]

Wal Leece only this is not the ordinary flu and worse than the flu because the treatment for flu is not gonna help you while the coronavirus in your body is going to keep going. But since you wanna act like it’s nothing to be concerned about let’s hope you don’t get it and just knock on wood

[@ritadeniston8986]

please read my post on why he is wrong about ventilator care. he did explain the anatomy and alveoli well

[@melinmove]

Finally, someone actually explains how this kills! Not just how it spreads, or how many cases there are.

[@Samiul_007]

Dedar Doo same

[@loryndabenson2118]

Exactly understanding HOW it actually affects our bodies better prepares people to deal with the symptoms so its we can treat it in its earlier stages rather than later

[@dannygorkin8751]

But there's no cure..

[@andrewgarratt5191]

He’s only explaining SARS SARS is to the coronavirus as secret sauce is to a BigMac.

[@jacqueplett1800]

Thank you for explaining this so that we laymen (and women) can understand.

[@bai]

Finally a good medical explanation without strange words and letters popping out. Thank you very much!

[@marthapeters4408]

And he cites ALL his sources!

[@am_Nein]

Yes and this is thoroughly enjoyable

[@mariakatsande704]

What a great explanatiom

[@nemeamber6861]

contact Dr Sebi herbal store for private help view E-mail: [e-mail] ..

[@Prahphet]

My father was in the hospital with Covid-19 in January, he seemed to be getting better and we thought he'd b coming home after 10 days. On the 11th day, he took a turn for the worst and we were called to come to say goodbye, he was 77 and the healthiest person I knew. He was not holding any oxygen, I watched the doctor give him something that made his oxygen go up to 100% and within a few minutes, it was down to nothing again. He passed just after I left the room to gather myself. Hug your loved ones tightly, prayers to those grieving a loss. Thank you for the information, understanding is where am I at this moment.

[@DaisyAnnabelle65]

Im a nurse and passed this information to my family, friends and coworkers.

[@Medcram]

Thank you for your support!

[@tovahromanov7414]

Me too. Trauma. Masters. 19 Countries and I’ve never seen anything like this and I was out there in the trenches for SARS. He’s spot on and I tell EVERYONE to follow him. I can’t explain it this well and you know we aren’t dummies! You go Sister♥️

[@ritzbitz1905]

Great explanation of ARDS....best I’ve ever seen in 12 years of critical care nursing! Well done!

[@rufio171]

I always knew you'd be a nurse

[@privateprivate5302]

@@ritzbitz1905 yep, as he was talking about over breathing the vent with the low tidal volume i was like, okay so paralyze them...then he goes...so we paralyze them...and then we he got to the PRONING part i was all giddy! this is EXACTLY how our team trouble shoots. like he said, you want a STRONG ancillary team -and you wanna pull in your novice youngin's and teach them how a strong team functions

[@rahulmarskole1893]

If you were a teacher in my school, I would be a doctor today.

[@katiegray9873]

Right!!!!

[@kachua07]

😂 I was thinking the same.

[@kishoregs799]

Same here bro 😒

[@luisbautista7408]

He teaches at UCR med school, he is great.

[@kiwishbj1]

You must be an American or living in the USA.😊

[@georgethomson9933]

i hope Qoronavirus leave us alone whoever see this comment i wish you,your family and the ones you love a healthy life i hope God save all of us.

[@netty5571]

Speechless, I wish teachers taught like this.

[@smudgiee3480]

Meh too bruh🙂🙂🙂

[@konacoffeeplease6285]

Teaching and learning is a two way street. While he explained well, it's the viewers (aka students) that clicked due to an interest/curiosity in the topic (students engaged). So one can conclude, just like mentioned above, teaching and learning is a two way street.

[@nadiamccall4311]

some do. I had a great one for A and P in nursing school. I love when they can explain it so concisely and no waste of words; we get what we need explained clearly and no complications.

[@Woohchaiell]

@@ritadeniston8986 Still waiting for you to cite your sources and he's not a teacher he is a medical doctor.

[@Woohchaiell]

@@ritadeniston8986 You don't care what his credentials are but you're boasting your own? I'm not asking for logical reasons, I'm asking for cited sources not just your own personal experience.

[@andrewryan1203]

Anyone else take a deep breath while he was explaining lung anatomy? It’s amazing how complex our bodies are

[@amandawilliams2266]

Kinda makes evolution seem impossible

[@amandawilliams2266]

@Pb&j Astronaut Amen !

[@sammytheusername6818]

@@amandawilliams2266 Not Impossible, Just took an extremely long time for homo sapians to morph Into ''Modern humans'' and to evolve the way we evolved

[@stsm9975]

@@sammytheusername6818 according to Darwin, you're no more complix that a simple bacteria, I bet you agree with that too, , even better, read a book called Darwinian fairy tales by Henry Gee.

[@mimilong3817]

Andrew Ryan: And your mind too, lol!

[@jejojka_8309]

For some reason , it calms me down to know how this virus affects.

[@thonbmc2026]

Fear comes from the unknown

[@_the_low_gold_gamer_2501]

Thonb mc fear doesn’t exist

[@philipkelly9753]

@@_the_low_gold_gamer_2501 if fear doesn't exist , then emotions don't exist and this is "The Sims."

[@davemwangi05]

so wait a bit, those who were infected with this coronavirus and have survived already have immunity, right?

[@_the_low_gold_gamer_2501]

Divad Ignawm yeah unless it mutates which means they will have partial immunity kind of like a flu shot kind of how it’s kind of a guess for each strain

[@merlinelisson8341]

I'm watching this video for obvious reasons. I'm not a doctor or medical student, so I expected this to mostly go over my head. It did not. This video made this subject easy to understand and greatly improved my attitude with regard to what might happen to me if I contract this horrible virus. I'm so grateful to Dr. Seheult. I cannot thank him enough.

[@jamesbondtraining]

I am a doctor turned personal trainer and you have explained ARDS very well in layman's terms. Well done you!

[@ritadeniston8986]

He does not know anything about Ventilator Care, please read my post on why he is wrong

[@Outdoor_MED]

Respiratory Therapist here: Thank you for these well and easy explained lectures for people that don't understand this stuff. ARDS can be be fatal but a lot of cases are not and if not recognized and it can be mistaken for pulmonary edema. Majority of ARDS patients will be in distress meaning they will be experiencing increased work of breathing, using their upper respiratory muscles to breathe and at that point that is not really efficient breathing plus the patient is not getting adequate gas exchange.

[@billysledgehammer]

Hell yeah bro I'm in RT school right now

[@Outdoor_MED]

@@billysledgehammer Good luck man! I am applying for PA programs soon 🤘

[@billysledgehammer]

@@Outdoor_MED hell yeah that's awesome. How long were you RT before you decided to go PA?

[@Outdoor_MED]

@@billysledgehammer Going on my 7th year

[@GivingYouTruth]

@@billysledgehammer my ex-wife was an RT. I paid for her undergraduate school and also her four-year degree in medical school, plus cars and houses. Then she decided to abandon me and divorce r@pe me.... Ho's will be ho's. 🤷🏻‍♂️ Go MGTOW4LIFE

[@ursulapainter5787]

Thank you for calm, reasoned approach. Good teaching! No matter what happens in the next few months to years, panicking is not the answer.

[@tonyrone1729]

We need some of our old folks remendy They knew all kinds of remendy that would get you well in weeks🙏🙏

[@patriciakelly69]

That is the best explanation I’ve heard. I remember years ago when I nursed neonatal infants on a ventilator. They did much better nursed on their tummy, but some one came up with an idea that they did better on their back. I never 👎 believed that their was enough research to prove it. I specialised in intensive neonatal care and i found the opposite. Thank you for sharing. X

[@SatanicNuttz]

Schools need educated teachers , professors & roll models like you Doc ! Thanks for all this great information .

[@catnhat1117]

Thank you. After hearing commentators with zero medical background trying to be coherent about this disease & outbreak, your videos are a breath of fresh air (pun intended). In these circumstances it's very important to get clear, non-sensationalized information.

[@Medcram]

Thank you for your insight - happy to help

[@Luverofmysoul2]

I so agree with this comment.

[@elitebrowz7258]

This MAN MADE DISEASE 😂👍🏻👍🏻 that’s been out for years ? My mom is a DR and she had been treating patients for this virus and stated she doesn’t understand why it’s all the sudden this big deal it’s like a common cold . CDC trying to make money off you brain washed idiots!

[@stevej4328]

Great comment. So true.

[@quasimobius]

Agreed, so far, this is the best video yet regarding the coronavirus outbreak. I like knowing what I'm dealing with and what to expect if I catch it. Uncertainty and fear only lead to hysteria, and nobody wants that.

[@liveuntetheredmusepodcast4832]

"Knowledge is Power!" Too many people on Earth don't understand the pure simple meaning behind that!

[@lilbitofsouthernspirit7788]

The absolute best comment I have seen since this started!

[@davidmay55]

if its actual truth tried and test not just what u say and thats a wah lame statement k is p wah derf

[@davidmay55]

@@lilbitofsouthernspirit7788 could use a little bit that southern comfort to

[@AncientSperm]

Knowlege is only potential power It becomes power when it is applied Check my book club #successunion

[@genshinimpact7876]

book has knowledge but no power.

[@occrugs]

I lost my beloved brother right in my arms due to covid-Delta type, it was a devastating situation to our family that words can not explain. Any how such is life, May lord Almighty grant full recovery to the ill and forgive those who have left this world. Ameen

[@60viking]

Good coverage about lung functions. I was a deep-sea diver in my past and we used to spend a lot of time thinking about spontaneous pneumothorax or air embolisms and I am glad to see that everybody's got a handle on that.

[@elimaslumpaz7509]

I agree, knowledge is POWER. Im a Nurse and I think this presentation is full of relevant information.Thank you😊

[@jamessawyer1331]

If my highschool teachers could only teach as good as your explanation, I would have never gotten the school record for most skip days.

[@aschconformity7795]

Unfortunately, not all teachers can teach.

[@Jan96106]

So you skipped class because you were having trouble understanding the material even though that obviously made the situation worse? And have you ever considered that your lack of understanding of what you did hear was likely due to all the material your missed on the days you were absent? Just saying.

[@unbearablepun8608]

Jan96106 much too advanced of an explanation he doesn’t understand the third comma you placed

[@jamessawyer1331]

Or maybe you should stop taking every KZbin comment too serious? And I've got people who had college degree in business how to start a business so I think I've good at where I am at.

[@jamessawyer1331]

@heera rodriguez Get a grip and take a joke. You must be fun at parties.

[@tt5177]

Dr, I bet you are a senior professor also, everything make so much sense. Your students are very lucky like a star in the galaxy.

[@angelapalmer835]

Thank YOU for this breakdown of ARDS. God bless all that's dealing with this. 😞🙏

[@TheTruthSeeker756]

I just thank God that there are people out there like this man who care enough to figure out how this stuff works to make people better

[@Pokerlady421]

have to say this....this Doc is MY Doc and he's WONDERFUL! he's BRILLIANT. Lucky to have him!.....

[@wildhorses6817]

Yes, you are very fortunate !

[@narcissismrehabilitation]

patti watanabe Good to know! Thank you.

[@Theo-hj2pl]

@@josegarcia6158 there is no cure right now

[@danielfronc4304]

@@josegarcia6158 The "cure" for it is surviving it (only the worst cases such as very young and very old with debilitating conditions need ventilators) and by doing so your body produces antibodies against it. However, down the road if the virus mutates as they often do, return to the beginning of the cycle.

[@DoelowDaPilotman]

YOUR A BOT CHANNEL

[@donnagolder7893]

My daughter died at the end of October. She was 46 y/o and morbidly obese. I am a retired critical care nurse. Some things were hard for me to understand and to reconcile as I gave permission for various aspects of her care, long distance via phone. This video has explained much and has put my mind and my heart at ease because of the descriptions of various studies done since my retirement. The entire process makes sense to me now. I very heartily thank you for your education!

[@spiff1003]

This is the second video I have seen from you regarding how the corona works and complications related to it, and I find them very VERY easy to understand. So easy, actually, that I used them to explain my daughter how the corona virus spreads too. Keep it up! I love knowledge of any kind, so this is right up my alley.

[@Shiruvan]

the explanation made me consciously breathing under some anxiety 😂

[@wiiitch]

Same 😭

[@mandapanda7657]

For real made me overly self aware of my breathing lol

[@icon.2158]

silshasubando 🥴 let's just relax.

[@StardomRecordsLLC]

silshasubando same here! Wow, very scary!

[@JohnnyMotel99]

It also made me conscious of my breathe and how precious it is

[@Dajobi1]

Really appreciate the style and clarity of these videos for us non-medics. Thanks.

[@csh6220]

I had ARDS in 2016/2017. I was hospitalized 6 months, had to learn to walk again, and it took me 18 months to get back physically where I was before ARDS. I could go on and on about things like having pneumonia 5 times during this ordeal, but just take my word for it. DO WHATEVER IT TAKES TO AVOID IT. I was so lucky to have survived. I have never smoked, and probably got bacteria in my lungs at Walmart or the grocery store, simply by breathing where someone had sneezed 30 seconds before. COVER YOUR MOUTH PEOPLE WHEN SNEEZING OR COUGHING. Thanks for a simple explanation.

[@catmom1322]

I've been a critical care nurse most of my adult life, & I remember these changes as they happened. This was aa very good synopsis of ARDS & how to treat it, & I'm very grateful. For this crisis, I just hope we have enough vents for everyone who needs one. Having said that, everyone wash your hands & stay home. Take care!

[@lisaweaver986]

Things has so fast certainly changed to your schoolings and since.

[@lisaweaver986]

No you have never been prepared to this wide spread edemice . They never taught you to your nursing school in real taught to huge pandemic.

[@lisaweaver986]

They never beileved something would have become so bad. This is going to take months stay well to it as medicals professionals.

[@ritadeniston8986]

You should work closely with a Respiratory Therapist in the ICU, you would realize he is so wrong

[@catmom1322]

@@ritadeniston8986 I'm retired & haven't worked with vents for a long while. Yes, I did work closely with RT's & learned a lot from them. Thanks.

[@FrankMac59]

I am a 76 year old Australian practising internist ( we call them physicians) turned addiction medicine specialist so my ICU and hospital days are long behind me. That was the best, clearest and most succinct information in aspects of ventilator procedures that I have ever heard. And my background was when the Bird 7 was the techno leader, long before the variations in tidal volume and inspiratory/expiratory pressures were available. While this is not information I will ever have need of, I thank you very much for such a lucid explanation and like one of your commentators, surely you had someone else do the graphics? You couldn't write that well?

[@jackdaknife]

Wow. Really helpful man, my Dad is in the ICU and this just clears my questions. He's doing better but just again thanks for the information!

[@COMtnPilot]

As a former medic who worked in the trenches at UCLA Medical Center back in the day, and has experienced SARS,MERS, etc ... I found your video very informative and well put together. Keep up the great work! Sub earned! 😷 BTW ... I just shared this with a local news station in hopes they air it for public education.

[@loopedaround5951]

You actually had me understanding And learning. I wish you would have been my teacher. Finally straight forward answers. Thank you 👏🏼👏🏼

[@musicofdanamarie]

I think you just explained for me how my mom actually "died" of lung cancer. I knew that her body couldn't get the oxygen, but I didn't know how that translated to her organs shutting down, especially since the tumor was just in one spot and oxygen was supplied through a ventilator. Now I get that the lungs were likely inflamed in response to the invader, and that what you show above is what was actually going on. It's little pictures like this, and the understanding it brings, that calm the mind a bit. It doesn't change that she died, or what she went through, but I appreciate having the detailed understanding of what was actually happening in her body. I don't know why, but it makes a difference. Thank you. You are so right, knowledge is power.

[@user-ee4fh1ig1m]

Your mom sounds like the kind of person to have nice teeth.

[@leevandiwata9949]

I feel you. My mom also died of lung cancer and this video made me understand what she was going through when she had difficulty in breathing. :(

[@BigBlueJake]

Understanding what happened helps with closure.

[@andyryan3756]

I like how this man explains things in a simple way . He makes it easy to understand. 👏 his videos are very interesting

[@dovani0011]

My father passed away March 2021from covid-19 and now my friend is fighting for his life due to the same. I hope and pray that the Medical Breakthroughs from great Doctors and Grace will save him. Thank you Doctor for your contribution .

[@sharleneramsubhag6420]

Wow... this was explained in such a way that just blows my mind! Thank u.

[@keyboardfreedomfighter5734]

I was 2 minutes into the video and it was already the most interesting video I’ve seen this year!! So much knowledge.

[@ritadeniston8986]

it is a CROCK, please read my post about just how wrong he is

[@hashansenadhipathi6461]

@@ritadeniston8986 is he wrong about everything or is it just the fact about prone position??

[@ritadeniston8986]

@@hashansenadhipathi6461 He did a great explanation of how the alveoli work, and how secrections inhibit oxygen getting into the blood stream. ARDS is Acute (sudden) Respiratory Distress Syndrome. Any insult to your lungs could cause ARDS, ex. pneumonia (bacteria in the lungs) all the WBC's, bacteria fighting agents all go to the same spot, causing swelling, debris as the bacteria die, mucous trying to keep the lungs moist. A baseball hitting your chest. Etc. You want to maintain all the body systems as normal as possible, based on the pt's height and (normal) body size, You set a Tidal Volume that will adequately ventilate the pt , (getting the O2 in and getting the CO2 out) If a normal TV for a 6 ft 180 lb male is 800, and you have a male 6 ft and 300 lbs he would still require a TV of 800, The lungs are still the same size. If you don't fully inflate the lungs small areas start to close up (atelectasis) which causes areas to be unable to exchange O2 and CO2. You want to use as little of PEEP (Positive End Expiratory Pressure, to keep the smallest airways open, so they don't collapse, too much peep or TV and you can blow a hole in the lung, (pneumothorax)." Do No Harm " Paralysis: You want the patient to be as alert as possible while lessening any pain they may be having, If they can't move, pressure sores can occur. they can't cough to clear their airway, It can cause confusion which causes stress for everyone, stress causes increased BP, Heart rate, etc. Again, try to maintain as normal as you can. Prone position: The patients just could not tolerate it. Imagine being suspended in mid air with a strap on your forehead, upper chest, hips, thighs and ankles, gravity is pulling you down, You have a tube in your throat, breathing for you. (gravity trying to pull it out) IV's , Blood pressure cuffs all pulling down on you. The nursing staff can't see if an IV or your endotracheal tube have become misplaced. if they don't have a clear picture of you, how can they correct a problem before it is too late. imagine you are upside down and in trouble your Blood Pressure is dropping rapidly, you are bleeding internally, they have to flip the bed over, which could take some precious time. If you had been upright, you could have been attended to sooner. I hope you find this helpful, I know I can go into great detail. Sincerely Rita

[@hashansenadhipathi6461]

@@ritadeniston8986 Thanks a lot. That was a very good explanation.

[@MegaTrivial]

@@ritadeniston8986 - I think you should make videos on this, you're very good in details, probably many would like to see it, including me; and it seems you have a lot of knowledge! What is your profession, if you don't mind; I saw you share a lot of videos about art?

[@jthomas2341]

As a respiratory therapist, nurse, physician and pathological, I agree

[@sharathnagendran3754]

You are, sir, a great teacher ! I wish everyone taught like this.

[@amandaturner8928]

Knowledge is power, how true. So long as we are getting the correct knowledge and not "spin" from authorities. Thank you for this!👍

[@tghost7721]

😥FINALY a transparent explanation! Thank you!👍🏼😌

[@jesusmejia3910]

Thank you so much for this. May 2020 I got Covid and at my 10th day I had double pneumonia and really had no idea what it was. I love how simple you made this to understand.

[@professorofhow9213]

This content is seriously a PURE GOLD!

[@weimondo]

so basically: death by suffocation

[@101taiga]

“Knowledge is power.” Amen to that!

[@jlnriddick]

Your explanations are amazingly understandable to those of us looking for answers who don't have a lot of medical background. Thank you so much!

[@sugakookieandtaewithsomemo8308]

My mum actually passed away from covid 19 unfortunately so im here on this video to see how it kills people because my mum had breathing problems and it happened so gradually. She couldn't go on the ventilator because we thought that it wasnt an emergency and the hospitals were filling up :( The worst experience of my life.

[@nadiasinterlude]

okay but this is literally helping me revise for my biology exam

[@newcarpet10]

Wow- my mother had ARDS back in 1992 ! They suggested we take her off of the ventilator, not much was known about ARDS back then. We told them we wanted to try to save her. We had her sent to Drake Rehab center in Cincinnati OH for months. She lived and was actually on the news because of her miraculous recovery. I had no idea that the Corona Virus is causing ARDS ! She was in the ICU for over a month and her whole body blew up like a balloon. It was so scary , but thank God , she made it through .

[@Dhorpatan]

Thanks God. Used medical science and humans for the save. Using technology for the communication.

[@ritadeniston8986]

ARDS is well known to Respiratory Therapist, it is not something new, please read my comment about his lecture being wrong

[@newcarpet10]

@@ritadeniston8986 Thank you, I am well aware that it is not new. 1992 was a looong time ago ( when she contracted the virus) Not much known about how to properly treat until about 2000. The virus caused, pneumonia, then attacked her lungs with an overly aggressive immune system response. Covid -19 is absolutely causing acute Respiratory Distress. This is how people are dying. Patient eventually can end up with tears in lungs , which turn into scarring, in turn - rendering the lungs like leather and useless. Eventually there is no hope. All Corona-19 is, is a new group/strain of viruses, it's not the disease itself. My mother contracted a corona virus which could not be treated. Acute respiratory distress is just that - acute distress and damage to respiratory system, namely, the lungs- which is exactly what is causing death. Sorry I couldn't find the "response" that you mentioned you had posted regarding this video. You could copy and paste in a reply to this comment, I'd love to see it.

[@ritadeniston8986]

@@newcarpet10 Rita Deniston 1 day ago Your lecture is so outdated, and just wrong. I am a Registered Respiratory Therapist for over 40 years. I have worked at Level 1 hospitals and trauma centers for all of my career. 1. We do not use Low Tidal Volumes, we assess the pt and try to give him his normal tidal volume. We do use low levels of PEEP (Positive End-Expiratory Pressure) YES Peep keeps the alveoli open, It is easier to ventilate an open alveoli. It also causes less trauma to the lungs. You want to maintain the lungs and other body systemsand parts, heart kidneys etc as normal as possible. You do not want to cause an abnormal shifts to the body. Ex.(if you are in kidney failure and your body is normally acidic, you do not want to rapidly try to make the body alkiline.) 2. You try to never paralyze the patient unless absolutely necessary. With Low tidal volumes and paralysis you are not properly ventilating the patient, Causing atelectasis (under inflated lungs) and a acid base shift with low O2 levels and high Co2 levels, which could kill the pt. paralysis causes all kind of problems besides respiratory issues. 3. The PRONE POSITION: REALLY YOU HAVE LOST YOUR MIND yes the prone position has been tried. the only benefit was keeping a fat belly from pushing up on the diaphram. You are not able to see the pt and assess them, check your ventilator tubing, besides it is very uncomfortable to have straps fight gravity pushing on your body. I am retired, I am thinking of helping during the COv19 crisis, I would love to explain things to you. But what you are saying is GARBAGE Acute Respiratory Distress Syndrome, is kind of a generic term, Acute means sudden, and respiratory distress is just that your lungs have been damaged for what ever reason. The one thing we try to do is maintain the breathing to give the medications and other things time to fix whatever had made the patient ill. When a virus like this one hits your body, there are multiple things going on, it is not just secretions in your lungs that kill you. A lot of it is all the stress put on all your bodies organs. It can be come a cascading effect. If your kidneys are damaged it causes your heart to work harder because the kidneys aren't able to get rid of all the excess fluid, that builds up in your blood stream, making your heart work harder to circulate the excess fluid, in turn the excess fluid can back up into your lungs, (the path of least resistance) causing pulmonary edema, which blocks your alveoli and makes it difficult to get oxygen into your blood stream and your organs, So it isn't just the effects on the lungs, it is the combination of stresses. I hope I am able to explain it so that you can have some understanding from the Respiratory Therapist point of view. Rita Deniston RRT RDMS, CHT

[@Woohchaiell]

@@ritadeniston8986 It would help if you cite resources instead of referring to your own personal viewpoint. Uptodate is pretty much the gold standard for clinical decision support. Rather than criticize "REALLY YOU HAVE LOST YOUR MIND". (besides being rude), why don't you counter with a peer reviewed (not anecdotal report) of your claims.

[@moxita91]

Excellent. Thank you for posting this in language and pictures that the average person can easily understand. Kudos.

[@Nettsinthewoods]

Brilliant video. It’s helped me understand why my mum died and that I could not have done more to prevent it happening

[@karlhotz2605]

Wooow such a perfect way of explaining concepts like these to the lay man

[@CurlyAnji11]

Thanks Doc! If I understood you correctly the biggest obstacle that will be faced is appropriate equipment and support staff as the numbers of people affected increase...

[@Inkling777]

My response exactly. On such short notice, little can be done to get more ventilators, particularly if global demand skyrockets. But hospitals could train additional physicians and nurses to handle the specific care for ARDS. That could be done in a few hours.

[@Medcram]

Good news: www.buyemp.com/product/vortran-go2vent-gas-operated-ventilator-disposable-ventilator

[@nonmihiseddeo4181]

@@Medcram Me: There's nothing good on TV. Him: Wanna ventilate each other? Me: Yeah.

[@OlDoinyo]

@@Medcram And they are sold out...surprise!

[@nubi78]

I watched this video in January when you first aired it. Today in September my Mom is on a vent with COVID. Thanks for the clear explanation.

[@GogoGogo-zy5et]

absolutely impressive the way you break this down, thank you

[@jeanettegibbs9148]

As a respiratory therapist retired ,this is so good to listen! Thank you for the update!!!

[@chuckwilson6281]

As a RRT it is a good refresher on ARDS patient care, don't do alot of vent care anymore!

[@ritadeniston8986]

the only thing he explained correctly is the anatomy of the lungs, please read my post on why he is wrong

[@80sChick80s]

Thank you, thank you for walking us through a clear path of knowledge about how our respiratory system is affected by this virus. What talent!🤗

[@davidcesarino]

Fortunate is the student who has a professor like you.

[@doctora3262]

This was better than med school. You have a great knack for explaining things.

[@TheDitru2]

Finally, I got my question answered ! Thank you Doctor.

[@Clinks0521]

Finally. Someone who can explain.

[@Mrcheekymonkeyisback]

this could be a life saver,I did the prone position it helped with my breathlessness. THANKS

[@ritadeniston8986]

do it for 17 hours suspended 2 feet over your bed

[@triciamampel7733]

Thank you for this!! Excellent, concise, great presentation graphics, & more. My comprehension is increased.

[@lauriemarch4123]

Thank you for these easy to understand videos, breaking it down in layman’s terms ....😃👍🏼

[@maryfertig1271]

great info on prone positioning towards the end! I'm a nurse, definitely saving your video!!

[@jeannes4153]

Mary Fertig, just remember that prone positioning will work only as long as the anterior alveoli are and remain in healthier condition. Usually they eventually become inflamed too and then it does nothing more for ventilation.The reasoning behind ventilating in prone position works at all is because ventilation is gravity dependent, but then so is the pooling of secretions (like the infected mucus). So don't rush to start using prone positioning just because you heard something or read something, but also don't wait until it is a last resort before death. By holding off a little while you're saving the healthier alveoli as an ace up your sleeve for a good boost of effective ventilation when the patient needs it most. When you place the patient into the prone position the infected secretions are now pooling in the healthiest part of the lungs casing them to become inflamed. Using an inline MDI - bronchodilator to "puff" them up is a great way to gain lung recruitment. Always space a few minutes between puffs and auscultate frequently to listen for maximum efficacy of the drug as it is being administered. It's always best to keep up any lung recruitment gained by making sure bronchodilators and steroids don't get overly delayed or even missed! Use the steroids after the bronchodilator is at it's peak. There is a whole rationale for doing it this way. When you breathe a bronchodilator into a tight lung it only goes so far and that's it. If you wait until the medication begins to work the next delivered dose goes deeper into the lung tissue, and each successive puff also goes deeper than the previous one as long as there is time for the previous puff to work. Steroids given last after the last of the bronchodilator increases it's effectiveness too. Inline nebulizer treatments also deliver the medication over time and that can increase efficacy of the drugs. Steroids and bronchodilators can be mixed together for an inline nebulizer treatment because of the time involved in delivery and the drugs do not interact with one another. Most therapists want to use MDIs because they think it is quicker, and it can be if you dump every puff in at the same time, it's just not the most effective use of the medication. Avoiding delayed meds can be extremely hard to do when staff are overwhelmed with the excessive numbers of patients and with staff also getting sick too. Therapists not only have a full patient load they also must attend every code and do blood gases and run equipment as well. They can get overwhelmed with just influenza and RSV season. So what is it going to be like for all healthcare workers? It's important to not over do the PEEP setting (overly distends alveoli and injures them) or under do it either (increases atelectasis). Peep is essential to lung recruitment too. While this doctor is saying prone positioning is something relatively new and fabulous, it really isn't all that new because we were doing it for our ARDS patients way back before I retired and I think that was in 2002 or 2003. Always keep moving your patients around for best SaO2 readings. Sometimes that may mean pillow support a little on one side or the other to make the healthier portion of the lungs placed in the gravity dependent area for increased ventilation... and the healthiest portion isn't always necessarily always the prone position, even though it most often is. You'll know by the patients SaO2's; and chest Xrays can also lead you to knowing which lung or lobe is the healthiest. Oh BTW we found it was almost easier , especially with obese patients to disconnect them from the vent and have the therapist use the ambu bag to breathe for them as they were placed in prone position because they can stabilize the endotracheal tube as they are moved...but when lung recruitment is most important disconnecting them for even a short few seconds loses the effects of the PEEP, and it takes a long time to gain it back. But sometimes there is no other safe way about it because extubating the patient from inadvertently yanking on their tubes, will wind up doing the same thing only their airway also become traumatized (and most likely swollen from that awful experience). It's best to use good judgement, what is safest and works for the best patient outcome.

[@anneteller3128]

@@jeannes4153 Thank you wise lady. Voices of experience and accuracy are what is needed at a time like this. Copy and paste this on every site that is appropriate. You may be retired, but you can get your knowledge and experience spread far and wide through the Internet to reach the young ones who are on the front lines now.

[@mnicol2020]

@@jeannes4153 Thank you so much for this information. The general presentation was excellent but I was curious as to the physiological reasons that the prone position was beneficial. You explained this so clearly and thoroughly. I would imagine, however, that if a patient is compromised by any number of other conditions it's a whole new game. Thanks again.

[@ronaldmuir2721]

I survived ARDS in 2015. I was in a coma for 8 days while on a ventilator and in a rotoprone bed. It actually spins you around like a rotisserie. It is used to keep your upper lobe from filling up with fluids. I have no memory of any of it. They initially told my wife I would not make it. Thank God for the wonders of modern medicine.

[@anneteller3128]

@@ronaldmuir2721 Wow, you are very fortunate that this type bed was available. I hope hospitals will invest in more of these type beds as there will probably be more of these type outbreaks in the future, unfortunately.

[@gojoeyr]

This video gave me HOPE. I feel better. Knowledge is POWER! THANK YOU!

[@zohalyuridullah4429]

Wow!! That was the most interesting and informative video that I ever seen in my life. I wish our instructors taught this the way you did. Absolutely amazing!! I just subscribed to your channel. I am so lucky to have found your channel.

[@InfoTYML]

Thanks for doing such a detailed, easy to understand series.

[@ShadowHat]

Thankyou for teaching in a way i can understand. !

[@r9arch00]

Thank you so much for uploading this video. This helps me a lot to understand how it works and what needs to be done. Your explanation is quite amazing love it.

[@mishugrig6832]

Probably the best medical related channel on KZbin!!

[@MrTitobanana]

never seen a doctor with this good handwriting...!

[@AdamOctorachmadi]

For some reason, This video shutdown my automatic breathing mode..

[@fgsippey]

Why would anyone give this a thumbs down rating? I don’t understand that.

[@elimeli5838]

There is lots of weird people on this planet.hahahaha

[@markdutchinc3887]

there are normal people on youtube and there are people working with an agenda, to created perceptions, to try and change your mind. for example 1.5K dislikes on this video may cause someone to second guess the validity of the information. Nothing is as it seems. That's why its called a virtual reality, its created and controlled a tool to influence the way we think hence the decisions we make. like steering a ball down a hallway. Millions of people are about to die.

[@markdutchinc3887]

@Andro mache Are you saying we have ourselves to blame for the getting the corona virus? just so i understand you correctly?

[@markdutchinc3887]

@Andro mache ok SMART GUY ... You have a pompous tone to you, almost arrogant as if your better than someone ... You'll soon realize your state of mind and the way you think will be of no benefit to you in the end. but you seem intelligent just misguided.

[@j-no4205]

@@markdutchinc3887 look up the song by Dr.Creep called " Pandemic" it was released in 2013 and at the 1 minute mark he says, "corona virus 2020 bodies, be stackin" why would he say that 7 years ago?

[@busisanisibiya5164]

Dude you are simply amazing. Managed to simplify this thing. Well done!!! Thanks for this video

[@Medcram]

Thank you for the feedback

[@biosh4x]

This is not only amazing information, it's so damn useful, and no one is talking about it...

[@ritadeniston8986]

That is because he doesn't know about ventilator care. he did explain the alveoli well. please read my article on WHY he is WRONG

[@JustFun-ze5pk]

Thank you! Very informative and I feel better knowing how the virus affects the lungs.

[@PrashantMahskey]

Beautiful explanation in a very clear cut way. Thanks a lot for this. 🙏

[@TheRichSolution]

Thanks for putting this out there...we need to hear this...

[@california3173]

I love this explanation ❤️ I'm taking my NCLEX BOARD Exam it helps a lot. Thank you so much for sharing this video with us.

[@sburleson57]

I spent 4 months in hospital with ARDS. 2 months in a coma. I was the only one of 5 people who went in with it to come out alive. Mine started with H1N1, which leads to double pneumonia, which leads to ARDS.

[@chaplainmattsanders4884]

Sandra Burleson . Wow. May you stay healthy & strong! God bless!

[@MS-ii6dj]

Having cared for multiple ARDS patients in an ICU setting as described in this video, let me congratulate you on your recovery. There are a lot of patients who develop ARDS and simply never make it out. Sounds like you had excellent medical care and an outstanding will to live! :)

[@jennadawn5279]

Same thing happened to my Mom and she passed 2 years ago.

[@jennadawn5279]

@Kelly Ray so sorey for your loss jt still hurts my Mom passed 2 years ago and my Aunt passed last month.

[@ddpxl]

My dad had exactly the same (2 month induced coma, influenca and MRSA), barely survived. And the influx on hospitals back then was massive too.

[@guyinacoffeeshop2239]

My father died this way. November 26, 2020. Rip, Dad. I got a call at 4 am and was able to say goodbye through the window.

[@CarlosLopez-uc1ke]

Excellent ! Beautifully explained, glad to find your channel. Thanks a lot.

[@olimolim7230]

Was waiting for the notification. Ty for these amazing videos.

[@Medcram]

Thank you for subscribing and having new video alerts on!

[@p.w.7493]

Thank you for the great job you've done in explaining how this virus affects our body!!!💕💯

[@shannaedwards2702]

I had the pleasure of having him as my doctor. He was one of the best doctors I have ever had. I had something going on with my lungs and he fixed me right up.

[@vlividTV]

You are a HERO Sir!!! God bless your soul. Thank you for your knowledge and analysis!!! You will help save many lives!!!