ICU 'uncut' academic discussions #1: Dog Bite and rabies immunisation

This is our first video of The ICU room "uncut" academic discussions;
dog bite and rabies immunisation
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as this will help us to know whether we should continue these or not.
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[@sidharthkapoor9899]

Before proceeding for immunization get history about When did dog bite occur. Whether it was provoked or unprovoked bite Whether dog is pet or stray, if pet whether dog was immunized or not. If dog is pet and immunized then no ARV If dog was stray whether dog is traceable or not. If traceable then observe for 10 days and if dog dies in 10 days then 5 doses and if survives ,3 doses of ARV. Then we categorize before deciding whether active or both active and passive immunization is required.

[@TheICUChannel]

Nice share , pinning your comment siddharth

[@shriraamayyar7744]

@@TheICUChannel nice practical points.. thank you for update wrt Ig

[@ocean3057]

Hi. My puppy(unvaccinated) bite my hand while playing and the next morning my arm got Aching. I had tetanus shot. After i went to doctor he said it's no need for rabies vaccine. After three days I got high fever/headache and pain in my arm. So I went and got anti rabies vaccine (3 days after bite) . It happened in 2016. The puppy grew, gave birth to puppies and it was alive and healthy for like a year. But I still get pain in the arm (where I got Bitten) along with fever and headache every month for days. It's been 7 now years now

[@pradeekshadoor4012]

Sir, not boring at all . Please do more case discussions. Maa'm did good job of answering, but we are all like Dr Kishore.

[@nihakhan1385]

I am really jealous of these residents who r working under him.they r getting to study in an env which we all dream...support,exposure,questions and very practical aspects being discussed by senior consultant.

[@painanddetox1394]

Very nice interactive session. Thanks.

[@TheICUChannel]

Glad you enjoyed it!

[@ABHISHEKKUMAR-lb1tl]

Awesome sir ... Pls definitely keep continuing.... Especially the common sos n emergencies...

[@TheICUChannel]

Thanks .

[@jackk2907]

Thank you sir Hope to see more n more uncut versions like these. A quick brushup.

[@TheICUChannel]

Thanks jack

[@sadafamir4124]

Nice Sir from Pakistan just refreshed my knowledge while many years back worked in accident and emergency n doing same now a working general surgeon I regularly see your videos from pakistan

[@Aj-nl3uh]

Full of Clinical knowledge - great sir

[@TheICUChannel]

thanks aj

[@abudaniyal715]

Thanks and informative

[@rosegeorge7372]

Very Nice, Sir 👍👍 Informative discussion!!

[@TheICUChannel]

Thanks rose

[@snake3920]

very nice channel

[@TheICUChannel]

Thanks snake

[@Mamta9]

Thanks .. it was interesting...pls do more

[@TheICUChannel]

sure

[@DrSmitaUkey]

Explained with so much ease and nicely ..great work you are doing. Thanks

[@TheICUChannel]

Thanks dr Smita .

[@anilkumarpayyavula5864]

Super sir

[@TheICUChannel]

thanks.

[@Harish-ch6qi]

Excellent method of teaching

[@TheICUChannel]

Thanks Harish .

[@garimasharma8407]

Such a nice and wonderful experience sir... thank you for teaching us.

[@TheICUChannel]

Thanks dr Garima, u read so we could make it

[@akhtarhawa4500]

Very nice Session.Thanks a lot 🙏🙏🙏

[@dr.manojkumarpothula8485]

Sir, the topics u made were really nice n good n very knowledgeable.. TQ for the time ur spending here inspite of ur work. Made such videos sir which r useful for us.

[@TheICUChannel]

Thanks dr manoj

[@rsshivmani3853]

Great discussion

[@AmarKumar-lp3cf]

Thank you..all dear doctor..I really liked your efforts and session..its remarkably helpful.

[@TheICUChannel]

Thanks Amar

[@ocean3057]

Hi. My puppy(unvaccinated) bite my hand while playing and the next morning my arm got Aching. I had tetanus shot. After i went to doctor he said it's no need for rabies vaccine. After three days I got high fever/headache and pain in my arm. So I went and got anti rabies vaccine (3 days after bite) . It happened in 2016. The puppy grew, gave birth to puppies and it was alive and healthy for like a year. But I still get pain in the arm (where I got Bitten) along with fever and headache every month for days. It's been 7 now years now

[@rizwanqureshi3832]

Thanks sir ji

[@TheICUChannel]

So nice of you

[@Random-xt2hz]

Loved it, do the uncut version too

[@jashlynlijo1361]

Informative discussion sir 👌👏

[@drinmaking]

Wonderful discussion ❤️

[@TheICUChannel]

Thanks vanshaj

[@ZahidHussain-ht4tw]

Nice discussion sir... Thank you so much 👍👍

[@TheICUChannel]

Thanks Zahid ,

[@mithidas4295]

Do continue.

[@nitishagarwal7056]

Nice session. Do continue

[@TheICUChannel]

Sure , thanks

[@hyderabadtraffic4630]

Uncut is best

[@ShyamSundar-wt9dr]

So good to hear you sir.

[@ujjwalkhan2150]

thank you sir . upload more

[@saisubramanyam5511]

Very gud explanation sir..

[@TheICUChannel]

Thanks Sai

[@rahultiwari875]

That's good . But you should cover more information like wound management and treatment part

[@TheICUChannel]

Yes , I also felt that … but this was first one … will improve

[@shivammittal7615]

thank u so much for giving such information

[@TheICUChannel]

Thanks Shivam

[@piyushgardener]

Please more discussion video especially trauma emergency

[@TheICUChannel]

Yes sure

[@bhaveshkumar9981]

Nice sir

[@TheICUChannel]

Thanks Bhavesh

[@joshugawai4643]

Last night I was watched this video and today is my duty for rabies vaccination 😁

[@TheICUChannel]

Superb … do share your experience and further tips

[@prasanthms318]

One doubt cat 1- licks on intact skin membrane - wash wound cat 2- nibbling of skin with no blood - idrv+ wash wound cat 3 - blood exposure or licks on mucous membrane - erig+ idrv+ wash wound.

[@TheICUChannel]

What’s the doubt in this ?

[@prasanthms318]

@@TheICUChannel Sir in the discussion it is told that there is blood exposure in cat 2&3 but actually it is only cat 3, right.

[@DR.SP.]

Sir,in our area the dog bite is very common We following Thai regimen Day 0,3,7,28 0.1ml Intradermal on both shoulders thank you🙏🙏🙏

[@TheICUChannel]

And immunoglobulins on day 0 ?

[@gowdhamansankar7642]

Sir , please continue this type uncut video session

[@TheICUChannel]

Thanks gowdhaman

[@sivaprasad237]

Do we need to give both active and passive immunizations for each case?

[@kabirlaskar153]

Sir please tell how to treat a patient in snakes bite at home and how to manage in hospital

[@paediatricspotcases5220]

I like Dr Kishore he is representative of all boys 😅

[@JitenderKumar-er3sj]

Thnkyu sir 🙏🙏

[@akv41av]

Hello sir How much duration active immunization is effective in dog bite?

[@adinathvetal7848]

Good one ...We dont get bor sir 😂😛

[@TheICUChannel]

🤓 thank u

[@abhilashyamavaram7508]

Sir,Do we need to give anti rabies immunisation to patients who accidentally drank water already drunken by any dog …thank you

[@TheICUChannel]

Theoretically, it can survive in water in sometime and infect … but not get an authentic literature on this . Usually the virus doesn’t survive in water for long .

[@nadanparindey5988]

Sir I want to pursuing my critical care academic under your guidance. Please help me in this regard. I want to pursue SR ship under your guidance

[@TheICUChannel]

not available at the moment , seats may open in jan 2023

[@drshubhamraj3710]

If wound is of extensive ...does antibiotics are required & what about dressing of wound sir???

[@TheICUChannel]

Wound should be left open or with minimum closure . You can give simple antibiotics if would is large or dirty

[@akashsalve1505]

Sir what is the time period for giving immunoglobulin? Is there any?

[@TheICUChannel]

as soon as possible within 24 hours.

[@avinabd4501]

sir ..inspite of active and passive immunisation ...we lost one patient wd rabid dog bite, bitten 1 month back. no history of missed doses ...what might be the reasons for that??

[@TheICUChannel]

can't say ...... how much passive immunisation you gave (which type) and where was the bite (on which site)

[@prasanthms318]

Sir, good discussion. One doubt sir rabies virus is neurotropic so it is more invasive in highly innervated areas like hand and face and not vascular areas, please correct me if wrong.

[@TheICUChannel]

Yes, but it will get absorb through blood only .

[@prasanthms318]

@@TheICUChannel Ok.

[@salmansaifi4347]

👍👍

[@mohitbainsla5525]

Sir what about wound management? Sometimes wounds are so large & deep like over on thighs, calf and face . sir do we have to suture them on that same day or have to wait for some days ?

[@TheICUChannel]

That you have to take help of the surgeon. usually keep open or do the bare minimum which is required to achieve hemostasis. at times just dressing up . like the kid had fracture, we did the dressing, and after 24 hours, went for surgery. that's the best to my knowledge... still have to look into literature

[@drvikas9124]

Loose suturing

[@mohitbainsla5525]

@@TheICUChannel thanks sir 🙏

[@kehkashanali3367]

Sir,plz suggest some good books ...

[@TheICUChannel]

esbicm.com/recommended-books-to-read-in-icu/

[@ashwiningle4548]

Sir what is your hospital name ???

[@TheICUChannel]

Apollo

[@abumuhammedkhalid8023]

Sir,which hospital u team are working??

[@TheICUChannel]

Apollo

[@physiotherapyjobs1239]

Dr garima you stuck ... please Read clearly...

[@TheICUChannel]

That’s why it’s UNCUT , all are learning … knowing something and saying on camera are two different things . 📕