Shock Explained Clearly - Cardiogenic, Hypovolemic, and Septic

[@darrincapps5512]

I am a nursing student in my final semester and your MedCram videos have been incredibly helpful. They provide that added background information that may not be available during lecture to answer the "why" questions. Thank you and keep up the great work!

[@neglectedurchin]

reading the textbook helps too.

[@rabbie1973]

not everyone has the same learning style, I learn a lot more from watching videos that I do from reading my books

[@ingestbleachnow]

Yeah, reading the textbook doesn't help me very much; that just isn't my learning style. These videos are fantastic.

[@TheRedPillMan97]

@@neglectedurchin Why you salty tho hypernatremia bruh

[@sterlingarcher6079]

Thank you so much. I am an EMT working to become a paramedic. Your videos are easy to understand and very useful in both an academic and practical sense. Keep up the great work. You are an excellent educator.

[@vidilsonadelino5131]

I am an ICU nurse from Angola Africa and found your videos wonderful. Made learning easier and fun.

[@patriciabozarth8015]

easy to understand for this nurse who has always had a problem with the differences in shock.

[@justinamarie4002]

Saving my life with these videos, as a nursing student these help me understand so much more then in class lectures. Thank you so much

[@angeloaguas1109]

You lectures are amazingly clear and very systematic. As a nursing instructor, It gives more understanding. Thanks for all your efforts.

[@fannynkengagbor8620]

Thank you so much. I am a 2yr nursing student. You don't know how helpful this video is to me.

[@MrKylemu1000]

My girlfriend is Filipino and she is in nursing, I’m just the average white guy but I tried to take interest in her nursing, and I have come to study and learn much as I can.

[@SarihnD]

Your clear and concise explanation was great!!! I’m an oncology nurse trying to get into the ICU and needing to brush up on some in depth shock knowledge. Thanks!

[@elsiehoney5678]

I have such a better understanding of this subject now!!! Take the time to watch this video and take the time to write it out independently and you will be so great about yourself!

[@kpbach15]

Your lectures are great! I love that they are directed towards visual learners (which I am), and that you hit such important topics. I always use these to supplement all of my notes in my nursing school classes

[@Nolimits7FIE]

Dr. Seheult, thank you for taking time out of your I assume, pretty hectic schedule to make these lectures for medical students around the world. As a paramedic intern that is about to take the national registry exam, this was a great (under statement) review. Keep up the great work! Thank you

[@Chaosian]

I'm just a second year university computers student that writes in his spare time, and even I found this video clear, concise, and 85% of which was quite easy to understand. Thanks for the video!

[@MsCbear87]

Absolutely love your diagrams (and hand writing)--your videos have been very helpful. This will help with my transition to ICU as an RN .

[@alfredhughes7303]

Thank you so much for these lectures! I had no idea what was going on with respect to shock in my EMT class! I really hope you consider making more videos that can help EMT's and future EMT's such as myself!

[@gwifeshawnee]

very easy to understand...im an RN student who learn a lot from your videos! thanks!!

[@matthewmartin3190]

My friend had septicemia and ended up with septic shock from a botched back surgery. The surgeon left an open wound to his spine which caused a streptococcus infection in his blood stream. It took 4 days for acute renal failure and a x2 code. He survived.

[@cyndyloguercio]

oh, forgot to mention, this is for EMT, so there are several more stages of shock we have to know, but this is a great start! thank you

[@davidgammell2437]

Thank you for your videos. I use them when I teach EMTs and First Responders so they don't have to listen to me all night. They appreciate your work!!!

[@reychill91]

Hi Doctor, I love all your topics very much. They are all explained clearly. can I ask for your help to do on other lecture topics? If its possible, I hope you can explain also topics such as ECG, acute coronary syndrome, myocardial infarction, pneumonia, TB, hepatitis, neoplasm, gastritis and ulcer, intestinal obstruction and inflammatory bowel disease. Hope this long lists wouldn't be too demanding. its okay if you wouldnt like to cover all. but I really hope you can choose from some of it.

[@kayjuth6991]

Thank you! Your videos help me learn what is being taught in pathophysiology!

[@dfailsthemost]

You have a gift for helping people understand.

[@Medcram]

Glad to hear the video was useful for your RN program

[@yasmine4754]

Can you cover anaphylactic shock? This video is great, helped me understand the concepts of shock so much better, especially septic shock, which occurs on a regular basis in my patient population at work.

[@NDL200]

Yes this explanation was extremely clear. I thought I understood before but now I really understand. THANKS!!!! Getting NCLEX ready

[@Medcram]

Natasha Lee Thanks- best of luck on NCLEX

[@MedicEne]

Thank you so much for this, I have no idea how people can dislike this, it was perfect

[@lecuong8108]

You make it simple. I love your lecture. Thanks you so much.

[@memex31963]

Loved your video on the different types of shock. I particularly like the way you break down the types in a way that is easy to follow and comprehend.

[@walkingbyfaith6169]

Great post helped me pass my exam on shock and hematologic disorders ... thanks

[@greencho11]

Always appreciative of Dr . Seheult's brilliant lectures

[@AlexTarazona]

The best video I have seen in my life.

[@Medcram]

+Alexander Tarazona Thanks for your feedback!

[@rachelmoss6641]

Excellent and simple explanation. You have made a complex topic very simple. A great building block to learn from. Thanks!!!!

[@amandagrant7424]

I am an RN student. I really enjoyed this video and found it to be incredibly helpful. Thanks! liked and subscribed!

[@duraivengatesan9674]

All your videos are awesome doc.I'm your biggest fan.I suggest all my friends to watch your videos.You are doing a great job.Thank you doc.

[@ekirukidalio2399]

Thank you for clarity of thought and content Dr. Rodgers

[@brudforce]

Dear Dr. Seheult, Thank you for the wonderful video, it is very helpful and much appreciated. I would just like to confirm that the reason for a decrease in EF for septic shock is due to increased HR that leads to increased CO which therefore decreases filling time that results in decreased SV. Hence given the equation EF= SV/EDV, it goes down. Warmest Regards, Roman

[@Medcram]

+brudforce co in late sepsis goes down because of chemokines and acidosis. Ef Goes down. Hr probably goes up

[@ZBridgeridoo]

Hi Rodger, great videos! This video is good but I think it may be worth your time to break down each form of shock because as you know, there are various stages to each form of shock with altered hemodynamics. Thanks again!

[@walichowdhury370]

This was always a difficult topic for me to understand. I used get these questions wrong when doing q banks. Thank you so much!

[@Zahraa0AlAdeeb]

Love it so simple and clear :) I will remember it for ever :D God bless you and looking forward for more videos

[@sapphire962]

This was superbly informative, both interesting and easy to understand. Thank you for the effort and consideration, i learnt a lot!

[@Medcram]

+dean winchestette Good to hear- thanks for the comment.

[@sandeepbadmas1140]

8

[@Melodiesformysoul]

Quick and easy to understand for nursing . Thank you!

[@limeykl]

You sir are a born teacher!!

[@henrygavilanez9565]

You made it so easy to understand. This finally makes sense. Thanks

[@nursep18]

amazingly clear and understandable explanation! Thank you!

[@micheleguido4216]

very helpful for our final for nursing students not too detailed and i shared this with them thank you

[@jeffersonemiliano6619]

Very nice job, helped me a lot. Thank you, it is very nice to have somebody dedicate to share.

[@preyesrn]

Love this lecture on shock, really helps for my pathophysiology class, thanks!

[@Medcram]

preyesrn glad the lecture helped- thanks for the feedback

[@mkmason2002]

I love your videos, so informative and clearly laid out. Your voice is very soothing.

[@lizzievtx]

thank you very much for the explanation..Im a visual learner and these videos helped me a lot

[@DevenSanchaniya]

very well explained,,, I looking forward to see your other topics as well... Such kind of clean explaination can save your much time from jumping into books.... Thanks a lot

[@yankydoodle10]

Thank you for such a clear explanation and outline. You are a great teacher.

[@Medcram]

Yanky Doodle Thanks for the feedback

[@Theivv]

Your work here is greatly appreciated. I really enjoy seeing how physicians work through pathophysiology, and they do not always have time to explain to the nursing staff due to patient loads. Thank you for positively impacting my practice!

[@KK-gq3ps]

Oh my gosh --- this was the missing piece in my brain. Thank you for bringing this topic altogether! I look forward to the next video on treatment of the different shocks. :)

[@Merrin27]

Thank you, it helped me to understand the concept in a short time. please continue your effort.

[@rdseheult]

My wife's family is from Trzebinia, Poland. Thanks! dzien dobry

[@Kikihot12002]

Excellent Lectures! Thank You, wonderful tool to use while I study for my CCRN.

[@flyinpigtails]

Fantastic! Easy to follow along with your explanations... Keep them coming!

[@laurenbradshawcumella485]

Thanks for all your videos! How about something on neurogenic shock too?

[@sonnywhite4515]

Very Good...the best explanation I've ever seen.

[@cyndyloguercio]

this was the most helpful video I have seen yet! thank you for your wonderful teaching methods! I have subscribed to your videos in hopes of lots more like this! Big test coming up tomorrow, this has helped me a lot!

[@Medcram]

+cyndy loguercio Great to hear- thanks for the feedback and good luck on the exam.

[@akulapardahaga]

owh me I've learn that there are 4 types hypovolaemic, cardiogenic, obstructive and distributive (anaphylactic, neurogenic and septic)

[@LA_Viking]

kareb: Back in the late 1970’s-early 80’s while undergoing paramedic training, we were taught numerous types of shock: circulatory (hypovolemic), cardiogenic, anaphylaxis that you mentioned, septicemia, neurogenic shock, psychogenic shock...I cant even remember them all! About 15 years later I’m working on a Ph.D. In Epidemiology and I found that many “shock modes” had disappeared. I retire next year and I intend to get back into the paramedic field and it’ll be interesting to see what they’re teaching that “week.”

[@kristinalanglois3225]

X. Bret Territo injury

[@LA_Viking]

Kristina Langlois: Are you referring to my photo😀? Trust me, I’m harmless unless provoked. I was a Deputy Marshal and a bodyguard for a judge. I also have my own business doing similar work. The photo was taken while teaching a class to police officers.

[@brittanypayne2765]

This was a great lecture!!! Thank you for the simple explanation. The graph has helped me greatly

[@drkarenbukharibukhari9931]

I HAVE SURVIVE D SEPTIC HEMOORHAGIC SHOCK IN UK 2021 THANKS STILL ALIVE IN 2023

[@jamessolomon4864]

Very informative! We are using this in my nursing class to reinforce our lecture. Great video! Thanks! :0)

[@lizk978]

Hi Dr. Seheult. Thank you for your clear easy-to-understand lectures (listening to them since my graduating year in RN in 2012). Can you explain how ejection fraction is decreased in septic shock?

[@davidaustin6962]

Summary: Hypovolemic - not enough blood to go around so heart works hard, so LA and RA go up. Cardiogenic - heart becomes too weak (example, from hypovolemia) to pump blood, so LA and RA go down. Septic - the endothelium (the on/off ramps of the arteries & veins) is too sick to properly pass blood components so they dilate, so LA and RA go down, but skin temp goes high. (LA=Left Atrium pressure, RA = Right Atrium pressure).

[@andrewblair7317]

Very informative and easy to understand. Can you please do a presentation over ARDS or burn patients?

[@Medcram]

+Andrew Blair Thanks for the comment and topic suggestions

[@ashleysmith2400]

Thank you so much, I wish I would have watched this the first time I took critical care.

[@lisahunt1251]

Good lecture. Have been suggesting my nursing school have a separate workshop on shock. In clinical practice, wondering how often we would have immediate access to JVP and PCWP measures as those are key features of the differences between. IS there time when shock sx appear to get those pressures? From my readings, other key features, easily readable, early visible signs of any shock would be rapid respirations, thready pulse. Tachy, tachy, hypo. Yes? I'll look at the EGDT to see if its the same for all three.

[@iflippenf]

This is a great and clear explanation. I have a question from a paramedic student point of view. You list the major indices for distinguishing between the different types of shock as the PCWP and the JVP; how would a paramedic in the field distinguish between cardiogenic and hypovolemic shock? Thanks!

[@one.in.million_lads]

this is great, loving it. In septic shock due to an infection causing a release of histamines, leukotrienes, cytokines, and other bad stuff inside the blood vessels. The blood vessels dilate and become inflamed, leaky, and permeable to water causing a decrease in blood pressure. could you please run us through the stages of shock @medcram #paramedicstudent

[@AshLey-ip6vd]

Japhet Jibril check out the simple nursing channel. He has a video on it and stages it’s really detailed.

[@harian7809]

thanks, your various lecture were incredibly helpful.

[@Проф.дрЉиљанаМарковић]

Very good shock pathogenesis axplanation!

[@josephans7291]

thanks so much ! is very informative. gonna recommend to my friends! any lecture on cardiomyopathy

[@timobatana6705]

This is incredible. Simply awesome video thank you for posting

[@Medcram]

Thank you for the comment!

[@pamelahewitt3397]

Great video. Thank You. Wonderfully explained.

[@sjane940]

Thank you! so helpful for my RN studies!

[@estebanjusto3067]

would you consider doing a lecture specifically on Systemic inflammatory response syndrome (SIRS) ? thank you so much for your work!

[@karleenkyle1]

Simplest explanation I've heard. Thank you!!!!

[@sarianaser4777]

Awesome explanation! Cleared my concepts! Thanks a lot sir!

[@maclaudeamumbwe2663]

You amazing. Always look forward for your videos

[@sarahchicatto898]

Best explanation ever!

[@didasm.gisagara]

Thanks for this video. Wonderfully explained. You didn't talk about Anaphylactic and Neurogenic shock though.

[@IsabelleJ84]

excellent, thank you. keep the lectures rolling.

[@Medcram]

+Isabelle Joseph Thanks for the comment. More lectures coming soon.

[@lizaj4275]

thank you for posting your informative and easy to understand videos!

[@raberle4]

excellent series, would like to see liver failure / hepatic encephalopathy. Also including drugs to Tx if this is within your scope

[@sydharrison]

Topic Suggestion: Break down ABG Base Excess and what it means in terms of your patient's condition.

[@fikretnakip7083]

Wonderful explanation of shock thanks

[@ahmadtahan500]

This was so well put !

[@emanmahmoud5060]

Excellent and very simple explains many thanks for you

[@Medcram]

eman mahmoud Thank you for the feedback

[@lunam7249]

Thanks for the clear explanation! Great video

[@charleslangdonbostonphilad765]

thanks I did not understand why EF increase in septic shock.please include lecture topic on hajards of blood transfusion and anaesthesia

[@iluv2blabla]

Thank you so much, this was very helpful in preparing for my state exam

[@bowtrio22]

This was reall awesome. Really helpful!!

[@darrenpeck156]

Please cover chest x-rays, and head injury! Thank you for the lectures. Are you going to publish a book?

[@Medcram]

Darren Peck thanks for the comment. No book planned, but thanks for the topic ideas.

[@laurend8576]

This just helped me SO MUCH!!!! THANK YOU!!!!

[@Medcram]

Glad it helped!

[@lksdgvuwni]

Could you please add some information on hypovolemic shock? Specifically: - mechnaisms of centralization of a circulation - pathological deposition of a blood - development of a toxemia - what is going on in microcirculation What is "shock kidney", "shock lung", and "shock liver"? Thank you

[@drmayadaadel6513]

Very interesting and very helpful.. Thanks

[@HPiard]

Thanks dude. My Dean laid into our asses during case discussion (mind you were are second year students. His exact words were "you guys have a stunning lack of knowledge." Hopefully I can impress him on Friday.

[@fitnesspoint2006]

The asshole Dean ought to be teaching you, and filling in gaps in knowledge not berrating you guys. He sounds like douche bag.

[@dais64]

very good explanation.Thanks.

[@rdseheult]

I'd look at the neck veins, if they're flat - it's hypovolemic; distended would mean cardiogenic. Of course, hypovolemia and septic would both be flat, but you can tell the difference between these occasionally by feeling their extremities: Cold is hypovolemic and warm is septic.