COVID-19 Ventilator Course: Learn or Review Mechanical Ventilation (Free at MedCram.com)

[@Medcram]

This video series on mechanical ventilation was produced for medical professionals, and free for all to view: www.medcram.com/courses/COVID19-ventilator-mechanical-ventilation

[@sjey]

Your information are very clean and easy to understand. could you please comment on DIY masks that are around the internet please? will that mask help? if so, what is the proper material we can use? please help with this.

[@jen8063]

What if this whole Covid19 disappears by mid April?

[@orcokiwo6703]

BIG thanks from Bolivia. Since our hospitals are poorly prepared logistically for an imminent surge in the cases of infected by the covid-19, a lot of people here is seriously considering the idea of, somehow, buying a ventilator(which is actually possible) in, the very likely, case, that, one of their relatives falls severally illed and there's no room in the hospital. What they surely are not aware is of all the variables this machines has. I will share your very helpful video with as many as I can. 🙏🙏👍👍

[@wolfiexii]

I hope you keep posting the rest of the vent course here. Interesting stuff

[@pharmatographist]

Thank you!!

[@xtzyshuadog]

*Over the last half decade, this is the EIGHTH video you've offered on mechanical ventilation concepts, and just like the other 7, this is quality instruction. Crucial for this year as well. Thank you.*

[@MoMoGammerOfficial]

You are doing an amazing job. Playing your role in helping several thousands of newly inducted medical staff. hats off to your efforts. I hope this helps everyone who is new in this field.

[@thedarkmeme2591]

Why is KOA here????

[@JohnnyUtah13]

Thank you for being a source without sensationalism. I appreciate that.

[@ultramet]

Working with these COVID patients in NYC now. I’ve intubated two. Scary, no reserve. This is a great channel for helping those learn more. Thanks for educating the masses. Now back to work in the ICU.

[@Abundanthealthcoach]

Thank You so much- I've been vent trained since the start of my career. Any instructional videos are desperately needed. You are one of our healthcare heroes- You and Dr. John Campbell have been spot on.

[@hobomisanthropus2414]

You guys have always been like 2 months ahead of the news cycle. Stuff that I hear on the MSM today, was already explained more thoroughly in early February.

[@junglecat_rant]

Yws, the pros knew, this was coming or it is a possibility.

[@loveheals582]

I think it's because they are out in the field going through the crisis in live time.

[@depthcharge6215]

This is why we love Pulmonologists. We are so busy on the floor and we get hit with refresh with added info. We need crash course fast track on Restrictive ventilation on the spot when MD says here you go do your thing and leaves. Initial settings for restrictive base off ht. Thank you!

[@ClassieLadie3]

Just a student respiratory therapist trying to comprehend ventilation and perfusion. Thank you Doc!

[@freefall0483]

Thank you you to the entire medical community for all they are and will do. Heroes.

[@abbyhudson5453]

Thank you for helping our friends battling this outbreak day after day and helping everyone who is ill that may be in need of this level of medical assistance in the future but doesn't know it as of yet. I am so glad we have someone reaching out to help the way you have. It means the world to us, and it really does mean the world to us!

[@MJimmy-gk6hw]

Ventilators are the key resource to saving lives in the fight against the coronavirus , but they are useless without physicians, respiratory therapists and nurses. Thank you !

[@worldcitizeng6507]

The world needs more doctors like you, thank you 🙏

[@darrenmaglione6235]

This is what our government should be doing! Getting knowledgeable volunteers ready to help! Thanks, MedCram!!

[@softpiglet]

I don't work in the medical field, but as someone with asthma who may, with poor luck, need a ventilator during this crisis, I appreciate the clear explanations here. It makes things a little less scary.

[@gerfmon1]

I'm an older at risk person to COVID-19 and I hope if have to be ventilated I'll be kept heavily sedated for the duration. Doing all I can to self-isolate in the meanwhile and feeling a little anxiety.

[@unnoptan5810]

I have followed your channel since COVID19 outbreak in China. one word RESPECT 🙏

[@ronsouther]

I've done 4 things to greatly improve my lung function and overall wellness. My sleep, energy, and life outlook are greatly improved: 1. I started using the BreatheEasy Lung Exerciser about 5 years ago and still use it, 2. I stopped mouth breathing unless absolutely necessary, even when exercising, nose breathing is part of the immune system, 3. I did light mouth taping at night in order to ensure nose breathing all night, 4. I do a simple exercise to reset my CO2 levels for triggering breathing so I don't breathe so much. See Patrick McKeown's work for more about this. Voila!

[@blegrande7092]

I have been watching these videos for over a year, when I stumbled across the series accidentally. I love the information. I am reminded of things forgotten and introduced on levels I hadn't experienced yet. Love this.

[@NonPremiumID]

I remember seeing my deceased dad, while he was on a ventilator. It was a freaky site. I hope I do not die, while using one.

[@whiteangel7777777]

Hometheaterguy now that I think about dying I don’t see an easy way . I guess we came in with our mothers screaming of pain and we exist the same way

[@xxCrimsonSpiritxx]

You are stronger, no more talk about dying, you'll make it, no other options exist!

[@NonPremiumID]

@@whiteangel7777777 yes, good point Lynda. I just do not want to suffer.

[@xxCrimsonSpiritxx]

@@NonPremiumID you wont; I understand fear well enough to tell that it only exist in your head, focus on why you should be prepared, fear is good its your best friend, too much fear is not, you are always stronger than yesterday if you aknowledge this fact I'm sorry about your father; but we all perish, the question should always be "how", not "when", strip yourself from life but don't give up on it; you owe it to yourself

[@abdigure4190]

I remembered watching this video when I was a new RT student. Your videos really help me understand the mechanical ventilation concepts. Thank you!

[@jeeyunsohn5265]

I work in a neuro Icu where we don'tsee too many ARDS patient but I think that is going to change quickly. Great video to brush up on the knowlege! I will share with my fellow nurses!

[@Medcram]

Good to hear, thank you for sharing

[@martinrodgers6114]

As an anesthesiologist, I greatly appreciate what you are doing! Well done!

[@loverelationshiptalk3503]

and we appreciate your work too!!

[@rlVan-mc3wq]

You’re the best! Thank you so much for the most informative videos. I know these are a tremendous amount of work! May God bless you and keep you, Dr. Seheult!

[@AJAL9574]

not sure if you noticed that everyone on youtube become a Doctor or for reviews to make expensive online classes, its nothing wrong with that, but people start to lose trusts with these websites, but what I like about your videos, that you show your passion of spreading acknowledge, and you simplified for everyone, and I like that, so thanks for all these videos, I definitely learned a lot and hope someday I can help others and save lives, Keep the good work. ,,,,and I know I mean what I say cause I never typed three lines comment before lol.

[@buddyrevell4329]

This channel is amazing! This should be broadcast to the public.

[@TheShaunsc]

I’ve been following you since the beginning of Cov 2. Just wanted to say thanks for keeping us educated and up to date. Be safe!

[@mgl7103]

Thank you for helping us who are concerned about the proper use of this important tool !!

[@n2theunknown250]

Also, the Tidal Volume (Tv) only helps to remove CO2 from the lungs, you oxygenate the pt by increasing FiO2, increasing PEEP, or increasing MAP. You oxygenate pt by increasing MAP as a last resort, although oxygenation and prevention of respiratory distress (which will lead to respiratory failure) are the primary goal, try to not use 100% O2 unless necessary to prevent passive atelectasis, PEEP is good for keeping the lung open to allow oxygenation. I am rusty on knowledge of MV myself, great video, so many more variables not mentioned.

[@erik9515]

I'm not even a doctor but this was so enjoyable to watch. Neat, understandable and straight to the point, no sophistication. Keep up the good work, work that may save lives indirectly!

[@colliecoform4854]

I am becoming hooked n these videos. I worked in Healthcare for 20 years but on the Administrative side. It's great to finally understand what all the technical and mechanical terms mean. I knew in a generalized way but this takes it to a whole new level. Information is presented in a clear, concise way which makes it easy to understand. So glad I found this channel.

[@barbarab202]

This is a very informative video - thank you. I do have a question though. A few years ago I had a partial thyroidectomy to remove a nodule. My left recurrent laryngeal nerve was cut and left me with a left paralyzed vocal cord. I have since had an injection to bulk up the vocal cord, but my left side is now in a permanently closed position. Should I ever need to be incubated, does that mean that a tube that would be used would automatically 'plow through' my vocal cord and again damage it, resulting in inability to speak again? Or can patients be successfully intimated with one-sided vocal cord paralysis? Of course I understand that in such instances ability to breathe trumps all, both just the not knowing is causing me some anxiety.

[@dragonquest3827]

Thankyou again, Dr.! Please keep the videos coming. We really appreciate what youdo. I can see for years you have been doing this and finally you have our undivided attention. You are getting the views and attention too, that you deserve from us after all of your efforts in making the good videos. I hope the hundreds of thousands of viewers will multiply for you more than even this horrible virus affecting us.... you are a hero to many of us who wish to learn about this virus rather than waste our time making horrible jokes and memes. Thankyou, again, for guidance and proper knowledge. *huggles*

[@Daskcasting]

In Denmark other healfcare personal has been trained how to operate ventilators, if we become short in critical personal We have 20.000 extra previous healfcare personal in reserves... personal who previously worked as doctors, nurses etc. if needed...

[@ardentdfender4116]

Doc your doing amazing work. The people that really need this information will surely appreciate you.

[@Richard-Freeman]

Thank you for being purely scientific and zero amount political.

[@EmilSosnin]

In MedCram We Trust P.S. I was worried that you didn't upload for awhile

[@girlgeniusNYC]

Team MedCram usually takes the weekends off :)

[@MoMoGammerOfficial]

He doesnt upload on Sat/Sun

[@timcarr6401]

Better trust God.

[@dragonquest3827]

Truth! And i hope the good Doctor gets his rest like he deserves. :)

[@dogfaceponysoldiers5038]

Your the best teacher I have ever had. I understand molecular biology because of you!

[@DhulqarTen]

First! Love you Medcram! Please do video on Germany and why their mortality rate so low? What is their preferred treatment method?

[@mandarinmcphee9295]

Yes!

[@YAZZYUTUBE]

What I find so amazing is that plastic tube is able to carry all those parameters back to the vent in order for it to perform the way it is programmed.

[@noah1034]

Just finished watching all the videos! Also love the integrated quizzes!

[@williamrunner6718]

You illustrations are awesome doctor! Even a lay person like myself can understand your simple instructions. Thank you!

[@khalidhassan4274]

You're doing great job sir❤. May God bless you. Love from Bangladesh.

[@cjamonwilliams]

I posted your old video to all my friends 3 days ago.. Thanks for the new update!

[@gillianstapleton8566]

Ex icu nurse going back now to help with crises ! Thank you for refresher course xxx much appreciated !

[@justinchan4581]

Wow, this is so great to learn from . I am an optometrist and my mother is now on a vent from COVID19 in Michigan right now. I feel that I have a far greater understanding of what is going on now.

[@eileenshaw5960]

Thank you, your instruction is so clear and so beneficial. You and your team are amazing.

[@sjey]

Your information are very clean and easy to understand. could you please comment on DIY masks that are around the internet please? will that mask help? if so, what is the proper material we can use? please help with this.

[@osservatore8515]

Man, after the pandemic ends, i want to hug Roger, i was starting to worry on why he wasnt uploading the COVID-19 update #42

[@the_faris]

me too

[@Mouse2409]

I've been following his COVID-19 updates. He only uploads the updates during week days. These videos are extras.

[@presidentress274]

Thank you for this! Can't wait for the next course!

[@amirasantiago1334]

Thank you all for the prayers and the wonderful messages,my heart is full..thank u Dr Seheult for your lectures, i am grateful.

[@petrapiciacchia2456]

Thx for the lesson. Can't wait to listen to the rest of the videos. It's been a long time since I practiced as a Respiratory Therapist (30 years).

[@markme4441]

Dont you think the auto makers should start producing the old bellows type machines with no computerized components so we can have them Now, as to buy time until we can get the modern type?

[@rajdarge]

always concise, relevant, and much needed.

[@homomorphic]

Would you use a ventilator built in a closed down chevrolet plant?

[@LEAVENTU]

Greetings from ARGENTINA. I always watch your videos. Always with the right data and clear. Thank you for your time and work on this.

[@Dobbin1010]

Thanks. It has been 30 years since I ran a ventilator as a RRT. As a PA since, in Nephrology, I just glance at the vent while I head to the Dialysis machine. The hospital tells me I may need to dust off old skills.

[@Maryjcorder]

Heading to NY to a setting where I may need to be assisting in more vent management than what I am typically used to. Thank you for this.

[@KaLNFoRc3R]

Very well explained, not even a med student and understood everything.

[@stevehurts5261]

Could cpap machines help? There would be quite a few available I'd imagine.

[@PrezVeto]

No formal medical training, but I know quite a bit about medicine for a lay person. Familiar with CPAPs from family members and friends. Here's my take: I'm pretty sure CPAP machines don't exert enough pressure to inflate lungs on their own, only to push back on soft-tissues in the head and neck enough to keep the airway from collapsing. And the pressure is continuous, which means that while they make inhaling a _little_ bit easier, they also make exhaling a little bit _harder_ . They're completely reliant on the patient to manage their own breathing rate, too. So perhaps they could be of some benefit to patients on the very edge of those who would be given a ventilator under normal circumstances (but wouldn't given short supply). There's also the infection risk to consider in having someone breath through a machine that might not have been cleaned as recently or thoroughly as it should've been and isn't made to be (easily) sterilizable in any case. If someone's pneumonia were bad enough that the little bit of help breathing that a CPAP might offer would be important, I'm guessing it's probably also bad enough that their lungs are very vulnerable to additional infection. And any additional infection could easily push them into _needing_ a real ventilator. So infection risk might outweigh the already iffy mechanical usefulness.

[@JohnFlynnAttorney]

This was my question as well. My wife and I both have sleep apnea and we each use a Resmed S9 which continuously adjusts pressure throughout the night to match the pressure we need. I’ve been watching the Doctor’s coronavirus updates since late January so around the first week of February I started lining up our medical preps for the event we get this after the hospitals are overwhelmed. I’ve got flu meds, vitamins and minerals especially C, D3, Zinc and I recently got some Quercetin, which is a zinc ionophore, assuming I won’t be able to lay hands on hydroxychloroquine. The one thing I haven’t solved for is if somebody in my family needs a ventilator. Hopefully it won’t get that far with the quercetin and zinc but I’m hoping our CPAP machines would do something.

[@zenpig6605]

As a non-medical person, I got to say thinks for the education.very interesting and plan to keep watching. hope that I or those I love never need to use this device. I am 65, and can still hold my breath for 4 mins, so I suppose I have a compliant lung, and also take way less than 12 breaths a min. so might be a pain in the butt to get me going on this machine. cheers

[@sydneydeangelis4098]

Thank you for all your videos, Covid and beyond. You have been a source of reliable, easily understood information in the midst of chaos. This ED doc is very glad you are taking the time to put out these videos

[@claudiachanes-martinez5407]

Thank you very much. Keep doing this. it is alway a pleasure to refresh and learn new things

[@tintukuriakose7453]

Keep up the excellent work, Doctor!

[@sidneybrown9063]

God bless you guys! I am an RN without vent experience but I want to help - excited to learn ASAP

[@Katie-vy5rd]

Hi Sydney, im an RN too. Are you working with vent patients yet? If so, how have you found the ease of which to operate machines, and deliver care to these complex patients? Thanks, I'm wanting to help as well, I just submitted app to volunteer in NYC. Thanks in advance!

[@lilmamasofly9111]

The patient has to be sedated before you intubate them right?

[@mrjohny2993]

It is for those who are unconscious and can't depend on their own regular breathing even with okay lungs.

[@loverelationshiptalk3503]

@@mrjohny2993 not necessarily, the patient may be alert and struggling to breath, so you have to sedate them and place the tube in for ventilation

[@mrjohny2993]

@@loverelationshiptalk3503 yes of course not having enough oxygen is another scenario. And world needs alot of venteez

[@nian60]

Thanks for this video. If I am unlucky enough to get intubated I will now be less scared, since I know more about what's going on.

[@patpierce4854]

Ni An That's why I am watching....my sister, her 2 sons, and husband all in Los Angeles, started showing symptoms 2 days ago. I figure learning what to expect, helps me explain this to others.

[@nian60]

@@patpierce4854 Yeah, same. I want to know what happens if worst come to worst. Good luck to you and your family. Don't forget to share the video. We all need to know these things now.

[@talialavor8411]

Thank you for this and all that you do. We never covered this in PA school unless we had an elective ICU rotation.

[@anttikokko7209]

I'm sure you never went to a PA school. I learned about this in pre-med college courses.

[@Max1power]

Antti Kokko let me guess: you’re still pre-med?

[@hsebastian5850]

In Taiwan, the government assembled a national machinery team to have 92 production lines to make medical equipment and gear since January because they know they cannot depend on Chinese shipments.. They are ramping up production to make 15 million masks per day. How many months does the government need to figure this out? How many months do these health professional need to get themselves prepared?

[@user-do4gj2yb6y]

I’m a Registered Respiratory therapist looking to help but can’t find a site to sign up

[@recoveringsoul755]

I have no idea where you are, but San Francisco General Hospital was fast tracking the hiring of nurses recently, eliminating some of the normal steps and criteria

[@abdullahx8118]

try emailing a local hospital

[@KVStarStruck22]

Somewhere in your state there should be a hospital at full capacity they may need help. Try calling the human resource department at that hospital. I know New York definitely need some help. The drs and nurses are tiring themselves out over there.

[@sarahstone608]

New York needs help

[@user-do4gj2yb6y]

@@sarahstone608 give me a number to call

[@livium9184]

Doctor, can you show an actual ventilator, possibly several examples of it and how it operates? I have sleep apnea and my main worry is that if I, or someone with a similar respiratory condition contract Coronavirus, it may be a death sentence. I am also contemplating purchasing a cpap machine.

[@MrCarkyle]

Thank you for putting out these videos.

[@cryptofuture9592]

Love it. Great job for fellow medics and nursing staff across globe.

[@susana5052]

Thank you for your time and forward thinking without any political or personal gains. God bless you!

[@christinecave3534]

So grateful for your work. thank you

[@TheFelipeaugustopixo]

I am trying to build a prototype

[@otaviodosreis]

I'l would do like to know if a simple project will be efective in a emergency scenario. I have a project using just soleids valves and no contol PEEP.

[@Max1power]

M4. This is EXACTLY what I was hoping for from this channel. Thank you 🙏🏼 🙏🏼

[@Medcram]

Good to hear, thank you

[@DavidRojasElbirt]

What kind of ventilators exist? Can you explain please? Are there any diy projects available?

[@dom38701]

God bless you Dr. Seheult

[@magnus8296]

Maybe this could be a good aid!? "Loperamide demonstrated anti-MERS-CoV, anti-SARS, and anti-HCoV229E activity in an in vitro screen of approved drugs [36], although the mechanism of action is unknown. Interestingly, loperamide was suggested for limiting gastrointestinal fluid and electrolyte losses in patients with Ebola virus disease (EVD) [37]."

[@mrjohny2993]

John 38

[@magnus8296]

@@mrjohny2993 ?

[@mrjohny2993]

@@magnus8296 Barnabus 36/37

[@vanderson5226]

Thank you. This is wonderful

[@debbiez7618]

So in my mind it’s possible for patients to be grouped together according to lung compliance and pressure to potentially share a ventilator in a severe shortage. I watched the video of the doctor in Detroit? Or Chicago- somewhere in the Midwest . How would you potentially improve on the multiple patient set up?

[@오하나-i2e]

Thanks for your fantastic job! I appreciate that.

[@xyphor317]

I’m so bummed. I just finished RT school and I have to wait to take my board exam because of the virus. I wish I could be in the hospitals helping. Thanks for this video.

[@MedSurvival_Med_Mnemonics]

That's nicely explained.

[@anavillafuerte9338]

Thank you for all you do!!!! This is much needed to many nurses!!!

[@aishwaryasarda3940]

Please post a video about chloroquine if you've any further info on the clinical trials . Been waiting for it since 3 days :/

[@mandarinmcphee9295]

Love that formula one in the business of making them now. God bless.

[@WhiteboardMedicine]

Thanks for another great video! Awesome content, per usual!

[@archONtour]

i am not a medical professional I just watched it to send you some youtube cents to support your good cause.

[@dabbu770]

So clearly explained...I like your other videos as well.

[@clayburkett2350]

Is there any truth to the story I've heard that there are manifolds available for allowing one machine to ventilate multiple patients at the same time? Thanks

[@cutietifftiff]

I saw him state this in a video a few videos back, he also stated that ventilation companies were coming out with components that you could purchase to make doing this possible

[@stanislav231]

Poland already producing machines that can vent 2 people at once

[@wattsun7946]

How do you determine the correct size to inflate balloon so it seals the Trach?

[@earthstrong7855]

What are the reasons to choose one mode of mechanical ventilation over another one?

[@PrinceAliahsan]

Thank you for making these videos. You shine a light for the people who are trapped in their own mind and feed into the distractions that society use to help numb the morbid reality of this world’s state. The human population has to persevere and be motivated to innovate medical technology (look into medications but using alternative methods of consumption like if an addicted vaping patient is physically conditioned to hit his e-cig, finding cure while using a similar form factor or similar action (I.e inhaler, juul), I think a ventilator that can simulate the act of smoking can help the truly in need. Additionally to help combat addiction and relapse, VR and AR can help as a way to virtually “smoke” to help alleviate cravings. It haunts me to see my medical history, my developing symptoms and lung limits nowadays. The word “EVALI” 😔, praying for the great respiratory doctors of the world to come together and save the diminishing youth.

[@suadkacar3017]

thank you for these videos. am in icu and each day we are getting more and more covid patients, in ards and vented. this is a helpful review esp since i started in icu less than a year ago! thanks!

[@johndavidpaa3070]

First❤️❤️❤️ thank you med cram your fan from Philippines

[@m.carolina4249]

Thank you for sharing your knowledge so perfectly doctor! I'm in with this series as well! :)

[@LFTRnow]

Why would you want to use PC over AC? PC requires an alarm while AC would continue to provide the same volume to ensure oxygenation. It also makes me wonder if there is a hybrid approach, things like provide X volume but stop if the pressure reaches Y (then repeat the cycle say 12 times per min).

[@bernard2735]

I’m an engineer now, but I did study undergraduate and postgraduate physiology. I seem to recall a sigmoidal lung compliance curve. Is it important to monitor where we are on the curve to properly manage pressure?

[@Elhonizeyad]

what is the value of the compliance that we need ?