Severe Asthma (How to not kill an asthmatic)

An asthmatic who is hemodynamic compromised, can be killed instantly. This distinguishes these asthmatics from the standard asthmatic and how these patients are treated will make a huge difference to the outcome.
Haney Mallemat recounts a story of an asthmatic who minutes after he was intubated, became bradycardic, hypertensive and coded. Haney discusses how breath stacking is what kills the asthmatic patient and how we can best avoid this happening to ultimately save lives.

[@curt2827]

Great Lecture

[@theslitherysylvie4010]

Finally! Someone who adresses the panic and anxiety of the asthmatic patient during an attack. I have severe asthma- been hospitalized numerous times-I literally feel like I'm fighting for my life when it gets bad. Between the panic and the meds, my heart feels like it is going to burst, and my mind can't help but to panic. Not one doctor has ever addressed the literal terror I have felt by giving me a sedative. I once had an emt say "wow! your bp is sky high! do you have hypertension?" No, I'm just in the clutches of death!

[@dnew2136]

I agree. It Feels like a huge anxiety attack over and over again.

[@methatlovescats3602]

They are stupid when they say that it's a $ thing. The more meds you on the more $ they get. Call for prayer anytime with James Robinson prayer ministry and Joan Hunter. James Robinson is 24-7 and Joan Hunter after hours will return your call and you can email them too. God's peace on you and all reading this. I too have felt the shortness of breath getting looked at to why. So God help us please and Heal us. 🙏💗

[@chrisstreet6827]

@@methatlovescats3602 oh please. God can sod off, I'll take the drugs thanks because they actually work.

[@karlsloman5320]

Sylvie, I totally get it. I have been taken to the "red" room twice at my local hospital. I have gone into convulsions and extreme panic. It is impossible to describe what we go through. I have been told I may have Eosinophilic Asthma, which arguably is not asthma at all as is discussed in the video. My heart goes out to you. Thank goodness we have medical science, they will eventually cure this scourge, but your and my job is to stay alive long enough to get there. As per your comment from an EMT, one EMT told my friend "Your friend is really really strong." Yes, and that is what happens when you are fighting for your life and the adrenaline kicks in. Good luck and I hope you are well.

[@josevelagonzales]

Hi! I'm doing research on severe asthma and I was hoping you could answer some questions. What type of medicines are you taking? How often do you see your doctor for your asthma? And what's the monthly cost for severe asthma?

[@MrJonathanhidalgo365]

Asthma is absolutely crippling. Stay strong folks

[@Jou204]

Stuns

[@jaymoraski]

I had asthma and allergies for 40+ years. Sometimes extremely chronic and caused bad insomnia at night. I knew dust affected me. Was hospitalized with bronch. pneumonia as a child. Eventually my primary care doc gave my Advair, Qvar, Albuterol etc.... Went to allergist and pomologist and did sleep study. The allergist told me I was allergic to dust mites. This helped me to some degree as I was able to mitigate the effects somewhat (mattress cover, Hepa Vacuum, Air purifier). I told the allergist that I thought certain foods contribute to my asthma (loved and ate a lot of "healthy cereals" such as granola, raisin brand, wheat brand, organic cereal). The allergist insisted that foods to not contribute to asthma and wanted to put me on prilosec. Luckily I knew better. Do not get stuck on an acid blocker long term. My sleep and asthma got worse and worse. The absolute game saver for me which probably saved my life was buying The Paleo Cure book by Chris Kresser, a functional doctor. I did an elimination diet (as described in the book) and cut out all processed foods, all grains, pasta, sugar, fake foods, all low fat foods, added health fats (olive oil, avacados etc.... Slowly re-introduced some foods. Fortunately, I always like healthy real foods, but I was just never fully educated about the bad foods. Eat only real foods that God put on earth, no food-like substances. God did not create a Dorito/Pringles Tree... Slowly and slowly I got better and within a year was off asthma meds. Changing my diet, adding probiotics and trying to control indoor toxins solved my asthma after 40+ years of suffering. I still carry an inhaler (as a binky), but use it less than 5 times a year (mostly preventatively if I am sick). I truly hope others can be helped by my experience as I wish I knew 40 + years ago what I know now. You can solve the problem by finding the root cause. Wishing you the best.💜

[@Felix_Effex]

I've gone into anaphlaxis from bi-sulfite.. beer and wine, some restaurants put it on the veggies, even saurkraut!! Watch out for dried fruits too!!

[@johnlumb1078]

More med professionals need to know and understand this. Asthmatics outside of the respiratory teams have either forgotten or are somehow unaware of how to treat asthmatics. Just my opinion obviously. Great talk.

[@user-ds8fq8cp2f]

I am symptomatic at all times. It never goes away.

[@kelliedickens4111]

This video is very helpful. As an asthmatic and also having lungs, that have been affected by pneumonia. My lungs never were the same. I am on SSDI. MY MAJOR is my lung disease.

[@JediOfTheRepublic]

I’m no Doctor but this was awesome. I think everyone can learn that it’s best to remain calm around an Asthmatic. Calmness is contagious, but so is panic. If you remain calm, it will help them remain calm. If you panic, so will they.

[@gilliansmiler3629]

Most nurses and doctors are calm

[@ocharranmd8793]

Fantastic lecture! I once had a young asthmatic that I had to put on ECMO and it was probably the most terrifying 12 hours of my life as a Pulmonary and Critical Care fellow.

[@omarahmed3621]

hey how are you now?

[@doriscandy3396]

I have been living with asthma from the age of seven.It was not severe when I was a child and a simple salbutamal would give me relief but as got older it started getting worse and the number of medications started increasing am now in my early thirties and may condition is getting worse more so with exercise and vigorous movements.Am on my inhalers daily.I have had two attacks of late that took me to hospital coz I couldn't breath.The first one was really terrifying coz I developed septicaemia but thank God the antibiotics together with the nebulizer helped me breath well again. It sucks when you get an attack but you get hope of living again when the medicines start giving you relief.Sometimes I wish I didn't have it.But with prayer and medication I believe I will live a long life.

[@Haystack11]

Next time this happens I'm referring the ER doc here. This is Excellent

[@floralfables]

I'm not a doctor by any means but am trying to learn as much about severe asthma as possible as my partner suffers from it. I found this so informational and took intensive notes about everything you said just in case I'm ever in a situation where I might be able to help.

[@frootysfun]

What did u learn and as I m asthama patient I need tips

[@chrisclyde4490]

@@frootysfun watch the video

[@kindwords1695]

I’ve had so many asthma attacks after moving to a new area. I keep having them at work on front of a bunch of people, which in these times people stare hardcore when I cough but I’ve found taking cbd/ thc tincture has helped for several hours at least

[@DJ1STON_]

I had very bad asthma as a child and my son has asthma the best advice I can give other than PROFESSIONAL MEDICAL Advice and inhalers etc don't over use or pump the patient with too much I remember feeling for want of a better explanation very shaky and giddy. So when the patient is young make sure they exercise regularly but more short sessions building up to longer sessions as they get older, feed them very healthy including locally sourced honey and goats milk avocado ginger, apples and omega 3 rich food like salmon or High quality supplement I take a high strength Omega 3 supplement also give a multi selection of vitamins I take a multi vitamin, a vit D, a vit Zinc and a cod liver and turmeric vit but you can get your own personal medical advice avoid fatty and sugar rich foods, as the patient gets older avoid alcohol. Keep your house clean but do most of the house cleaning when the asthmatic is out at school etc that way they are not about when dust is being moved about, avoid very strong bleach detergent opt for more natural or organic if possible. Try to only use airfreshener or polish when asthmatic out again, and little things like body sprays put on outside I could go on but basically anything airborne like car exhaust smoke cigarette smoke or fires do all you can 100 percent of the time to minimise exposure. Drink lots of water and green tea. I have more advice but start with this. If I get any response I will reveal my biggest secret in controlling or completely cure your Asthma. I am now 46 and haven't had an attack since around 14 years of age but I still remember how terrifying it was and pray for everyone suffering. Thank you very much. Stay safe 😷

[@eliswanderlust9409]

What is your secret

[@carolvanoppen2118]

I do all that you said and more. Be out in the sunshine!! Work your anxiety and stress all the time! And also be firm when you go to hospital of they can give you or not, you know your body and history better but at that moment you need help. That’s why you are there!

[@DJ1STON_]

@@carolvanoppen2118 Hope you feeling good thanks for your reply. Don't forget a good suncream when out in the sunshine ☀ Blessings

[@DJ1STON_]

@@eliswanderlust9409 CBD trust me the miracle cure. Its relaxes you in turn relaxes your airways making them easier to take in oxygen helps you from feeling anxious or stress which can be a major trigger and you will have a deeper sleep and sleep is good for everything in moderation. Thanks for the question. Blessing. ❤️

[@bagaitouray6303]

I need more information I’m 40 years old just diagnosed asthma and I having hard time breathing

[@clevername8832]

I leaned 2 things about people who work in the medical field from this video. There are some who are very passionate about what they do so make sure that every step they take with a patient is going to help. There other thing I learned is that there are people in the medical field who wouldn't ever think of all of the potentially benefiting steps without first being taught by someone who has that passion. They really weren't lying when they told me way back in the day that someone could be anything they want. I didn't understand that they meant that I could even do something that I shouldn't that other people are likely a lot better at.

[@chrisclyde4490]

True

[@Victoria-fw9xn]

Well said smart Doctor… I hope that my hospital Dr.s and nurses and respiring therapists are smart like this guy so that if this happens to me I know I’m in good hands…

[@user-ds8fq8cp2f]

And for heavens sake,never tell an asthmatic,to just relax

[@ceron801]

Love this video. As asthmatic and having been in the hospital for 5 days .. very educational to me

[@rumit9946]

This lecture probably saved many lives 🙏

[@elisaalgaranaz5175]

Thank you so much. I sent this link to my son in law, for my daughter. This information was very informative and it also helps us no medical professionals understand what's happening to our loved ones , and how to help then better. I usually work on helping her calm down. She becomes very stressed and shows all the effects you spoke about due to her becoming anxious.

[@davidausterman5915]

Great video. All great info and I especially second the IM epi and long I:E ratios! It's also easy to forget in the heat of battle that ketamine is a great anxiolytic *and* bronchodilator.

[@JordanPayneLV]

Incredible information here

[@royal.bumble]

Great lecture. Really good info that can be used from prehospital on through. Very eye opening seeing the doc's side of things on a severe asthmatic. Seeing the thought process that goes into those critical moments is fascinating. I've been that severe asthmatic and appreciate it greatly.

[@GraceNari14]

I'll have asthma and trying to be on medication as well as taking in more organic food like lemon, moringa, and fruits. I'm using the inhaler frequently

[@elgilany11]

Great lecture about status asthmaticus in a nut shell

[@yamilefriasgomez3941]

Excellent thank you good information

[@methatlovescats3602]

GOD continue to bless him and God bless everyone he taught/ teaches. 💗

[@brunofernandes5731]

Q aula foda! Congratulations mate!

[@alensezz4372]

i suffered from severe asthma. It has not truly left me though my lungs have gotten better. Watched this to understand it more. I think the only reason i havnt had an attack was i learned my signs. avoiding cotton wood, tobacco smoke, etc. i find that stapping what im doing and focusing on my breathing, specifically the stops between breaths(he actually talks about it in this) my 2 cents as someone who has had it but has no idea when it comes to medical stuff

[@lisastill8276]

Awesome!

[@J7N6]

Watching this while having an asthma right now

[@m.m.m.c.a.k.e]

Thank you 🙏

[@johnqpublic2718]

I can't take it anymore. I'm serious. I don't want to live like this anymore. It's not worth it.

[@esachs5245]

Please don't give up

[@alanflores2714]

Stay strong brother!

[@DJ1STON_]

What come on family you will be good mate its 5mths since you posted this how are you 🤔 👊🏻

[@katakanacristatus8123]

Hugsv

[@me2846]

im the same way!! i dont want to do on living just pull plug on me!!

[@Rolandcris14]

Fantastic

[@thrilledmedia5053]

It feels like dying when im having a severe asthma attack thank fully nebulizer saved my life

[@jaysoncarino6803]

2 years ago I went the ER , told the triage nurse I couldn’t breathe, before anything Doc gave me 15 milligrams of ventillin After I could breathe a little better I got chest extrays I had pneumonia 750 milligrams pills 3 times a day for 10 days That was my 4th trip to the ER before a doctor send me on test goota love Canadian medicine

[@VeganSanatani]

Wow! such a nice lecture.

[@me2846]

u dont have it!!

[@notadocf538]

The reasons for so many patient death in hospitals are from the lack of adequate medical knowledge. My baby just under 2 years was in hospital with bad asthma and the DR in care for that day just kept looking in his pocket book to see what to do, he looked clueless in what to do...the medication he give made her heart beat 232 beats per minute

[@maricarmen4887]

My son was given symbicort he is 4 and it’s meant for 6yo she was too small to get anything!

[@mrkriil9043]

Great 👍

[@Zac-mq4pn]

It’s my favorite TikToker!!

[@plantagenant6789]

I think ketamine is a great idea. I try not to panic, but it's very hard when you are being crowded, or people are yelling at you. "You're not using the inhaler right!!!" Of course I'm not. I'm weak and I can't absorb it and take a breath deep down. Now I know it's due to stacking. If I could have something to calm my body, then the other meds will work. I won't care if I'm being yelled at either. Lol.

[@user-ds8fq8cp2f]

I dont want to relax,I want epi,when its bad. I do not wanna sit forever on treatments and sure as heck,do not wanna be jabbed with a pen,when I am already fighting. Give the epi in the arm,like the old days

[@J.M.254]

I have acute asthma and my attacks want to make me kill myself. It's so hard, when you cannot breath. There are times, every step I take, makes me wheeze so much.

[@Starbright317]

Xolair changed my life. Talk to your doctor

[@Jou204]

Iron? Vitamin c?

[@mdomarpatwary5548]

@@Starbright317really?

[@kuethgom5194]

I'm asthmatic patient. It has disturbed and always stressed me with chest pain and breath 🫁 difficulties.

[@notadocf538]

Hey, there is a study about taking L arginine suplements can greatly improve lungs fanction, it helps your body produce more nitric oxide wich helps the lungs and many others fanction, also make sure your vitamin D levels are at list at 70 levels it will improve your lungs greatly

[@Rain-pe8nn]

Hopefully this is not just something drs go sit in a lecture hall for 15 mins, but study extensively!!

[@croaker260]

Adult Humans learn extensively through many methods. Storytelling is one of them, it helps transfer experience and knowledge. This kind of so-called "informal education" is as important as the textbook and reviewing the literature. Not more important. but definitely as important. So, this *IS* part of studying extensively.

[@angelpagan3761]

I'm asthmatic, it's hate it!!!

[@DJ1STON_]

It's hard but you can and will improve

[@drdannegoita]

Ketamine, which is great for bronchodilation, may also increase secretions. If we use subdisociative doses of ketamine, would it also be useful to add some atropine? (like 0.5 mg)

[@PPA-vl3cu]

Don't dismiss a patient with a Hx of asthma and allergies when there is minimal wheezing on auscultation, but with a complaint of difficulty breathing.

[@maripaztablanross8311]

Why and how long patients will be paralyzed, is that normal patients sweeting alots?

[@geoffreymwanza6666]

Its very painful

[@shanespaulding6594]

Mostly great stuff love it. Extra tidbits though. 1) Peep can be your friend. you may find the mechanical splinting of the airway although for exhalation of otherwise trapped gas. If you are looking for objective data for this use volumetric capnometry. Extrinsic peep will help to balance the intrinsic peep which could be causing very high intraalveolar pressures in discreet areas leading to, among other things, an increase risk of pneumothorax. If you are able to get your flow to return to baseline the increased peep is not hurting. 2) Euboxia is probably going to be a greater issue with your interns and 1st year residents. Most likely that RT has seen this patient before (perhaps even that exact patient). Everyone learns the normals while the RTs learn why they are normals and what happens when they are not normal. With CO2, as long as the pH isn't critical, it can get pretty high and its no big deal. The resident has been in the hospital 4 years and not all of them working with pulmonary patients. The RT you are working with in the ICU/ER does every single day since the first day they stepped into a clinic course.

[@DJ1STON_]

That's too complicated for the average person good fun getting completely confused through 😂

[@Jou204]

❤

[@germanmartinezcorral138]

Is he a brother of vsauce?

[@velenzogrootboom4596]

A 27 year old woman with asthma , can she take up swimming to help get less asthma attacks?

[@DJ1STON_]

Yeah of course just try not to get to cold and get dry asap

[@Breeshing]

Just loss my niece who was more like a little sister to a severe asthma attack she passed away because a doctor allowed her to go brain dead from lack of oxygen because they were focused on giving her cpr even tho she had a heartbeat

[@katakanacristatus8123]

Hugs sorry to hear that much love to you

[@DJ1STON_]

My condolences 💙❤️💖💪🏻👊🏻

[@maranatha8148]

💔💔💔

[@Jou204]

❤