Warning signs and IV fluids management in dengue fever - ESBICM Weekly Classes (unedited) | Dr. Abhi

Warning signs and IV fluids management of dengue fever - ESBICM Weekly Classes
#warinngsignsindengue #fluidmanagementindengue
The above video focus on the warning signs of dengue and the IV fluids management in dengue fever .
📰 If you have any doubt regarding any video or topic, you can post in comment section or discuss on ESBICM forums esbicm.com/forums/index.php 🖱
To make it simple, we have divided the content on the channel into 10 playlists as follows. You can browse them at your comfort and need.
📲 Playlists on RegularCrisis-ESBICM channel:
▶ 1. Mechanical Ventilation and ABGs • Master basics of invas...
▶ 2. Lectures and Classes for ICU and ER • How one single step ‘m...
▶ 3. Clinical Cases from ICU and ER • Case 1, RegularCrisis ...
▶ 4. Lab Investigations of ICU and ER • How to read an ECG in ...
▶ 5. Commonly used drugs in ICU and ER • What is the difference...
▶ 6. Interesting observations in ICU and ER • Is your ICD tube at th...
▶ 7. A special Quick-Tips section for ICU & ER • Playlist
▶ 8. A dedicated playlist for ICU & ER Nursing • Intensive / Critical C...
▶ 9. Q/A sessions of regularcrisis-ESBICM members • Playlist
▶ 10. ESBICM Weekly Classes • Playlist
💡 If you want to suggest a video topic, fill the video request form
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🆔 About ESBICM and regularcrisis
#esbicm
Educational Society of Bedside Intensive Care Medicine (ESBICM) - is an organisation with the mission to provide free bedside intensive care education to everyone involved for the better outcome of critically ill patients.
Its vision is to strengthen the bedside intensive care even in the smallest and most remote ICU of the world.
You can view more details on esbicm.com
#regularcrisis
regularcrisis.com is a video platform which is dedicated to doctors and nurses who regularly manage crisis like situations in Intensive Care (ICU) & Emergency (ER) departments. regularcrisis.com
Update:
Regularcrisis.com is now also affiliated with Educational Society of Bedside Intensive Care Medicine (ESBICM) for creating educational videos for health care professionals specially working in ICU and ER.
Inspiration behind the project:
Intensive care unit and emergency department are the backbones of any hospital where all critical situations are managed. Everyday is a crisis like situation there and with time the team working there get used to it with. With time, their skill gets more sharpen with which they manage these situations more and more efficiently each time.
But most importantly, the experience which they accumulate is invaluable; their experiences teach them things which at times are not mentioned in the regular textbooks. What if this experience is shared with the doctors and nurses who are newly joined in ICU and ER!
Regularcrisis.com and ESBICM serves this purpose only. We share educational material (mainly videos and forums discussion) which is a blend of latest guidelines and rich experience of ICU and ER teams.
🤝 We hope that this small effort of ours will be of some help to those working in ICU and ER.
Note: regularcrisis is founded by Dr. Ankur Gupta, an Intensivist, who is also the founder President of ESBICM. #drankurgupta
✉ For business enquires, contact us on [e-mail]

[@photon77]

Still helpful 👍👍

[@anume1119]

Thank u sir.

[@mithidas4295]

Enriched with the practical knowledge.Thanks a lot.

[@TheICUChannel]

Thanks mithi , nice to see it’s useful

[@rakshith6848]

Very useful sir. Thankyou

[@TheICUChannel]

thank you.

[@chandrashekharrawat1870]

Nobdy even in Icu's with low patient load gives IV fluids following these protocols.

[@TheICUChannel]

We practice these and these should be followed . These are standard guidelines

[@chandrashekharrawat1870]

@@TheICUChannel I am still a student but I am not a novice. I am seeing whats happening, anyways big Thanks for uploading the video.

[@1185mj]

sir good morning pls sir explain in dengue fever role of blood product according to APTT /PT-INR OR PLATELETS

[@TheICUChannel]

If no active bleeding , only transfuse if platelets below 10k … for aptt /Pt-inr FFP will help not platelets. If any procedure planned in patients or active bleeding , then transfuse early

[@1185mj]

@@TheICUChannel sir but if aptt deranged then can we give ffp

[@TheICUChannel]

Yes , that’s what … and if in dengue aptt deranged , it’s a very bad sign

[@devanshsingh6627]

sir please tell the reference of slide at 04:43, i need the reference very badly i had put in my seminar and they are now asking for reference. sir please tell

[@TheICUChannel]

Who 2009 classification, www.who.int/publications/i/item/9789241547871

[@nehalagarwal5209]

Sir how fluids help in treating the dengue symptoms?

[@TheICUChannel]

Prevent shock and hypoperfusion to tissues by maintaining MAP .

[@atulchetiwar9758]

Ive a patient with hct 35 , hb 11 , platelets 55k What should I do give fluid or not When to suspect for internal bleeding as no evidence of patache or external bleeding is there

[@TheICUChannel]

Post and discuss on icu.in/forums

[@lovelydubey2551]

@@TheICUChannel if hct is decreasing below normal then what should be d approach ?.... do we need to stop fluids??

[@roshu4557]

Sir if pt is complaining of severe joint pain nd headache nt relieved by pcm alone,wat other nsaid we can give If symptoms r of dengue fever nd dengue by card test is negative on wat day shd i send dengue elisa?

[@TheICUChannel]

Avoid nsaid , try tramadol along with anti-emetics … yes sending Elisa helps .

[@roshu4557]

@@TheICUChannel sir pt received tramadol 100mg tds bt still severe joint pain,so can we use indomethacin?or hcqs?

[@TheICUChannel]

Should avoid indomethacin as chances of renal failure increases . Some have used hcqs thinking the possibility of chikengunja type fever

[@roshu4557]

@@TheICUChannel thanks sir

[@roshu4557]

Sir one pt admitted with fever,joint pain his platelets on admission was 28000, we did dengue by card test came out to be negative,2days later we sent his dengue by elisa method dat also came out 2b negative,wat other investigations shd we send or can we give diagnosis as viral fever with thrombocytopenia Now his platelets count is 79000

[@busjiolife8116]

Sir ,if patient developed pleural effusion and anasarca in dengue.can we give diuretic?

[@TheICUChannel]

We prefer albumin plain without diuretics and if at all required (for respiratory compromise), small doses .

[@busjiolife8116]

@@TheICUChannel thank you sir,🙏

[@akv41av]

Should we start ionotropic support if pt. in fluid overload with shock.?and which ionotropic support should start?

[@osamaqazi5301]

Sir I have requested the link for online classes multiple times but it is not being sent... I like your bedside teaching. Please help me in this regard

[@TheICUChannel]

weekly classes are closed as of now; we are working on it as the number of participants have increased beyond 100 per class. so thinking how to do that, ; in livestream its only chat box reply ; in zoom one to one interaction ... so trying to find a way to accommodate all. will announce soon.

[@sanketbhadra2049]

Sir can we get the pdf of latest dengue management?

[@TheICUChannel]

Didn’t have custome made , but u can search and download both Indian and WHO managment pdf . If not able to find , post on ESBICM forums or telegram group of ESBICM , we will provide

[@tapentadol549]

Do you use 5 per cent or 20 per cent albumin sir?? 10 ml per hour enough?? Usually how long it takes with albumin ? Like 24 hours or more??

[@TheICUChannel]

20% ... duration depends on the clinical condition... usually 24 hours in the beginning.