5 Common Errors in Shock, Amal Mattu, Essentials of Emergency Medicine 2018

Amal Mattu goes through the most classic and common pitfalls when treating shock, from Essentials of Emergency Medicine 2018.

[hufgu]

Excellent lecture as always! DDX Shock= Septic, spinal, , deHydration/hemorrhage, , Obstructive tamponade, tension Pneumthx, Compartment synd, cardiogenic, , K=endoKrine, anaphylaKtic. Hypotenisve pt--May add pressors (Norepi) if fluids not enough by 30 min. ( mortatlity/infarction increases 5% /hr if hypoTensive). be more liberal with cardioversion/shock. If pressure drops with fluid, think PE. Raising legs is like giving a bolus of 250--to see if fluids need to be given. Calculate shock index, , hr/sbp<0.7 predictor of sepsis outcome. if >0.8. DO NOT intubate.

[Packman]

As a new paramedic this guy is teaching me so much more than any textbook could

[medicwebber]

if only I had seen this in the early days of my medic career!! Those HypoK+ strips... I had so many of those in the field. Was taught "prolonged QT with inversion". Even a couple ED docs didn't recognize it. Shaking my head! And fascinating info on the Shock Index!!

I love this field! I love how there is always more to learn! 23 years in and STILL learning!! Thank you for doing the vids, sir!

[DManC]

This gentleman/doctor is SPOT ON when he talks about hypotension and tissue infarction. Every minute a patient is hypotensive tissue is dying and much of this organ injury is completely irreversible. Even if a patient is non-toxic appearing do not let them sit with suboptimal perfusion. Great lecture. His K was a bit of a stretch though haha!

[ivandr]

We live 2 parts of our lives in diastole! Genius! I used to have a problem explaining that to surgeons that I have worked with, during the part of my career working in Cardiac Surgery ICU. They just love SBP below 120 mmHg no matter what the MAP value is.

[marksmadhousemetaphysicalm]

Amazing medical educator...wish more were like Dr. Mattu...

[louisvarre]

Such a high caliber of useful information! Amazing!

[saadyousfani]

Wonderful job Dr Mattu,
Thanks
ER Physician From Pakistan

[johndunn]

He’s absolutely brilliant he is! Highly highly intelligent and marvellous to watch

[evaeva]

Awesome lecture. Will be using your information in my TNCC shock lecture. love it!

[akhilraghavan]

Great sir. Thank you. Lots of new learning. Shock index, DBP importance, Pressors right away in PE- all life altering . Both for physicians and PATIENTS

[alhasanasaad]

Great little lecture. Great delivery. A little comment here tho; please do NOT wait for an X-ray to pick up tension ptx as mentioned here 2:20

[Tennissoccergolfski]

I just love this guy and his ecg weekly.

[hanyelbanna]

Wonderful explanation 👏
I appreciate your effort
May Allah bless you
Thanks

[hoolie]

This pneumonic - isn’t easier. Learn the categories and understand their sub groups. BUT the talk was great and some great advice.

[XX-ruwu]

You are great & my god of cardiology!!! It's a pleasure to hear & see you & your presantations!! *Please weekly* :)) !!! Greetings from Gemany

[AlexanderRoux]

4:58 I theoretically knew this but now #MINDBLOWN

[Angelusloco]

Amazing presentation Sir! Thank you so much for this valuable information!

[amateeo]

Excellent lecture Sir! Greetings from Poland!

[drgadham]

Very very relavent and high quality education