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Dr. Gallagher's Neighborhood
Добавлен 5 мар 2011
These videos are exclusively to further medical education. Feel free to use them with your students or residents. We are NOT a medical referral center by any means. (We get questions about "Was the care for my loved one appropriate?") I do not practice "Medicine by RUclips". Any questions about medical care, go talk to your doctor. Thanks.
Anesthesia Resident Emergency Simulations
This video goes over a number of emergent situations and (how helpful!) what to do in those emergent situations. Enjoy!
Просмотров: 103 033
Видео
Wretire Wrong: A Coloring Book to misinform your Golden Years
Просмотров 1,1 тыс.7 лет назад
Sharpen your pencils, roll up your sleeves, and get ready to squander a lifetime of hard work. It's time to Wretire Wrong! Buy your copy on Amazon: www.amazon.com/Wretire-Wrong-Christopher-Gallagher-M-D/dp/0997675608/
Epinephrine Dosing for Beginners
Просмотров 99 тыс.10 лет назад
Medical students and beginning residents usually get mixed up when it comes to epinephrine dosing. Plus, truth be told, if you're giving epi, you are already in deep trouble and time is of the essence! So here's a short video to at least keep you straight on when you use concentrated epi and when you use dilute epi. Enjoy!
Sterile Gloving Technique
Просмотров 78 тыс.10 лет назад
Take a closer look at proper sterile gloving technique.
Lesson 5 - Direct Laryngoscopy: MICU Fellows Airway Course
Просмотров 2 млн11 лет назад
At last, we arrived! All of the preceding chapters served as necessary to this the thing we usually think of when we mention an airway course. This is the way we put the tube in most of the time, after all. Preparation is everything get the patient in a good position, the sniffing position, to align all the different axes so you get the "straightest possible shot" into the trachea. Now that you...
Lesson 2 - Preparing for Intubation: MICU Fellows Airway Course
Просмотров 111 тыс.11 лет назад
If ever we did a life-saving (if we do it right)/life-losing (if we do it wrong) procedure, then intubation is that procedure. This is not to be taken lightly as NO intubation is routine. Be a good girl/boy scout BE PREPARED. Let's go over the things you'll need to be prepared. Good Feng Shui. The Right Drugs Teamwork
Lesson 8 - Surgical Airway: MICU Fellows Airway Course
Просмотров 35 тыс.11 лет назад
Desperate times demand... Everything we have discussed up to this point is geared towards avoiding the need for a surgical airway. We assess the airway carefully, make preparations, have good teamwork, and we master the art of mask ventilation, including using the LMA. We practice good laryngoscopy, practice with the Glidescope, and gain facility with the fiberoptic. And we do ALL of this so we...
Lesson 6 - Glidescope® or its Cousins: MICU Fellows Airway Course
Просмотров 72 тыс.11 лет назад
"Oh be joyful!" the world of airway management shouted when Glidescopes arrived. In just a few short years, Glidescopes (and their many variants). Whereas THE thing to do in a difficult airway situation used to routinely be "get the fiberoptic", the current thinking is "get the Glidescope". In anesthesia practices, Glidescopes enjoy widespread use, discussion among ER attendings includes "all i...
Lesson 7 - Fiberoptic: MICU Fellows Airway Course
Просмотров 139 тыс.11 лет назад
Blind man's bluff has taken a "reality show" turn for the modern with the new TV show Blackout. In this show, contestants are placed in a completely darkened room (we watch by night vision devices on the cameras) and icky, squiggly things are thrust upon them. They get horrified and we get to yuck it up as we watch all this jolly good fun. But groping around in the dark is no fun when you can't...
Lesson 4 - Laryngeal Mask Airway: MICU Fellows Airway Course
Просмотров 133 тыс.11 лет назад
"Any port in a storm", the old saying goes for sailors. When you are managing an airway in the ICU, you will rarely consider a laryngeal mask airway (LMA), as this is not a "definitive" airway like an endotracheal tube or a tracheostomy. Though the LMA "seats" in the posterior pharyx, it does not seal off the trachea, thus it leaves the patient at risk for aspiration. Hence, not a great long te...
Lesson 3 - Mask Ventilation: MICU Fellows Airway Course
Просмотров 254 тыс.11 лет назад
Rodney Dangerfield made a career and a fortune bemoaning his fate. "I don't get no respect!" He'd grab his signature red tie, pull the knot back and forth, and roll those exophthalmic eyes of his (did he ever get his thyroid function tested?). Mask ventilation falls into the "I don't get no respect" category. The fame and glory is all in the intubation, and most airway students want to checker ...
Lesson 1 - Airway Evaluation: MICU Fellows Airway Course
Просмотров 95 тыс.11 лет назад
Christopher Columbus did his homework before "sailing west to go east". Sitting down with the best mapmakers of his day, he calculated the distance from the Western part of Europe to the fabulous riches of the east. He knew what his ships could do as far as speed, what they would need for supplies, and off he went. Yes, America got in the way, but Columbus still has a national holiday in his ho...
Crisis Resource Management - presented by Dr. Gallagher's Neighborhood
Просмотров 45 тыс.12 лет назад
CRM includes a million things, but who can remember a million things? We've boiled CRM down to 5 main ideas that any PGY-1 (of any specialty) can use. They are 1. Recognize this is serious and call for help. 2. Close the loop in communicating. 3. Establish a leader. 4. Use resources appropriately. 5. Step back and do a global assessment.
Swan Ganz Placement: presented by Dr. Gallagher's Neighborhood
Просмотров 22 тыс.13 лет назад
OK, so not everybody and their second cousin are placing Swan Ganz catheters any more. But if by chance you do, it's certainly worth thinking about doing it right. Here's a little instruction in the craft.
Swan Ganz Numbers: presented by Dr. Gallagher's Neighborhood
Просмотров 411 тыс.13 лет назад
A detailed look at the all important ratio between systemic and pulmonary artery pressures. When the ratio's good (say, 5 systemic to every 1 pulmonary), then you have a good Starling curve. When the ratio's bad (say 2 systemic to 1 pulmonic) then the Starling curve is bad
Subclavian Line: presented by Dr. Gallagher's Neighborhood
Просмотров 170 тыс.13 лет назад
Subclavian Line: presented by Dr. Gallagher's Neighborhood
Lung Isolation: presented by Dr. Gallagher's Neighborhood
Просмотров 114 тыс.13 лет назад
Lung Isolation: presented by Dr. Gallagher's Neighborhood
Right IJ Swan Ganz: presented by Dr. Gallagher's Neighborhood
Просмотров 24 тыс.13 лет назад
Right IJ Swan Ganz: presented by Dr. Gallagher's Neighborhood
Radial Art Line: presented by Dr. Gallagher's Neighborhood
Просмотров 119 тыс.13 лет назад
Radial Art Line: presented by Dr. Gallagher's Neighborhood
IV Placement: presented by Dr. Gallagher's Neighborhood
Просмотров 13 тыс.13 лет назад
IV Placement: presented by Dr. Gallagher's Neighborhood
Femoral Venous Line: presented by Dr. Gallagher's Neighborhood
Просмотров 105 тыс.13 лет назад
Femoral Venous Line: presented by Dr. Gallagher's Neighborhood
Femoral Art Line placement: presented by Dr. Gallagher's Neighborhood
Просмотров 37 тыс.13 лет назад
Femoral Art Line placement: presented by Dr. Gallagher's Neighborhood
ACLS Part 8 - Asystole: presented by Dr. Gallagher's Neighborhood
Просмотров 68 тыс.13 лет назад
ACLS Part 8 - Asystole: presented by Dr. Gallagher's Neighborhood
ACLS Part 7 - Ventricular Tachycardia and PEA: presented by Dr. Gallagher's Neighborhood
Просмотров 128 тыс.13 лет назад
ACLS Part 7 - Ventricular Tachycardia and PEA: presented by Dr. Gallagher's Neighborhood
ACLS Part 6 - The Vowel Mnemonic: presented by Dr. Gallagher's Neighborhood
Просмотров 71 тыс.13 лет назад
ACLS Part 6 - The Vowel Mnemonic: presented by Dr. Gallagher's Neighborhood
ACLS Part 5 - The bad rhythms: presented by Dr. Gallagher's Neighborhood
Просмотров 88 тыс.13 лет назад
ACLS Part 5 - The bad rhythms: presented by Dr. Gallagher's Neighborhood
ACLS Part 4 - Components of the Megacode: presented by Dr. Gallagher's Neighborhood
Просмотров 81 тыс.13 лет назад
ACLS Part 4 - Components of the Megacode: presented by Dr. Gallagher's Neighborhood
ACLS Part 3 - 6 H's and 5 T's; presented by Dr. Gallagher's Neighborhood
Просмотров 122 тыс.13 лет назад
ACLS Part 3 - 6 H's and 5 T's; presented by Dr. Gallagher's Neighborhood
ACLS Part 2 - Rhythm Analysis and the Defibrillator: presented by Dr. Gallagher's Neighborhood
Просмотров 318 тыс.13 лет назад
ACLS Part 2 - Rhythm Analysis and the Defibrillator: presented by Dr. Gallagher's Neighborhood
ACLS Part 1 - Introduction and Airway Adjuncts: presented by Dr. Gallagher's Neighborhood
Просмотров 69 тыс.13 лет назад
ACLS Part 1 - Introduction and Airway Adjuncts: presented by Dr. Gallagher's Neighborhood
Question Dr. Gallagher, do you go down the right side of the tongue with a miller blade? Working at a pediatric center and all the use is miller. I agree with other comments, I wish you were my teacher.
But what if we have really small hands and we are in emergency all alone.. how can we improve mask ventilate with single hands?
Very informative lesson thankyou 💥💥🎊🎊
10:22 ❤❤❤
God bless you- cardiac nurse
@8:00 other things you would want to do is hyperventilate (decrease ICP) and you would want to maintain paralysis to avoid bucking. A high decadron dose probably not the worse thing either
10 ددددققااييقق 💔💔
10 دقايق 😞 الت******* والحافظ الله
You explained everything clearly, taking into account all possible classic mistakes and even patient's other medical conditions. Very thorough instructions. Thanks!
good ET tube intubation method & procedure rules # 👍🇵🇰
Excellent video. Thank you!
Is it normal to feel sore or have a scratchy throat after intubation?
Thank you so much doctor for this amazing explanation, I really wish you were my professor.😊
You're gonna want anesthesia around, RT around, plenty of nurses around. Must be nice, it's just me and an EMT in the back of a truck!
I'm wondered how can we see larynx from the mouth.
I am the Ukrainian Combat medic. I'm very appreciated to You Mate for an excelent explonation)
Great way of doing....
Fabulous! Thank you!
thank you sir
Thank you for your magnificent video. During swan ganz placement do you have any recommendations to increase the likelihood of placing the catheter in the pulmonary artery? 1. Should you thread the catheter slowly? 2. Should you place the patient supine or upright?
ขอบคุณสำหรับวีดีโอสอนวิธีการใช้เครื่องมือแอมบู เมื่อวานนี้ที่ประเทศไทยมีผู้ป่วยโรคปอดติดเชื้อ 1 ราย อายุ 70 ปี เสียชีวิตขณะเคลื่อนย้ายผู้ป่วยกลับบ้าน เพราะญาติต้องการพากลับมาเสียชีวิตที่บ้านของเขา แต่เมื่อถอดเครื่อง ECMO แล้ว การใช้แอมบูเพื่อช่วยให้เขาหายใจก็ยากต่อผู้ป่วยสูงอายุและปอดของเขาไม่สามารถทำงานได้ปกติ ระยะทางระหว่างโรงพยาบาลถึงบ้านเขานั้น ประมาณ 77 กิโลเมตร Google Translate Thank you for the video teaching how to use the Ambu tool. Yesterday in Thailand there was a 70 year old lung disease patient who died while transporting the patient home. Because relatives wanted to bring him back to his home to die. But once the ECMO machine was taken off, using Ambu to help him breathe was difficult for the elderly patient and his lungs couldn't function properly. The distance between the hospital and his house is approximately 77 kilometers. Google Translate
I'm in Paramedic School. We haven't gotten to intubation yet (going on week two) but when it comes to medical repercussions and adverse effects of interventions, I'm always keeping an eye open and a ear on lookout for useful information that I can take to my clinicals, ride-outs, and eventually, to my career once I get my license. By no means will I know everything but I'll tell you, I want to know something about everything that I could run into so that I can be prepared for it.
My name is Francis from Kenya I have diffecalt in swallowing food , doctor direct to do endoscopy what can be a problem.
I was crossed 1000 intubations still learn some more tips from you sir.
Wonderful
I am going out of the way of 0:05
I don’t think you understand the point here but the fact is the people in charge have no interest whatsoever to do what you
I am so happy to be
Hello. How much time do you need to feel comfortable with intubation? And do you have some experience with left handed anesthesiologist? I am left handed and i am on start with my residency, so i am worried about intubation?
Use your right hand. Will take 3 months to get comfortable.
Thank you Doc
More l need to learn about intubates
Ok
Lol all that aggression released in that “This!! Is no way to ventilate” :)
can you say "ok" a few more times...?
Nice video.nice information
It sure would have been nice to have this doc as a teacher when I was in training. He explains everything so well and simplifies and reviews the steps for success. Definitely will follow him
Ok
Submental Intubation & Extubation ruclips.net/video/6t4Fx0x_weU/видео.html
Is there any reason why LMA couldn't be used in a surgery? Any reason an endotracheal tube would be preferable or required? Is LMA only for short operations?
You can use it, and it is used. Endotracheal intubation is a more common choice because it is a definitive secure airway that also prevents aspiration in case of reflux or intraoperative vomiting.
God bless
Bad analogies TMD? NECK CIRCUMFERENCE??
Superb and simple explanation...thanks a lot sir
Great video. Valve mask is hard for me since my hands are so small BUT these tips have helped a lot.
Hear me out…
Hi Sir. That device looks cool. So it no longer has to be connected to an oxygen tank right? We simply have to squeeze the bag manually to pump oxygen into our patient?
I just started intubation in AEMT school and we used bougie instead of the stylette. bougie was a lot easier.
شكرا
Indian doctor killing pesent please 🙏 don't go IC ward doctor killing pesent
very nicely done teaching video....may I make one stylistic suggestion? The "look" you give someone off-camera (7:04), when discussing damage to the fiberoptic scope, was not necessary to include in this training video....we've all been there at one point in our training, and I, personally, didn't need the "nasty" reminder....but it''s a fine point.
Very informative, not only for the Med students or clinicians but for us that has family in the hospital and have an option of being intubated or just let it go… and very sick and old man..very thin..seems very fragile…would you think intubation/ enduring that pain….. I don’t know…please give me some insights
Talk to your doctors. I do not give advice over the Internet.
Ap