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TheAncientScholar
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Добавлен 23 янв 2011
An educational site that aims to help nursing and allied health students understand what they cover in school. This may include a broad range of topics from test taking to ventilator management to the physical sciences. This site also welcomes health care providers who are looking to review concepts or are attempting to understand new or confusing concepts or any other person who finds the information helpful.
THAM and Bicarbonate
In this video I talk a bit about the physiological mechanism of action behind both bicarbonate and tris-hydroxymethyl aminomethane (THAM) with an emphasis on the differences between how these agents act as buffers.
EMCrit Podcast on THAM:
Scott Weingart, MD FCCM. EMCrit 380 - Acid Base Part VIII - Tris-Hydroxymethyl Aminomethane (THAM) for Acidosis. EMCrit Blog. Published on July 29, 2024. Accessed on August 12th 2024. Available at [emcrit.org/emcrit/tham/ ].
EMCrit Podcast on THAM:
Scott Weingart, MD FCCM. EMCrit 380 - Acid Base Part VIII - Tris-Hydroxymethyl Aminomethane (THAM) for Acidosis. EMCrit Blog. Published on July 29, 2024. Accessed on August 12th 2024. Available at [emcrit.org/emcrit/tham/ ].
Просмотров: 104
Видео
The Penicillins: Basic History, structure and action
Просмотров 5921 день назад
A brief overview of the group of beta-lactam antibiotics known as the penicillins. In this video, I talk about the history of penicillin, basic chemical structure, mechanism of action and examples of specific categories of penicillins and semi synthetic penicillins. 
My take on the PREO2XI (Pre-Oxy) Trial
Просмотров 142Месяц назад
My high yield overview of this trial with a pre-hospital focus. EmCrit Link: Scott Weingart, MD FCCM. EMCrit Wee - Additional Thoughts on the PREOXI Trial. EMCrit Blog. Published on June 15, 2024. Accessed on July 7th 2024. Available at [emcrit.org/emcrit/additional-preoxi/ ]. PREO2XI Trial Link: www.nejm.org/doi/full/10.1056/NEJMoa2313680
Acute Flaccid Myelitis Confirmed in New Mexico
Просмотров 1132 месяца назад
An update on AFM from the NM Health Alert Network.
Overview of Tissues
Просмотров 332 месяца назад
Brief, big picture, high yield overview of tissue types in animals.
Cefepime vs Piperacillin-Tazobactam in Sepsis
Просмотров 1832 месяца назад
My take on a newly published study. Link: jamanetwork.com/journals/jamainternalmedicine/article-abstract/2818278
Practice NREMT Paramedic Exam
Просмотров 7163 месяца назад
A sample exam aimed to familiarize the candidate with the NREMT exam format. Please note: This is a practice exam created by the NREMT and I am using it for the purpose of non-monetized education in order to assist with familiarization. I do not own the content and I have no relationship with the NREMT. Link: nremt.org/Document/Get-Ready-For-The-New-Examinations
NREMT Examination Tutorial
Просмотров 2563 месяца назад
A tutorial aimed to familiarize the candidate with the NREMT exam format. Please note: This is a tutorial created by the NREMT and I am using it for the purpose of non-monetized education in order to assist with familiarization. I do not own the content and I have no relationship with the NREMT. Link: nremt.org/Document/Get-Ready-For-The-New-Examinations
New NREMT Paramedic Exam Process: Overview of the new test items
Просмотров 8183 месяца назад
Overview of the items you’ll encounter on the exam with emphasis on the technology enhanced items that aim to test mastery of “Clinical Judgment.” 1. Classic Multiple Choice 2. Multiple Response 3. Build List 4. Drag and Drop 5. Options Box Emphasis on enhanced graphical content and scenario based groups of items.
New NREMT Paramedic Exam Process: The Big Picture Overview
Просмотров 2103 месяца назад
A high yield overview of the examination process that aims to answer frequently encountered questions such as how much will the new exam cost, how many questions/items are on the new exam and how long will the exam last. Re-upload to correct audio issues.
NREMT AEMT & Paramedic Certification Examination Changes 2024
Просмотров 1753 месяца назад
NREMT AEMT & Paramedic Certification Examination Changes 2024
DanGer Shock Impella in Cardiogenic Shock Study Analysis
Просмотров 2884 месяца назад
DanGer Shock Impella in Cardiogenic Shock Study Analysis
EMT-B A&P: Immune & Lymphatic Lecture
Просмотров 1645 месяцев назад
EMT-B A&P: Immune & Lymphatic Lecture
Superior Vena Cava Obstruction: Pre-hospital Primer
Просмотров 1405 месяцев назад
Superior Vena Cava Obstruction: Pre-hospital Primer
Tumor Lysis Syndrome: Prehospital Primer
Просмотров 1066 месяцев назад
Tumor Lysis Syndrome: Prehospital Primer
Aesop Rock: Integrated Tech Solutions Album Review
Просмотров 757 месяцев назад
Aesop Rock: Integrated Tech Solutions Album Review
Sedation of the agitated patient with medication
Просмотров 1607 месяцев назад
Sedation of the agitated patient with medication
Myocardial Infarction: Clinical Reasoning and Pre-test Probability
Просмотров 868 месяцев назад
Myocardial Infarction: Clinical Reasoning and Pre-test Probability
Google Pixel 7 After a Year and an Announcement!
Просмотров 1009 месяцев назад
Google Pixel 7 After a Year and an Announcement!
Initial Reaction to Aesop Rock’s new Album; Integrated Tech Solutions
Просмотров 3119 месяцев назад
Initial Reaction to Aesop Rock’s new Album; Integrated Tech Solutions
جزاك الله خير
Why don't educators do some real physics by showing how it works with real numbers (the "math"). I think, with air, it's a lot more complicated as the density changes with the pressure change in the narrow section, and temperature also changes. I have never seen a worked example if an air venturi. There are quite a number of air venturi demos on YT, but none of them do any maths.
Hello I have a doubt . For deletion we use delta to represent . Is there any symbol for insertion of a base ?? Is actually insertion possible ??
brilliant
Loved the example. But instead of saying flow it’d be nice if you said velocity. Because the idea is to give persons an intuitive sense of how this works, ppl need not confuse flow rate staying constant with the changes in velocity.
that wasnt enough information. you didnt talk about its snri activity and the potential implications of serotonin blockade like hypertension heart attack tachycardia, arythmia, palpitations, serotonin syndrome, seizures, convulsions, fever etc. LAME!
@@frozenskyhomestead3723 Seems like a good opportunity for you to do a video and fill in the gaps.
Is everybody in the ceremonies about to begin....
So do you decrease the pressure of the entire atmosphere through a little bendy straw?
Zzz 😴
My husband had Streptococcus A (Flesh Eating Bacteria). I kept telling him to go to the hospital because it didn't look right. He developed odd white patches under his skin! This can have a negative impact on the brain too. He was hospitalized for 1 month. He was told he had a 50/50 chance of losing his right arm. 30 minutes later he was told he had a 50/50 percent chance of losing his life! This is extremely painful to go through this. The flesh is removed from the infected area. This is to remove the bacteria and infected muscles and skin. The skin is off the infected area for days. A antibiotics cocktail is given. When I noticed there was a real problem is white patches under the skin, but before this I kept telling my husband to go to emergency just to make sure there is not a issue. He refused to go immediately to emergency! By the way I have saved his life three times!
Vibrio vulnificus and Streptococcus A (group A strep) are both bacteria that can cause necrotizing fasciitis, also known as "flesh-eating disease". Necrotizing fasciitis is a severe infection that occurs when bacteria attack the tissue around an open wound, interfering with blood circulation and causing tissue death. However, the two bacteria have some differences in how they infect the body and the types of skin lesions they cause
This was an excellent explanation! Looks like THAM is still discontinued in the US. Never had an opportunity to see its use in actual clinical practice due to cost and likely never will… interesting nevertheless!
@@openaccessrespiratorycare3183 I believe it’s currently available in the United States. Pfizer is the manufacturer.
I just double checked. Pfizer is selling the 18 Grams/500 ml solution.
This was an excellent presentation! Helped me understand the pH equation again. It is awesome to see there are now ways to fight what the body is going through when it is starting to shut down. Yes please, could you do more on THAM please. I find your presentations very educational, a great review and I look forward to each release as I know I am going to learn something! 😊 Thank you!!❤
Interesting, thank you!
I like the desert night camo shirt!
@@The_Codstero1 Thanks. A company called Warrior Wear.
Any issues with the pressed in BB?
@@UnburdenedByWhatHasBeen none
Eating shrimp on a low dose of mescaline is amazing.
Got a question for the on scene treatment portion I’m currently in medical school, first should be glucagon and IV access but I think that you should personally monitor the EKG and give dextrose administration for the second step and contraindications would be oral glucose because of the alter mental status and not being able to follow directions or answer questions and high flow O2
Love these type of videos
Ist there a way to détox pleased
Are these symptoms temporary? or once they occur, it's a long term damage?
@@zenzen2803 Typically resolve with ascent.
Fascinating. Thanks for such a clear scientific explanation. 👍
But how does this work with propane Gaz ? Is just an Hole to the tube which suck air from atmosphere?
Meperidine or also called Pethidine (Tradename: Demerol ), IS NOT AN OPEN CHAIN OPIOID. You Forgot TO Mention the ""PIPERIDINE Ring "" which is also on the morphine molecule. That huge looking ring that holds the Tertiary Nitrogen is a PIPERIDINE Ring. Matter of fact Demerol is derived from it. And that's what you are looking at. Methadone lacks the PIPERIDINE Ring. It's an open chain or straight chain of morphine.
Great review, dude! Maybe one of the best I’ve seen on the blur! Tnx! Question, what your weight? I’m @ 230 and looking for a more xc oriented bike but not sure how this one would hold up. I don’t do drops or ride overly aggressive @ 55 yrs I’ve learned to hold back a bit. I can’t find my replacement body parts @ my lbs 😅😂
@@alvindiazmarquez I’m about 170. At 230, you might be pushing the limitations of the shock if you also add in weight for all your kit. I’ve got an ex-power lifter friend who’s a bit younger than me (mid to late 40’s) and is in the 250 range. He tends to prefer coil shocks and chunkier bikes. His XC bike is a Transition Smuggler with an aftermarket coil fork and shock. I think he runs Carbon rims to offset the weight from the coil setup. It’s a lighter setup than his enduro/all Mtn bikes but can handle his weight better. Plus the geometry is more forgiving than the Blur. Wish I could provide you more details on running the Blur with heavier weight, but I’d honestly think something like what my friend did may work better for you. Plus, the Blur can get pretty twitchy in rough, steep terrain. It’s a fun feeling, but not very forgiving. Something like a smuggler could be a good compromise between robustness and weight saving.
Seems like gabapentin ir pregabalin would be helpful in treating the acute hyperexcitabilty of the exposure.
Hi Chris, Did you become a doctor? I am still grateful that your RUclips Channel helped me graduate from Respiratory School.
Thanks! Glad the channel was helpful. I am not a doctor.
Some of these questions are very difficult. I’ve never even heard of some of these terms and words and I just finished school and passed my nremt
This is for the new NREMT testing process that rolls out July 1st.
Can also use a rapid fill connecter luer lock to draw up the epinephrine into a 10ml syringe, eliminating the need for any needles.
Thanks million
Thank you so much
Very long story short 1. Fox Float DPS rear shock failure (very common for this shock BTW) 2. Crank Brothers rear hub failure
Thank you
Medic national for ten years i take boards again i let my license lap but I’m ready to heal With love to give me a stable life
Intensive care resident here, this helped A LOT. 13 years later and there wasn't much I found online that explained in this much detail in a way that made sense. Thanks a lot
Yeah I have an iso on order supposed to be here in June 18 I believe I'm kind of getting skeptical now. Last year I purchased a vitus sentier vrs. and the customer service was top-notch answered the phone every time I called answered all my questions annoying or not however two months later I find out that they're out of business I hope that's not the case with this company. Secondly if YT or yeti or any brands like that selling a bike with components from another manufacturer I think it would be up to them to take care of it if they're not gonna take care of it then don't put those components on the bike
This is by far my favorite RUclips channel
Sounds excellent! Looking forward it them😊
Hey you seem very knowledgeable, ketamine gave me permanent brain damage and nobody believes anything I say, nobody on Reddit believes a word I say because it is the strangest thing that ever happened to me and to be honest it ruined my life. Perhaps if you are well versed in ketamines mechanism of action you could potentially help me figure out exactly what happened but it's pretty bad and it's permanent, this happened a year ago and my brain never healed all the way. If you could reach out to me I would love your opinion on wtf could have possibly happened to me, I don't have healthcare to get a brain scan and even that doesn't give me hope I'll get the answer I'm looking for. Thank you
Hello, would love to reach out to you and ask whether this can be applied in building structures where I want air to vent out from the roof in increased pressure, only that the tube would be vertical. Perhaps you can provide email? That would be great and would highly appreciate it. Thanks!
STAY AWAY FROM ALL FORMS OF MERCURY, REGARDLESS OF WHAT THIS GUY SAYS.
I hope you are healthy and doing well.
How are you feeling?
A few thoughts on the Izzo, I wonder if you feel the same about it. I switched from a Bronson I have put a few hundred miles on mine. The rear shock is very difficult to lock out / adjust on the fly. The upper rear triangle links are chunky and one can hit the inside of your knees on them as you pedal The rear shock sits in a pocket in the lower frame. This fills up with grime and moisture.
Yeah; the high end Izzo was built around a remote lockout but that doesn’t translate to models without the lockout system. I actually swapped the rear shock out for a TTX, making the lockout lever much easier to use. You are right about the “shock gutter” collecting debris. It gives the bike some personality. Coming from a Bronson, the Izzo is likely a bit of a change. It runs similar to the Blur TR but with slacker geometry.
Bro you became skinny af. Did you listen to too much Dave Humphrey
Clinical Judgment is the new category on the new testing. I wonder if the pass percentage will increase with the new testing.
Not sure. My suspicion is that following July 1, pass rates will plummet until the exam process becomes more familiar to students and educators.
awesome method
Lovely stuff
i think the reason i have seen stated by people who ran the trial why OOHCA was excluded is a lot of them will already have hypoxic brain injuries which a impella will not fix, they point out not to extrapilate to these patients would be a interesting question for future study though
Get to the point
FH !
If you haven't tried this yet, remove the two red spacers in the fox shocks negative chamber. You will have to add more air and figure out the correct pressure to get your sag right. The shock will feel much better going through its travel.
Unfortunately, the damper catastrophically failed. The shock is being replaced under warranty.