Surgery Easy Explained

And here are the winners of the 2021 Covid awards of the year

Dolo 650
Lifetime achievement award.

Tocilizumab
Best debutant immunosuppressant of the year

Remdesivir
Best debutant antiviral

Itolizumab
Promising face of the year

Bevacizumab
Best medicine in a comic role

Methyprednisolone
Best medicine in a supporting role

Mucormycosis
Best actor in a negative role

Pulmonary fibrosis
Best background artist

Limcee and Zincovit
The best action in kids category

Random Blood Sugar
Most fluctuant dancer of the year

Il6
Promising test of the year

Ferritin Ddimer
Best comeback category

CRP
The most consistent performer of the year in all categories.

Judges Unknown.
🤫🤫

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INDICATIONS OF CABG

Can be remembered by "DUST"

1)Depressed ventricular function.
2)Unstable angina.
3)Stenosis of the left main stem.
4)Triple vessel disease.

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INTUBATION PREPARATION:-

Always remember 7 P's

1)Preparation.

2)Preoxygenation.

3)Pretreatment.

4)Paralysis with induction.

5)Positioning.

6)Placement of tube.

7)Postintubation management.

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Easy Way to Remember ABG.

ROME
Respiratory Opposite.
Metabolic Equal.

In Case Respiratory Acidosis/Alkalosis.
(Respiratory Opposite)
For example:-
In respiratory acidosis
PH "DESCREASES".
PO2 "DESCREASES".
PCO2 "INCREASES".
In respiratory alkalosis
PH "INCREASES".
PO2 "INCREASES".
PCO2 "DESCREASES".
IN ABOVE YOU CAN SEE THE OPPOSITES OF EACH OTHER HENCE :- CALLED RESPIRATORY OPPOSITE.

In Case of Metabolic Acidosis/Alkalosis
(Metabolic Equal)
For example:-
If in case of Metabolic Acidosis
PH "DESCREASES".
HCO3 "DESCREASES ".

In Case of Metabolic Alkalosis
PH "INCREASE".
HCO3 "INCREASES".

IN ABOVE YOU CAN SEE THE EQUAL OF EACH OTHER HENCE METABOLIC EQUAL.

These are Important 5 H and Important 5 T which can cause immediate death of patient.
ACLS protocol for emergency lies in this 5 H and 5 T
Hence Smart Doctors never forget or ignore it..
5 H includes...
1)Hypovolemia:- Excessive Fluid loss in body can causes death of patient.. should be ignored.

2)Hypoxia:-
Low oxygen saturation is one of the cause of fatal death of patient...

3)Hydrogen ion:-
Derranged level of ABG can create increase in mortality.

4)Hyper-/hypokalemia:-
K levels should be maintained.

5)Hypoglycemia:-
Always monitor sugar levels in ICU and wards.

6)Hypothermia:-
Maintenance of body temperature is also must .
1)Toxins:-
Toxicity is main cause of death.
2)Tamponade(cardiac)
Fluid accumulation in pericardium which needs urgent pericardial tapping.
3)Tension pneumothorax:-
Air accumulation in thorax which needs urgent insertion of chest tube.
4)Thrombosis (coronary and pulmonary):-
- Kill the thrombus before it kills you.i.e Thrombolysis.
5)Trauma:-
Brutal Accident causing life threatening trauma is also cause of immediate death of patient.

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