Respiratory Clinical Examination Demonstration - Clinical Skills OSCE Revision - Dr Gill

The respiratory examination is one of the three core clinical skills, respiratory, cardiac and abdominal examinations. In this video, we demonstrate how to perform a clinical examination of the RESPIRATORY SYSTEM for your medical school Clinical Skills OSCE. As the resp exam is sure a core skill when it comes to examining patients, students should assume that a respiratory assessment is a high yield station for any clinical exams or clinical assessments.

For a passing grade in your Clinical Skills OSCE, for resp examination follow the approach of:
- Inspection
- Palpation
- Percussion
- Auscultation

HOWEVER, a respiratory examination OSCE station does not just involve auscultating the lungs, this video also demonstrates some of the specialised examination techniques required in examining patients such as tactile vocal resonance, and checking the JVP which may be seen to be elevated in pulmonary hypertension

Coughs, colds and general concerns about the chest are a common reason for patients to see a doctor, and in any speciality is probably the most commonly performed patient examination

This video has two other respiratory system focused videos associated with it:

https://youtu.be/-Pm1SZyke-M - How to take a respiratory history

https://youtu.be/KFcXXn2aBPg - Understanding the techniques of the respiratory examination

Performed by Dr James Gill

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Please note that there is no ABSOLUTE way to perform a clinical examination. Different institutions and even clinicians will have differing degrees of variations - the aim is the effectively identify medically relevant signs.

However during OSCE assessments. Different medical schools, nursing colleges and other health professional courses will have their own preferred approach to a clinical assessment - you should concentrate on THEIR marks schemes for your assessments.

The examination demonstrated here is derived from Macleods Clinical Examination - a recognised standard textbook for clinical skills.

Some people may experience an ASMR effect from watching medical clinical examination videos


#clinicalskills #respiratoryexamination #DrJamesGill #asmr

These older clinical skills videos are being retired, but rather than delete them, I decided to archive them here

In this video, we demonstrate how to perform a clinical examination of the CARDIAC SYSTEM for your medical school Clinical Skills OSCE. As the gastrointestinal exam is a core skill when it comes to examining patients, students should assume that an abdominal assessment is a high yield station for any clinical exams or clinical assessments.

For a passing grade in your Clinical Skills OSCE, for the cardiac exam follow the approach of:
- Inspection
- Palpation
- Percussion
- Auscultation

HOWEVER, an cardiac examination OSCE station does not just involve listening to the heart this video also demonstrates some of the specialised examination techniques required in examining cardiology patients

Chest, pain and general concerns about the heart are common reasons for patients to see a doctor, and in any speciality, the cardiac exam will be needed

This video has five other Cardiology system-focused videos associated with it:

https://youtu.be/dxUHp85M8kQ - cardiac deep dive

https://youtu.be/CyQqxXZyQVw - cardiac demo

https://youtu.be/DdF2cbpE6mQ - cardiac murmurs

https://youtu.be/UdT9Aj5Cujo - ecg demo

https://youtu.be/g-4DlFzmI1k - ecg lead placement


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Please note that there is no ABSOLUTE way to perform a clinical examination. Different institutions and even clinicians will have differing degrees of variations - the aim is the effectively identify medically relevant signs.

However during OSCE assessments. Different medical schools, nursing colleges and other health professional courses will have their own preferred approach to a clinical assessment - you should concentrate on THEIR marks schemes for your assessments.

The examination demonstrated here is derived from Macleods Clinical Examination - a recognised standard textbook for clinical skills.

Some people viewing this medical examination video may experience an ASMR effect

#clinicalskills #DrGill #cardiology

Learn all about the differences between these important hernias!

Step in the Clinic with Dr. Pritesh Singh and get a practical insight into the Clinical Examination of Incisional Hernia.

Now Save Time with these Exam Relevant Clinical Videos & Waste None Studying Rare Cases.

Prepare with 2021 Dream Pack. It includes everything you need to ace Medical PG Entrance Exams. To enroll or know more visit: https://premium.prepladder.com/
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The anatomy of the direct and indirect inguinal hernia.


Music:
Berries and Lime by Gregory David
https://www.epidemicsound.com/track/z6iCiiyCPm/

One man is speaking out about the potential risks of laser eye surgery, after he says the procedure left his vision permanently impaired.

An FDA survey has found some patients of Lasik eye surgery say the procedure ruined their sight.

Learn Basic Laparoscopic Surgery, the components of a laparoscopic surgical setup, optimal positioning and ergonomics in laparoscopic surgery, and much more. Check out the full course for free here: https://www.incision.care/free-trial

What is Laparoscopic Surgery:
Laparoscopic surgery describes procedures performed using one or multiple small incisions in the abdominal wall in contrast to the larger, normally singular incision of laparotomy. The technique is based around principles of minimally invasive surgery (or minimal access surgery): a large group of modern surgical procedures carried out by entering the body with the smallest possible damage to tissues. In abdominopelvic surgery, minimally invasive surgery is generally treated as synonymous with laparoscopic surgery as are procedures not technically within the peritoneal cavity, such as totally extraperitoneal hernia repair, or extending beyond the abdomen, such as thoraco-laparoscopic esophagectomy. The term laparoscopy is sometimes used interchangeably, although this is often reserved to describe a visual examination of the peritoneal cavity or the purely scopic component of a laparoscopic procedure. The colloquial keyhole surgery is common in non-medical usage.

Surgical Objective of Laparoscopic Surgery:
The objective of a laparoscopic approach is to minimize surgical trauma when operating on abdominal or pelvic structures. When correctly indicated and performed, this can result in smaller scars, reduced postoperative morbidity, shorter inpatient durations, and a faster return to normal activity. For a number of abdominopelvic procedures, a laparoscopic approach is now generally considered to be the gold-standard treatment option.
Definitions

Developments of Laparoscopic Surgery:
Following a number of smaller-scale applications of minimally invasive techniques to abdominopelvic surgery, laparoscopic surgery became a major part of general surgical practice with the introduction of laparoscopic cholecystectomy in the 1980s and the subsequent pioneering of endoscopic camera technology. This led to the widespread adoption of the technique by the early- to mid-1990s. The portfolio of procedures that can be performed laparoscopically has rapidly expanded with improvements in instruments, imaging, techniques and training — forming a central component of modern surgical practice and cross-specialty curricula [2]. Techniques such as laparoscopically assisted surgery and hand-assisted laparoscopic surgery have allowed the application of laparoscopic techniques to a greater variety of pathology. Single-incision laparoscopic surgery, natural orifice transluminal endoscopic surgery, and minilaparoscopy-assisted natural orifice surgery continue to push forward the applications of minimally invasive abdominopelvic techniques; however, the widespread practice and specific indications for these remain to be fully established. More recently, robotic surgery has been able to build on laparoscopic principles through developments in visualization, ergonomics, and instrumentation.

This Basic Laparoscopic Surgery Course Will Teach You:
- Abdominal access techniques and the different ways of establishing a pneumoperitoneum
- Principles of port placement and organization of the operative field
- Key elements of laparoscopic suturing, basic knotting and clip application

Specific attention is paid to the following hazards you may encounter:
- Fire hazard and thermal injury
- Lens fogging
- Contamination of insufflation system
- Complications from trocar introduction
- Limitations of Veress needle technique
- Limitations of open introduction technique
- Complications of the pneumoperitoneum
- Gas embolism
- Mirroring and scaling of instrument movements
- Firing clip applier without a loaded clip

The following tips are designed to improve your understanding and performance:
- Anatomy of a laparoscope
- Checking for optic fiber damage
- "White balance" of camera
- Checking integrity of electrosurgical insulation
- Access at Palmer's point
- Lifting abdominal wall before introduction
- Confirming position of Veress needle
- Umbilical anatomy
- Identification of inferior epigastric vessels under direct vision
- Translumination of superficial epigastric vessels
- Selection of trocar size
- Aiming of trocar
- Working angles in laparoscopic surgery
- Choice of suture material
- Instruments for suturing
- Optimal ergonomics for suturing
- Extracorporeal needle positioning
- Optimal suture lengths
- "Backloading" needle
- Intracorporeal needle positioning
- Hand movements when suturing
- Optimal positioning of scissors
- Extracorporeal knot tying
- Visualization of clip applier around target structure
- Common clip configurations

VirtaMed's new laparoscopy simulator starts with patient safety.

VirtaMed LaparoS™
-Starts at the beginning and covers crucial procedure preparation steps
- Innovative skills training derived from validated concepts
- Start with patient safety: abdomen positioning and trocar placement
- Covers crucial procedure preparation steps

Numerous medical training institutions have found that integrating simulation into their curriculum both improves training outcomes and ultimately supports better patient care. Benefit from VirtaMed’s decades of experience and expertise in laparoscopy training and education.

Not sure what to expect with your child's upcoming surgery at Wesley Children's Hospital? This guided tour will walk you through the process to make both patients and families feel as comfortable as possible.

Watch the discussion on "Pediatric Surgery – Know From The Specialist"
Dr. Hemant Lahoti, Consultant, Pediatric Surgery, Apollo Hospitals, Navi Mumbai.

To book an appointment call - 022 62806280/ 33503350
Apollo Hospitals is the leading multi-specialty hospitals group in India. It is also present in several countries in the Asia-pacific region. Over 8000 doctors provide best in class treatment at the groups 70+ hospitals in 27 cities.
It specializes in - Cardiology, Orthopaedics, Spine, Neurology & Neurosurgery, Gastroenterology, Oncology, Transplants, ICU, Emergency, Preventive Medicine, Robotics, Bariatric Surgery, Nephrology & Urology, and Colorectal Surgery.

To book an appointment at Apollo Hospitals click - https://www.askapollo.com/

Follow Apollo Hospitals on Social Media for Regular Updates:

Facebook - https://www.facebook.com/TheApolloHospitals/
Twitter - https://twitter.com/HospitalsApollo
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Linkedin - https://www.linkedin.com/company/apollo-hospitals

Funny Video from hospital waiting room

Mr Bean visits the hospital for a very peculiar reason!

How did Mr Bean get himself into pretending to be a doctor?

Michigan Medicine’s Cardiac Surgery Simplified series highlights a multitude of surgical procedures in order to educate patients, healthcare providers, and trainees interested in learning about cardiac surgery performed at the Frankel Cardiovascular Center.

Like and subscribe to our channel to learn more about our pioneering procedures including minimally invasive valve surgery and safer methods to repair aortic aneurysms and dissections.

To learn more about cardiac surgery at Michigan Medicine, visit: https://medicine.umich.edu/dept/cardiac-surgery

To learn more about Frankel Cardiovascular Center, visit: https://www.umcvc.org/

To watch the full playlist, visit: https://www.youtube.com/playli....st?list=PLNxqP-XbH8B
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Subscribe to Michigan Medicine’s YouTube channel for upcoming videos and future live streams featuring our experts answering your questions.

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#MichiganMedicine #MedEd #CardiacSurgery #UniversityOfMichiganHealth #FrankelCardiovascularCenter #Cardiology

To learn more about robotically assisted heart surgery, please visit https://cle.clinic/2Y6aHXH

Robotically assisted heart surgery is a minimally invasive option most often used for mitral valve repair. Cleveland Clinic cardiothoracic surgeons explain how it works and what to expect.

To learn more about our cardiothoracic experts, please visit
Marc Gillinov, MD - https://cle.clinic/2ZtNM7b
Daniel Burns, MD - https://cle.clinic/2W1MdxI

If you liked the video hit like and subscribe for more!

#clevelandclinic #heartsurgery #roboticsurgery #heartcare #cardiothoracic

Vial medication administration nursing skill. Learn techniques to withdraw medication from a vial using a syringe with a needle.

Medications can come in different forms, such as ampules, vials, tablets, capsules, and so forth. When withdrawing medication from a vial, there are a few things you'll want to know as a nursing student or nurse.

First, there are different needles that can be attached to the syringe. You can use a traditional needle with a beveled tip; you can use a blunt-tip needle to reduce the risk of needle sticks; or you can use a filter needle, which is sometimes required or recommended when drawing medication from a vial, particularly in cases of reconstituted medication.

When withdrawing from a vial, you'll want to do these things (assuming they fit with the protocols and manufacturer's instructions):


NOTE: Some medications or vaccines may require a different technique, so always consult with the manufacturer's instructions.

-gather your supplies
-perform hand hygiene
-clean the vial's top with alcohol prep
-attach the appropriate needle
-stick the needle using a technique to prevent coring of the rubber on the vial (start with 45 degree angle, and as you puncture the vial, rotate the needle to a 90 degree angle in one smooth motion).
-push air into the vial equal to the amount of medication you plan to draw
-invert the vial to withdraw medication
-remove air bubbles
-and much more

See more Nursing Skills: https://www.youtube.com/playli....st?list=PLQrdx7rRsKf


Notes: https://www.registerednursern.....com/how-to-withdraw-

Website: https://www.registerednursern.com/
More Videos: https://www.youtube.com/watch?v=R2XMro13dD0&list=UUPyMN8DzkFl2__xnTEiGZ1w
Nursing Gear: https://teespring.com/stores/registerednursern
Instagram: https://www.instagram.com/registerednursern_com/
Facebook: https://www.facebook.com/RegisteredNurseRNs
Twitter: https://twitter.com/NursesRN


Popular Playlists:

NCLEX Reviews: https://www.youtube.com/playli....st?list=PLQrdx7rRsKf
Fluid & Electrolytes: https://www.youtube.com/playli....st?list=PLQrdx7rRsKf

Please remember that this video is to be used for educational purposes. You must follow your facility or colleges' policies and procedure checklists to ensure you are completing the skill satisfactorily. Thanks for watching!

Music from #Uppbeat (free for Creators!):
https://uppbeat.io/t/swoop/blue-sea
License code: W9DFUQ4II7YVHA59

Tummy tuck Sydney Dr Barnouti. Call us on 02-9561 0222 or 1300 002 006
Broadway, Chatswood, Burwood NSW Australia
email:drbarnouti@australiaplasticsurgery.com.au
https://www.plasticsurgery-syd....ney.com.au/abdominop
What is a tummy tuck?

A tummy tuck operation is also known as abdominoplasty. It involves removing excess skin and fat from the stomach area, mainly the lower part of the tummy through surgical procedure. A tummy tuck operation is intended to leave the patient with a flatter tummy and to remove any signs of an 'apron' stomach or an overhang which is sometimes visible above underwear. The skin on this area tends to be stretched and of poor quality. A tummy tuck operation will usually focus on the lower part of the stomach, below the belly button and may require the belly button to be repositioned in some cases. The procedure is often carried out on women or men who have suffered from stretched skin in the stomach area after pregnancy, giving birth, excess fat deposition or weight loss.

What happens during a tummy tuck?

During a tummy tuck procedure the aim of the surgeon is to cut away fat and excess skin. To do this Dr Barnouti will make in incision on the lowest part of the stomach, where a fold will be visible above the pubic bone. He will take out as much excess fat as can be removed and will then cut the skin to fit back over the place where the fat has been removed from. It is important to have realistic expectations of a tummy tuck. Taking too much fat and skin away can result in folds at each end of the resulting scar which are sometimes referred to as "dog ears". Dr Barnouti will make sure you will not have this problem.

Who should have a tummy tuck?

Tummy tucks are recommended for either men or women who have an excess of fat and skin around their abdomen which cannot be removed by weight loss, exercise or liposuction. Tummy tuck operations in women are usually reserved for those who are not likely to have children as it is inadvisable to get pregnant again after having skin removed, this can cause the wound to stretch and scar.

The cost of a tummy tuck in Sydney Australia

The total cost is $7,900 if the patient's health fund cover the hospital's fees. In case the health fund does not cover the hospital's fee, the total cost will be around $12,000 inclusive of the Surgeon, assistant surgeon, Anaesthetist, hospital, operating theatre and follow ups visit.

Payment plans are alos available from Dr Barnouti's office in Chatswood, Burwood or Broadway.

A tummy tuck is a cosmetic procedure that removes excess skin and fatty tissue in order to give a flatter appearance to the stomach. Tummy tucks, also known as abdominoplasties, are ideal for patients who are not excessively overweight but suffer from an overhang of skin around the abdomen.

Performed under general anaesthetic, tummy tucks involve a horizontal incision being made just above the pubic area between the hip bones. Skin and fatty tissue is separated from the muscle and the area is tightened, with the excess skin and fatty tissues then being pulled downwards and removed.
Following your tummy tuck, there will be a scar present across the lower abdomen, but this will gradually fade. You may experience moderate tissue swelling for several months, but this will disappear with time. There may also be a sensation reduction just above the pubic area.

Once your tummy tuck recovery is complete however, you'll benefit from a more attractive figure and the ability to wear a wider selection of clothes.