Foundations of Medicine

Positive pressure breathing is used during mechanical ventilation (MV), which depends on the airway system's compliance and resistance. Lung expansion occurs during spontaneous inspiration as a result of transpulmonary pressure (P), which is primarily caused by a negative pleural pressure produced by the inspiratory muscles. Mechanical ventilation is incredibly well supported by physiology. There are several ways to deliver MV, including mandatory mode and assisted mode. To learn more about ventilator modes in a simplified way, join us with Dr. Subodh Chaturvedi for this blockbuster live. 

Ventilator Modes Simplified

Nearly a third of the children with TB globally are from India, despite an estimated detection gap of about 56%. Children up to the age of 14 years constitute 35% of the population in our country and are estimated to contribute approximately 10% of the caseload. However, reported numbers may be low as many children are treated outside the National TB programme. Pulmonary TB is the most common form of TB in children. Although the principles of diagnosis and treatment remain similar in children and adults, the differences in the type of disease and specific host characteristics bring up some challenging variations. Rapid molecular diagnostic methods like newer generation cartridge-based nucleic acid amplification tests (Xpert-RifTM /TruenatTM) and Line Probe Assays (LPA) have been approved and employed by the National TB elimination Program (NTEP). Join us live with Dr. Prajapati to understand RNTCP guidelines for effective management of TB in children. 

RNTCP: Pediatric TB Guidelines

In order to reduce glucose concentrations in people with type 2 diabetes mellitus, metformin is frequently regarded as the best initial pharmacological option. Due to concerns about lactic acidosis, the medication is, however, contraindicated in a large number of people with impaired kidney function. Metformin should occasionally be administered cautiously or not at all. Learn more about these unique situations with Dr. Ganapathi Bantwal, live only on Medflix.

Metformin in special situations

The terms 'sudden cardiac arrest' (SCA) and 'sudden cardiac death' (SCD) describe the abrupt cessation of cardiac activity with hemodynamic collapse, usually brought on by sustained ventricular tachycardia/ventricular fibrillation. Most often, patients with structural heart disease, particularly coronary heart disease, experience these events. If defibrillation or spontaneous reversion restores circulation, the event is known as SCA (or aborted SCD). If the patient passes away, it is referred to as a SCD. There are two main components to evaluating a SCD survivor: diagnosing and treating any acutely treatable causes, and checking for structural heart disease. To learn more about the evaluation of SCD, which is crucial when working in EMS, join us live with Dr. Sameer Dani.

Cardiac Evaluation of the survivor of sudden Cardiac Arrest

CARDIOCON 2023

Differential diagnosis of supraventricular tachycardia (SVT) and ventricular tachycardia (VT) is of paramount importance for appropriate patient management. Several diagnostic algorithms for discrimination of VT and SVT based on surface electrocardiogram (ECG) analysis have been proposed. Following established diagnosis of VT, a specific origination tachycardia site can be supposed according to QRS complex characteristics.  Join us live in this amazing session of Cardiocon with Dr. Sameer Rane.

How to do the Localisation of VT

Supraventricular tachycardia (SVT) is a general term describing a group of arrhythmias whose mechanism involves or is above the atrioventricular node. The mechanisms of most forms of SVT have been elucidated, and pharmacologic and invasive therapies have evolved simultaneously. Let's learn how to localize SVT-AVRT with Dr. Shomu Bohora.

How to do Localisation of SVT-AVRT/AVNRT

Catheter mapping and ablation are widely performed for various complex tachyarrhythmias that need a better understanding of fundamental technologies of mapping to identify triggers or substrate of arrhythmias. The mapping of arrhythmias used to be performed using multipolar electrode catheters, fluoroscopy to localize the anatomic catheter position within the cardiac chamber, and interpretation of recorded intracardiac electrograms to localize the origin of a focal arrhythmia or critical parts of a tachycardia circuit. Join us live with Dr. Vyas to understand the indications of 3D Mapping for Ablation of Tachyarrhythmia.

Indications of 3D Mapping for Ablation of Tachyarrhythmia

The use of cardiac ultrasound is fundamental to the understanding of normal heart function and crucial to pathophysiological diagnosis. The growing availability of 3D echocardiography (3DE) over the last decade has allowed its applications to expand from establishing reference values for chamber size and elucidating ventricular mechanics, to assessing valvular disease severity and playing pivotal roles in interventional procedures. Several important advantages of 3DE include eliminating geometric assumptions, quantifying complex geometric shape volumes, viewing structures from any perspective, assessing lesion in simultaneous multiplanes or multislice mode, all of which are not possible with traditional 2D echocardiography (2DE). Join us live to understand the basics of 3D echo.

Basics of 3D Echocardiography

There are some interesting updates in cardiology over last one year and what is the best platform to understand it in detail and apply in everyday practice than cardiocon. Here, at Medflix, we promise you to bring the best of all specialties and here are the recent updates in cardiology. Join us live and stay tuned for some more interesting updates. 

Recent Advances in Cardiovascular Medicine

Cardiocon 2023 is a unique format of case-based debates and live discussions in cardiology where clinicians, researchers and industries convene with the aim to promote, support and enhance the development of treatments. Here is another interesting session to understand some best updates with case discussions. Join us on Medflix to experience Cardiocon LIVE.

Best Intervention Case in Cardiology

Cardiogenic shock is associated with significant morbidity and mortality, and clinicians have increasingly used short-term mechanical circulatory support (MCS) over the last 15 years to manage outcomes. In general, the provision of greater hemodynamic support comes with device platforms that are more complex and potentially associated with more adverse events. Join us live with Dr. Roopesh Singhal to learn more about it.

HEMODYNAMIC ASSIST DEVICES in CARDIOGENIC SHOCK

Join us live with another interesting session in cardiocon where we celebrate women in cardiology and discuss one interesting topic -  STABLE CAD -ISCHEMIA EVALUATION. Join us on Medflix to experience Cardiocon LIVE.

“WOMEN-IN- CARDIOLOGY” - STABLE CAD -ISCHEMIA EVALUATION

Practice Updates

Diagnosis of asthma in children is challenging. Personalised asthma action plans are essential, and a significant number of children with asthma do not have one. Asthma attacks should be viewed as Never events. Post-attack reviews are essential to optimise maintenance therapy and prevent future attacks. Both under-diagnosis and over-diagnosis of asthma are important issues, which lead to inappropriate treatment. Following the initial diagnosis, the accuracy of the diagnosis should be confirmed during follow-up. In order to improve patient outcomes, it is essential to stay current on the latest strategies in diagnosis & treatment. Let's together decipher the most recent 2022 Guidelines for Childhood Asthma with our expert faculty Dr. Dhaliwal.

The 2022 Update in Childhood Asthma

Improvement of glucose levels into the normal range can occur in some people living with diabetes, either spontaneously or after medical interventions, and in some cases can persist after withdrawal of glucose-lowering pharmacotherapy. An expert group convened by the ADA proposed “remission” as the most appropriate descriptive term for describing this process, and HbA1c <6.5% (48 mmol/mol) measured at least 3 months after cessation of glucose-lowering pharmacotherapy as the usual diagnostic criterion. New classes of drugs, the glucagon-like peptide 1 (GLP-1) receptor agonists and sodium–glucose cotransporter inhibitors, can sometimes attain excellent glycemic control with little tendency to cause hypoglycemia. A diagnosis of remission can only be made after all glucose-lowering agents have been withheld for an interval that is sufficient both to allow waning of the drug’s effects and to assess the effect of the absence of drugs on HbA1c values. Let us hear from Prof. Dr. Rakesh Sahay, current President of the Endocrine Society of India, all there is to know about the criterion for diagnosing Remission in T2DM.

Remission in T2DM

In people with type 1 diabetes, the pancreas either produces very little or no insulin at all. Therefore, insulin will be necessary for everyone with type 1 diabetes. Although type 2 diabetes is a progressive condition, many patients must begin taking insulin as part of their natural course, particularly when oral medications fail to meet glycemic targets. The majority of endocrinologists and practicing doctors agree that starting an insulin regimen and maintaining it are frequently more difficult than one might anticipate. Most doctors occasionally encounter patients who beg for assistance in managing their blood sugar levels solely with oral medications. Doctors frequently have trouble convincing such patients to start taking insulin. Let's examine the case-based approach for initiating insulin in type 1 and type 2 diabetes.

Case-based scenarios of Insulin in difficult type 1 and type 2 Diabetes

Acute pancreatitis is an acute inflammatory process of the pancreas. Most patients have acute onset of persistent, severe epigastric and left upper quadrant abdominal pain. In patients with severe acute pancreatitis, intensive care unit monitoring and support of pulmonary, renal, circulatory, and hepatobiliary function helps to minimize systemic sequelae. Initial management of a patient consists of supportive care with fluid resuscitation, pain control, and nutritional support. The only effective treatment in the first 24 to 48 hours after the diagnosis of acute pancreatitis is intravenous hydration. Local complications include acute peripancreatic fluid collection, pancreatic pseudocyst, acute necrotic collection, and walled-off necrosis. Renowned Gastroenterologist Dr. Parimal Lawate joins us on Medflix to share expert insights into the management of Acute Pancreatitis.

Approach to Acute Pancreatitis

Cholesterol screening is an integral part of primary and secondary prevention of ASCVD. Serum lipid profile is measured for cardiovascular risk prediction and has now become almost a routine test. The test includes four basic parameters: total cholesterol, HDL cholesterol, LDL cholesterol and triglycerides. Elevated cholesterol levels can indicate a higher risk of suffering from atherosclerosis, hypertension, myocardial infarction, or stroke. The lipid panel is also used as a tool to diagnose other conditions such as fatty liver or pancreatitis, monitor the effectiveness of cholesterol-lowering medications & to track the the progression of hyperlipidemia. Renowned Interventional Cardiologist, Dr. Rajiv Bajaj joins us on Medflix to reiterate on the clinical significance of Lipid Profile Tests in the prevention of ASCVD.


Lipid Profile Test & its Clinical Significance

Patients with tonsillitis often present with a sore throat, a common symptom with a myriad of possible diagnoses. The differential diagnosis for tonsillitis is broad and includes pharyngitis, retropharyngeal abscess, epiglottitis, and Ludwig angina. Symptoms of acute tonsillitis include fever, tonsillar exudates, sore throat, and tender anterior cervical chain lymphadenopathy. Patients may also note odynophagia and dysphagia secondary to tonsillar swelling. For the majority of patients, tonsilitis is a self-limiting disease. Given the frequency of viral etiologies, the mainstay of treatment of acute tonsillitis is supportive care, including analgesia and hydration. Medications such as NSAIDs can provide symptomatic relief. Let us understand all the clinical aspects of Tonsilitis from Dr. Halwai, Consultant ENT Surgeon.

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