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.

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Today, the most common approach for open-heart surgery is a sternotomy, which requires a 12-14-inch incision through the breastbone. But in the hands of experienced minimally invasive surgeons, many cardiac procedures can be performed through smaller 2- to 3-inch incisions between the ribs without the need to cut through the breastbone. Learn more in this medical animation from Sarasota Memorial's Minimally Invasive Cardiac Surgery Team and medical director Jonathan Hoffberger, DO. For information or referrals, visit smhheart.com.

Both lower extremities must be evaluated to determine the presence or extent of any disease and to ascertain the pulse status of the patient. The feet are examined for signs of peripheral vascular disease and the anterior and posterior tibial pulses are palpated. Because an intact arch can supply retrograde flow to the major vessels of the foot, it can be helpful to put pressure on the anterior tibial artery when detecting the presence of a posterior tibial pulse and visa-versa. This "modified Allen's test" may detect proximal vessel obstruction masked by an intact foot arch. The need for preoperative angiography in young, healthy patients with a normal physical examination has been hotly debated. Our tendency has been to obtain preoperative angiograms as a guide. Although rare, we have seen lower extremities with a dominant peroneal artery nourishing the foot and distal anterior and posterior vessels, contraindicating sacrifice of the peroneal artery. MRI or CT angiography can also be used in many circumstances.

What is Venipuncture? While venipuncture can refer to a variety of procedures, including the insertion of IV tubes into a vein for the direct application of medicine to the blood stream, in phlebotomy venipuncture refers primarily to using a needle to create a blood evacuation point. As a phlebotomist, you must be prepared to perform venipuncture procedures on adults, children, and even infants while maintaining a supportive demeanor and procedural accuracy. Using a variety of blood extraction tools, you must be prepared to respond to numerous complications in order to minimize the risk to the patient while still drawing a clean sample. In its entirety, venipuncture includes every step in a blood draw procedure—from patient identification to puncturing the vein to labeling the sample. Patient information, needle placement, and emotional environment all play a part in the collection of a blood sample, and it's the fine details that can mean the difference between a definite result and a false positive. After placing the tourniquet and finding the vein, it's time for the phlebotomist to make the complex choice on what procedure will best suit the specific situation. Keeping this in mind, it should be noted that the following information is not an instructional guide on how to perform these phlebotomy procedures. Rather, the information below is intended to serve as an educational resource to inform you of the equipment and procedures you will use. Venipuncture Technqiues Venipuncture with an Evacuated or Vacuum Tube: This is the standard procedure for venipuncture testing. Using a needle and sheath system, this procedure allows multiple sample tubes to be filled through a single puncture. This procedure is ideal for reducing trauma to patients. After drawing the blood, the phlebotomist must make sure the test stopper is correctly coded and doesn't contact exposed blood between samples. Venipuncture with a Butterfly Needle : This is a specialized procedure that utilizes a flexible, butterfly needle adaptor. A butterfly needle has two plastic wings (one on either side of the needle) and is connected to a flexible tube, which is then attached to a reservoir for the blood. Due to the small gauge of the needle and the flexibility of the tube, this procedure is used most often in pediatric care, where the patients tend to have smaller veins and are more likely to move around during the procedure. After being inserted into a vein at a shallow angle, the butterfly needle is held in place by the wings, which allow the phlebotomist to grasp the needle very close to the skin. Phlebotomists should be careful to watch for blood clots in the flexible tubing. Venipuncture with a Syringe: This technique is typically only used when there is a supply shortage, or when a technician thinks it is the appropriate method. It uses the classic needle, tube, and plunger system, operating in a similar manner to the vacuum tube but requiring multiple punctures for multiple samples. Additionally, after the blood is drawn it must be transferred to the appropriate vacuum tube for testing purposes. If you choose to use this method, remember to check for a sterile seal, and use a safety device when transferring the sample. Fingerstick (or Fingerprick): This procedure uses a medical lance to make a small incision in the upper capillaries of a patient's finger in order to collect a tiny blood sample. It is typically used to test glucose and insulin levels. When performing a Fingerstick, the phlebotomist should remember to lance the third or fourth finger on the non-dominant arm. Never lance the tip or the center of the finger pad; instead, lance perpendicular to the fingerprint lines. Heelstick (or Heelprick): Similar to the Fingerstick procedure, this process is used on infants under six months of age. A medical lance is used to create a small incision on the side of an infant's heel in order to collect small amounts of blood for screening. As with a Fingerstick, the incision should be made perpendicular to the heel lines, and it should be made far enough to the left or right side of the heel to avoid patient agitation. Before performing a Heelstick, the infant's heel should be warmed to about 42 degrees Celsius in order to stimulate capillary blood and gas flow. Therapeutic Phlebotomy: This involves the actual letting of blood in order to relieve chemical and pressure imbalances within the blood stream. Making use of a butterfly needle, this therapy provides a slow removal of up to one pint of blood. Though the blood removed is not used for blood transfusions, the procedure and concerns are the same as with routine blood donation. As with any phlebotomy procedure, one should pay close attention to the patient in order to prevent a blood overdraw. Bleeding Time: A simple diagnostic test that is used to determine abnormalities in blood clotting and platelet production. A shallow laceration is made, followed by sterile swabbing of the wound every 30 seconds until the bleeding stops. Average bleed times range between one and nine minutes. As a phlebotomist, you should familiarize yourself with the application and cross-application of these procedures in order to recognize when a procedure is necessary, and what the risks are for each.

Have you heard any medical lingo you've thought is strange? Funny healthcare speaker Dr. Brad Nieder discusses funny medical terminology he's learned in his medical career. He brings his medical comedy to a healthcare conference, describing how he didn't know what "stat" meant.

He goes on about how he thought up many funny terms he could say in return to the doctor who introduced him to the word. His healthcare comedy makes the crowd burst with laughter.

Dr. Brad knows how to adapt his hilarious real-life stories into customized presentations for any in-person or virtual event. Watch more of his videos as a medical comedian and all-around funny guy by browsing his videos.

Boxer’s Knuckle is an injury to the structures around the first knuckle of a finger, also known as the metacarpophalangeal joint (MPJ). The skin, extensor tendon, ligaments, joint cartilage, and the bone of the metacarpal head may all be involved. Repeated impacts to the extensor tendon over the knuckle causes Hypertrophic Interstitial Tendonosis, or HIT Syndrome. This is a thickening, weakening, inflammation, and scarring of the extensor tendon.

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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An intracranial hematoma occurs when a blood vessel ruptures within your brain or between your skull and your brain. The collection of blood (hematoma) compresses your brain tissue. An intracranial hematoma may occur because the fluid that surrounds your brain can't absorb the force of a sudden blow or a quick stop. Then your brain may slide forcefully against the inner wall of your skull and become bruised. Although some head injuries — such as one that causes only a brief lapse of consciousness (concussion) — can be minor, an intracranial hematoma is potentially life-threatening and often requires immediate treatment. An intracranial hematoma often, but not always, requires surgery to remove the blood.

Symptoms of blood clots in specific body locations are as follows: Symptoms of blood clots in legs (deep vein thrombosis (DVT) are pain, redness, and swelling. Symptoms of an arterial blood clot in a limb (leg or arm) include pain, pale color, and coolness to the touch. and the leg is cool and pale.

If you notice a patient beginning to fall, follow these steps to help lower them safely to floor. Always stay with the patient and call for additional help.

Download the CNA Mastery app: https://onelink.to/cnamastery
Download the My Mastery nursing app: https://mynursingmastery.com/get-started

Ellis will be demonstrating how to complete an occupied bed change. It would be appropriate to wear gloves during this skill to avoid contact with bodily fluids.

Our Critical Nursing Skills video tutorial series is taught by Ellis Parker MSN, RN-BC, CNE, CHS and intended to help RN and PN nursing students study for your nursing school exams, including the ATI, HESI and NCLEX.

#NCLEX #ClinicalSkills #HESI #Kaplan #ATI #NursingSchool #NursingStudent⁠ #Nurse #RN #PN #Education #LVN #LPN #bedmaking #nurseeducator

00:00 What to expect
00:53 Initial patient position
1:50 Tucking soiled linens
2:20 Placing initial clean linen
3:30 Rolling patient
3:40 Removing soiled linen
4:05 Completing bottom layer
4:33 Changing pillow case
4:50 Top sheet and blanket
7:23 Mitered corner

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All of the nurses at Level Up RN are here to help! Cathy Parkes started helping her fellow classmates back when she was in nursing school, tutoring so they could pass their exams and graduate. After she got her BSN and started working as an RN at Scripps Encinitas Hospital, she started this YouTube channel to help nursing students around the world. Since then she has built a team of top-notch dedicated nurses and nurse educators who are focused on improving nursing education and supporting career advancement for nurses everywhere. With flashcards, videos, courses, organizational tools and more, we are singularly focused on helping students and nurses Level Up on their exams and nursing careers.

If you’ve lost a significant amount of weight, either after pregnancy or through exercise and dietary changes, excess skin and weakened abdominal muscles can leave you self-conscious about your appearance. In this video, Dr. Catherine Hannan and Dr. Lauren Patrick, two of our Board-Certified Plastic Surgeons, are performing a Tummy Tuck (Abdominoplasty) surgery. Tummy Tuck surgery gets rid of the excess skin, as well as tightens your abdominal muscles, resulting in a flatter and smoother abdomen. The results of the surgery are permanent except in cases of large weight gain or pregnancy after surgery.

We are so excited to have taken a part in our patient's body transformation journey!

Before & After Gallery:
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To learn more, visit our website or call (202) 785-4187
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Barbed sutures first received US Food and Drug Administration approval for soft tissue approximation in 2005 and early adopters readily embraced this device to develop new techniques. It has become apparent that the advantages are more than just "skin deep." Superficial and deep fascia, cartilage, tendon, joint capsule, and fibrous periprosthetic capsules can also be manipulated. Barbed sutures have revolutionized our approach to facial rejuvenation and body contouring by enhancing our ability to quilt and powerfully lift tissue. The elimination of surgical drains and shorter surgical times has made this a true boon for plastic surgeons as well as many other surgical specialists. This article summarizes some of the current and evolving applications of this exciting new tool.

The purpose of the organs of the male reproductive system is to perform the following functions: To produce, maintain, and transport sperm (the male reproductive cells) and protective fluid (semen) To discharge sperm within the female reproductive tract during sex To produce and secrete male sex hormones responsible for maintaining the male reproductive system

This video demonstrates the process for preparing and administering an intramuscular injection (IM)

Juvenile rheumatoid arthritis, also known as juvenile idiopathic arthritis, is the most common type of arthritis in children under the age of 17. Juvenile rheumatoid arthritis causes persistent joint pain, swelling and stiffness. Some children may experience symptoms for only a few months, while others have symptoms for the rest of their lives. Some types of juvenile rheumatoid arthritis can cause serious complications, such as growth problems and eye inflammation. Treatment of juvenile rheumatoid arthritis focuses on controlling pain, improving function and preventing joint damage.

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1) A FREE 140 Must Know Meds book
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Join us for our free test-taking tips webinar to boost your exam scores: https://bit.ly/nursingtesttaking

You can now test your knowledge with a free lesson quiz on NURSING.com!
Click here for your free quiz: https://bit.ly/3uyTWEu

Learn what's working for other Nursing Students! Check out our Top 10 Most Popular Lessons Here: https://bit.ly/3nda5u3

Dressing Changes- Wet to Dry (Nursing Skills)

FREE Nursing School Cheat Sheets at: http://www.NURSING.com

Get the full Dressing Change lesson here: https://nursing.com/lesson/ski....lls-05-04-wound-care

Click here for the related lesson on Wound Assessment: https://nursing.com/lesson/ski....lls-05-02-wound-care

Welcome to the NURSING Family, we call it the most supportive nursing cohort on the planet.

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Dressing Changes- Wet to Dry (Nursing Skills):
In this video we’re going to look at how to do a wet to dry dressing change. Wound care and dressing changes should be performed at least daily or more often depending on orders. Dressing changes should be sterile to avoid introducing any new bacteria to the wound and to promote wound healing.

Bookmarks:
0:05 Introduction
0:10 Wound Assessment link above
0:24 Dressing Change Prep
1:24 Wet vs Dry Gauze
1:37 Soaking Gauze
2:00 Gauze Ring Out
2:25 Packing the wound
3:00 Covering the wound bed
3:37 Dry gauze barrier
4:00 ABD pad application
4:46 Documentation
4:54 Outro

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NCLEX®, NCLEX-RN® are registered trademarks of the National Council of State Boards of Nursing, INC. and hold no affiliation with NURSING.com.

Vital signs help us assess patients in the nursing profession, and there are six common vital signs that we assess as nurses:

1. Heart Rate (Pulse)
2. Respiration Rate
3. Temperature
4. Blood Pressure
5. Pain Rating
6. Oxygen Saturation

This video will demonstrate how to check vital signs (live) on a patient, along with normal rates for each assessment. I also give you a few tips for taking vital signs as a nurse, CNA, or other healthcare profession.

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Popular Playlists:

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

Ever heard medical terms like MRI or EKG? Funny speaker for nurses and doctors and all-around healthcare speaker Dr. Brad Nieder discusses the funny medical jargon he's encountered during his medical career.

He jokes about medical acronyms and big healthcare terms. His funny medical humor makes the conference attendees burst with laughter and he reads the medical definition for "laugh."

As an experienced physician and keynote speaker, he's perfect for any in-person or virtual conference or event. He's also a great healthcare speaker to bring in for continuing medical education (cme) units!

Learn more about Brad's keynote and virtual speaking, and book him for your next conference or virtual event: https://www.HealthyHumorist.com

Find Dr. Brad on social media:

https://www.facebook.com/HealthyHumor...
https://www.linkedin.com/in/BradNieder
https://twitter.com/HealthyHumorist
https://www.youtube.com/c/BradNiederMD
https://vimeo.com/BradNieder

Brad Nieder, MD, CSP*
The Healthy Humorist
Doctor, Keynote Speaker, Clean Comedian

*CSP=Certified Speaking Professional

"Medical Lingo"
From the DVD "The Healthy Humorist in Orlando: Laughter is the Best Medicine"

Learn the CBC once and for all!