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Treating Carbon Monoxide Poisoning with HFNC 

Larry B. Mellick, MD
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We demonstrate our first experience with treating carbon monoxide poisoning using High Flow Nasal Cannula for delivery of oxygen. This has been reported only recently in the literature previously.

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1 янв 2020

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Комментарии : 80   
@erichsieh3681
@erichsieh3681 4 года назад
Very smart of the mom to pick up that her daughter and daughter's friend were both experiencing similar symptoms, pointing to hazmat exposure.
@lmellick
@lmellick 4 года назад
Absolutely agree.
@futureshock7425
@futureshock7425 4 года назад
I have entered a room that had CO in it. It is a very scary experience Your lungs can’t get air and you feel like you will pass out You have to act swiftly
@flyingninja1234
@flyingninja1234 4 года назад
Carbon Monoxide is colorless & odorless. Everyone should have a CO detector in their homes. They're inexpensive & readily available.
@bettysmith7045
@bettysmith7045 4 года назад
two carbon monoxide molecules disliked this video.
@donnawoodman6249
@donnawoodman6249 4 года назад
Betty Smith Make that 3 molecules, they didn’t like the rumours being spread about them! 🤒
@joel1239871
@joel1239871 4 года назад
They're loners and antisocial. Couldn't get a date with another oxygen, then hate the world.
@ewuraamagrant4822
@ewuraamagrant4822 2 года назад
😂
@neumanu
@neumanu 4 года назад
Thank you Dr. Mellick for providing this knowledge and educating young colleagues around the whole world!
@lmellick
@lmellick 4 года назад
You Are Welcome!!
@thienphucnguyen7113
@thienphucnguyen7113 4 года назад
Sir, as a medical student i want to express my deepest gratitude for your hard work posting these precious videos on yt. Please keeep up the brilliant work !
@lmellick
@lmellick 4 года назад
Thank you very much! I am so glad that you find these helpful. Best of luck in your studies.
@erinnorwood6124
@erinnorwood6124 4 года назад
@@lmellick interested in nursing or medicine. Can premed students shadow you to learn about the field?
@lmellick
@lmellick 4 года назад
@@erinnorwood6124 Hi Erin, they are not letting any visiting medical students right now, so I am pretty sure that shadowing isn't going to be allowed. Especially with our increased volume of COVID patients now showing up. Thanks for your interest, though.
@xXxSapphir3xXx
@xXxSapphir3xXx 4 года назад
These videos help so much. As a RN whos goal is to always continue learning, your videos are so helpful and really make a difference. Seeing the stiff person syndrome and hearing their story helps more than any text book ever could! Please keep these going!
@James-mi5qt
@James-mi5qt 4 года назад
Thank you for the years of incredible work, Doctor Mellick; not just in real life with your patients but with maintaining this RU-vid channel as well, as a sort of teaching tool for the public. I watch your videos just about daily, along with many others I’m sure that have an interest in medicine, and this is the first video I’ve seen that has comments enabled, so I just wanted to give you some well-deserved praise. Thank you and bless you for your decades of hard work Sir, and to anyone else who has interests in pursuing a career in medicine: Best of luck!
@travtrav20
@travtrav20 4 года назад
Dr. Mellick. I love your videos. I am a 32 year old male with sickle cell disease who is an 16 year old experienced nurse but is new to the ER. Your videos have helped me in my success in my nursing experience. I thank you!
@ldyluv6988
@ldyluv6988 4 года назад
Thank you doctor and the family. Very important teaching video!
@mandei1989
@mandei1989 4 года назад
Wow, carbon monoxide poisoning is dangerous! I suggest everyone gets educated and also always check your carbon monoxide dectectors to make sure it’s working and if you don’t have one, get one. Where I live, they have both smoke detectors and carbon monoxide detectors and it’s saved a few families lives. Thank you for educating us with this video!
@ianlevine273
@ianlevine273 4 года назад
Thank you Dr. Mellick. I had never seen a HFNC before and it looks very promising.
@bearlutz8114
@bearlutz8114 2 года назад
When I was homeless one winter I had a propane stove in my tent to keep warm. Well one night I passed out fell asleep out of nowhere! Next thing I know I hear my name being called which wakes me up, then I hear (VERY VERY CLEARLY!) " YOU NEED TO WAKE UP NOW! AND GET OUTSIDE RIGHT NOW! When I open my eyes I LITERALLY roll off my cot and CRAWL ON MY HANDS AND KNEES to the "door" I kid you not that THEEEEE MOMENT I got fresh air OMG it never has smelled and felt so damn good! almost instantly my vision was 100% and motor skills were back to normal! I don't care what anyone says...God made sure my guardian angel was working overtime lol...i knew off top that I got saved because when I was hearing my name and all that, I was aware it was in my head, not someone screaming outside (like someone can tell CMP lol)
@britt4404
@britt4404 3 года назад
Wow , I want to say a big thank you Doc , I have my toxicology exam coming up and these vídeos really help!! Sincerely, a final year med student in Argentina
@mirani18
@mirani18 4 года назад
Great video as always...
@jamesbridges7750
@jamesbridges7750 4 года назад
Have to wonder if the reservoir cannulas like the Oxymizer might not work as well. They increase the FiO2 as much as 4x over a standard cannula at the same flow rate. It would require the patient to focus on breathing through their nose , so might not be the preferred option in all situations. Opens up some possibilities for use with concentrators and smaller tanks in austere settings though.
@SusanaHernandez-op4ex
@SusanaHernandez-op4ex 4 года назад
Sorry for my ignorance, but why are carboxyhemoglobin levels taken? Any good articles or videos I could read/see?
@DandClover
@DandClover 4 года назад
I had a question, so because her levels of CO (10%) she didn’t need a HBO therapy right? I tend to forget what levels they have to be at. Thank you for this video, as a respiratory therapy student, im glad I can see the HFNC in action!:)
@lmellick
@lmellick 4 года назад
Yes, because her levels were lower and she had no other complicating factors (pregnancy etc.) she would not qualify for HBO therapy. You are welcome!!
@tiffanydrake1297
@tiffanydrake1297 4 года назад
What are the signs and symptons of CO?
@sukkinpommaladapungchim680
@sukkinpommaladapungchim680 4 года назад
Thank you Professor
@lmellick
@lmellick 4 года назад
You are welcome!!
@JeffSpehar-ov1cn
@JeffSpehar-ov1cn 4 года назад
There was a home a few miles from mine where a family of five and their 2 dogs were all found dead from this. Birds had built a next in t he flue on t he roof which caused the build up of carbon monoxde.
@lmellick
@lmellick 4 года назад
Oh my goodness!
@ebrady61491
@ebrady61491 3 года назад
Smart mom saved her life.
@novashock1243
@novashock1243 4 года назад
Well yesterday I was cooking something but then I forgot I had cooked something but then I smelled something burning thank god it didn’t burn anything but as I rushed downstairs I open windows, doors, and started cleaning out my microwave a lil later I felt dizzy and shortness of breath the next day I feel ok but I am still scared because of what happened, should I go to the hospital and get treatment?
@noelohashirodriguez
@noelohashirodriguez 2 года назад
It would be very interesting to use hyperbaric Medicine
@micahcrowthers9430
@micahcrowthers9430 4 года назад
Thank you Dr Mellick!
@lmellick
@lmellick 4 года назад
You are very welcome!!
@gabrielperalta3889
@gabrielperalta3889 4 года назад
So is this the easiest way out?
@quickdepositz4809
@quickdepositz4809 4 года назад
They so beautiful
@sabrinag.5525
@sabrinag.5525 4 года назад
Certain videos comments where turned off, why? In this video the comments are on? Again Why?
@rainbowpandasays8851
@rainbowpandasays8851 4 года назад
Sabrina G. Case by case depending on the injuries - maybe because I’m this case it’s more for awareness and being on alert because most everyone may suffered this type of poising.
@stephanielong2674
@stephanielong2674 4 года назад
Mom was smart. A friend of mime just died from this. He was asleep in his car with window down only about 3 inches an he had a leak in the excuast right under his driver side door even tho he was outside he was parked under a tent that was high but he was backed up towards the house so it came into the car an we found him 2 days later.. We did not think that was the cause but the gbi looked into it an did the test to male sure it was not drug related.
@brucetomaszewski7691
@brucetomaszewski7691 4 года назад
Dr. Mellick can you describe the oxygen delivery device or brand name please.
@lmellick
@lmellick 4 года назад
Optiflow by Fischer & Paykel www.fphcare.com/us/hospital/infant-respiratory/nasal-high-flow-therapy/
@zoeuiterwaal4436
@zoeuiterwaal4436 4 года назад
Airvo is another name for it.
@bettysmith7045
@bettysmith7045 4 года назад
Hey doctor, are you guys using SpCO probes?
@lmellick
@lmellick 4 года назад
No, I don't think so. What are they?
@stevensharpe3182
@stevensharpe3182 4 года назад
We got them on our zoll monitors don’t know how accurate they are tho
@sameoldsonganddance
@sameoldsonganddance 4 года назад
Question when you cook a turkey for six hours how come you don’t get carbon monoxide poisoning as opposed to heating the house with the oven for six hours
@pamelaflirtyskunk7698
@pamelaflirtyskunk7698 4 года назад
The oven vents outside but when the door is opened to heat a house, the CO comes inside instead of being vented to the outside
@mannys9130
@mannys9130 4 года назад
carbonmonoxidemyths.com/f-a-q/ You should be opening windows if you cook anything in a natural gas oven for over an hour.
@sameoldsonganddance
@sameoldsonganddance 4 года назад
mannys9130 thanks!
@pamelaflirtyskunk7698
@pamelaflirtyskunk7698 4 года назад
@@mannys9130 That's interesting! Can't say we've ever done that! LOL Good to know but not very practical when it's 0° outside. We have carbon monoxide detectors in our house and HOPEFULLY can always rely on them.
@vickybrowne6255
@vickybrowne6255 4 года назад
Could you think peppers and onions can be at raw you know what I mean so you just take a handful of them of each bag and put them in a bowl I'll leave them on the account because I froze and they have a little bit of water excess water off when the chicken is almost cooked them
@sameoldsonganddance
@sameoldsonganddance 4 года назад
Ahhhhh did you contact the family that she was staying with?????
@lmellick
@lmellick 4 года назад
Yes, the family was contacted and notified of risks.
@sameoldsonganddance
@sameoldsonganddance 4 года назад
Blood Beryl what????? The little girl was out of the house for seven hours what about the people that were left behind in the house I feel it was a legitimate question as did the doctor
@jennlynn212
@jennlynn212 4 года назад
Queen_Of_Rockers Rocks it was definitely a legitimate question!
@misskelly9184
@misskelly9184 4 года назад
Lucky girl
@rebeccaspratling2865
@rebeccaspratling2865 4 года назад
Poor thing. 😔
@Zilong09
@Zilong09 4 года назад
Is that the same as optiflow? 🤔
@neumanu
@neumanu 4 года назад
Yes
@lmellick
@lmellick 4 года назад
Yes
@qveenora3
@qveenora3 2 года назад
The mom her hero
@agentsmithisalive
@agentsmithisalive 4 года назад
I didn't understand the patient's explanation of the exposure source. Gas heater? Something else? Anyone know?
@lmellick
@lmellick 4 года назад
Gas heater at the grandmother's house of her friend.
@agentsmithisalive
@agentsmithisalive 4 года назад
@@lmellick Thanks Doc!
@Imm_Maddix
@Imm_Maddix 3 года назад
I hope that she told the other girls parents about to co2
@jahdagod5563
@jahdagod5563 4 года назад
SMART MOM 👍👍👍 GONE GIRL 😁
@iagoink
@iagoink 4 года назад
Couldn't really understand what patient's mom was saying tough
@pamelaflirtyskunk7698
@pamelaflirtyskunk7698 4 года назад
What was a cold shower supposed to do? Make her cold?
@lmellick
@lmellick 4 года назад
Yes, the cold shower was not going to accomplish much.
@bettysmith7045
@bettysmith7045 4 года назад
she was just being a mom, trying to help her daughter. She did what she thought was going to help her.
@pamelaflirtyskunk7698
@pamelaflirtyskunk7698 4 года назад
@@bettysmith7045 🙄🙄🙄 Common sense goes a long way
@vickybrowne6255
@vickybrowne6255 4 года назад
😐😐😐😐😐😐😐😐😐😐😐😐😐😐😐😐😐😐😐🥰🥰🥰🥰🥰🥰🥰🥰🥰🚳🚫🔞😍🤗😍🔞😍😙😍😍😙😙😍😍🤗😍🦄🐩🦄🦄🦓🦄🐯🐯🦄🦌🦄🐯🦄🦌🦄🐷🙂😙😍😙🤟😐😐🤗🤟😐🤗ifufufuf🥬🥑🍒🥑🍒🥑🍒🥑🍒🥬🍒🥬🥔🥬🍒🥬🥔🥑🥔🥬🍒🍒🥬🍒🥬🍒🥬🍒🥬🥬🍒🥬🍑🥬🍒🥬🍑
@qveenora3
@qveenora3 2 года назад
@@pamelaflirtyskunk7698 some people don’t know tf dude we not born knowing everything
@nursecathy123cat
@nursecathy123cat 4 года назад
Can hardly understand what she is saying.
@qveenora3
@qveenora3 2 года назад
Probaly because she sick tf
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