Absolutely amazing explanation. Keep em coming!

One subscriber added, the best explanation I ever heard about IV solutions, and the clinical experience and studies you talking about are what making the video THE BEST. Thank you ❤️🙏

Thank you.. It's one of the best explanation on IV fluids.. As I have completed my residency. It will be of great use..

Thank you for the very informative lecture...been trying to understand this topic for a while and your video really helped simplify it :) would really appreciate you providing your sources and studies mentioned. Thanks again and look forward to more of your lectures!

Thanks for watching my talk and all the feedback. I'm working to improve this channel constantly. Please share with your friends and colleagues. Click the thumbs up button and subscribe! -EJ www.eddyjoemd.com

Great video!! As a vet it was very useful to me as well! Thanks for all the valuable information and keep up with the awesome work!

Thank you for your effort and your time!

Great information. Helped me during my rotations. No need to make to apologize for every imperfect detail.

I really appreciate your explanation and tying the system together😊. Great explanation of AKI

Thanks alot. Really helpful. Kindly keep posting. I m from a resource limited country and it’s so much help to know how medicine is practiced in high resource places. U save lives on rounds but a-lot more of them by posting such videos as we try to reciprocate ur expertise, as per our circumstances. Thank u again

Awesome awesome awesome! As a med student I REALLLLLLLY appreciate this info.

Thank you very much Dr EJ, your teaching is real helpful. Keep going Dr!

Current resident. Wish I could have you in the doc bubble when my attendings tell me to bolus patients who don't need it. Love the content, doc.

Mate your info is just so easy to absorb! Thanks for the free lecture, will sure help with my paramedic career! Please keep it up :)

This is a really good video!

Thank you so much! Wonderful lecture

You are a great teacher..i love your work. Feeling proud to have subscribed your channel 👌👌👌

I am in nursing school & I learned so much watching this thank you!!!

pre PA here taking anatomy class... ended up here and loving it THANK YOU SO MUCH

Oh my gosh, you are so real. Love it. It's nice that you aren't perfect in front of the camera. The information is very helpful and it makes sense. Thank you! Signed, a future nurse

Wow, you should definitely continue making alike videos. Very helpful!

Nice presentation... good refresher for me. Your right, we should know the contents in our IVF.

Thank you very much for this clear explanation!

Thank you for the presentation!

Loved this video! I am a new ER nurse at a level 1 trauma center and we only use LR in those patients. This was really helpful in understanding why LR can prevent the trauma triad of death!

great cme update on iv fluids keep up cme stay blessed nice teaching

Very interesting info regarding the difference in the fluids. I'm a nurse and I work in a small rural hospital in a small ICU. (Also have only been out of school for 3 years). We are ALWAYS using 0.9% saline for our patients. I feel like the only time I see LR being used is on our surgical patients, ordered by the surgeons. I also feel sometimes like our docs aren't up to date with current practices/information unfortunately. Just discovered your channel, looking forward to checking out more of your videos. Thanks!

Thank you so much, how I wish my senior residents could explain like you

Can listen to you all day

Thank you so much for your presentation ❤️❤️❤️❤️🙏

Hi Dr Eddy Joe, new Acute Care Nurse Practitioner- thanks for this video😁

Thanks sir for iv fluids talk

Great video, finally fluids explained!! I'm on a TICU rotation so this is super helpful. A video on vent modes/settings would be amazing!

New subscriber. You have explained so clearly. Thank you!

Great video,best one helped me to understand it

You elaborate well... Thank u. Please go on without getting distracted by small uneventful things that happen during the video. I think no one among the watchlist minds it. U r simply great....thank u.... From critical care medicine student.

I learned a lot about this video and know I’m more aware of what I give to my patients and give better suggestion for MD when I run rapid response role. I wish lytes fluid is more commonly used at everywhere

Wow! Excellent information

Thank you!!!!! I loved this lecture

Honestly have been subbed since eons but usually avidly follow you on IG instead. Been missing a lot more than I imagined on your YT. I'll read your posts in your actual voice from now lol.

I am a paramedic and Your videos are very informative ❤️keep up

Thank You Eddy

This is my 1st video .... And seriously I was enjoying ur video and also don't know when I am able to make notes of this (Iv fluids) topic Thank u for making these video .... And keep making these video for us 😊

It’s really great teaching, I loved the video. Explanations and teaching fantastic. Subscribed for more.👏🏿👏🏿👏🏿👏🏿🤙🏿🙏🏿

Thank you this is not only for doctors but for nurses that are refreshing the ICU . Great job !

Great work.👍Keep it up.☺

"And then I wipe it off with my socks coz i'm smart.." hahaha sooo good

you are funny ,yet amazing with your teaching! expecting more of videos from you :)

Thank you for your well explained video. And looks like I am watching myself! I also drop things, talk fast, funny interruptions, and sigh all the times whenever I try to teach someone medical stuffs. (Can be very anxious some times too) ^^

So informative thanks

Thank you Dr. Eddy. Jug kwa bill yangu🤜🏿

Thank you so much , this is informative and simple to understand .. new subscriber here ❤

Great explanation

I'm a new ICU nurse with 3 years of Tele experience. I find your videos very informative and helpful. Thank you so much for taking the time out of your busy schedule to teach others. You're AWESOME! 👍

Valuable information and explanation thx

hi nice presentation ...thanks for summing up

Awesome videos. Could you please do one on assessment and plan breakdown. What you are looking for and this applies for all of medicine not just ICU if thats ok with you? such as imaging? labs? contacting social worker? Telemetry? so we have a template on what we should be going because I always suck in my A/P

Awesome. Thank you. From Junior New grad RN

Thank you so much,,, it was awesome,,, one of my weak points,,, fluids

Great video. However, I would like to point out, and it is my understanding, at 13:25, you mentioned that lactate is converted to bicarbonate. But, isn't it converted to glucose through the Cori Cycle? I understand that lactate, after being converted to glucose, undergoes glycolysis, TCA and oxidative phosphorylation. CO2 is produced and it is converted to HCO3 by carbonic anhydrase. Is that what you were referring to? Thank you!

Medic in the army thanks explanation far better then my instructors

Thnku... Really helpful

Very informative.. I would appreciate the sources you mentioned. Thank you

Great video

Thank you doctor

Thank you

Thanks . I just subscribed.

Great Job on video. I wish you would do more. How about DKA, hypernatremia,hyponatremia,or an instructional video on peep, fio2, pressure support / control...(when to go up on peep vs ps/pc to increase sats/ volume/ or decrease CO2) ....thanks again

Hey boss, great video! Quick question, I am a new attending, just finished residency. I work as an Oncology Hospitalist and all the patients we admit are very sick and always require fluids. Especially for Febrile Neutropenia. Would you recommend it being appropriate to place these patients on LR or Plasma-Lite? Thank you!

Very informative sir

Is there any change in data found now, 4 years later? If so, could you please do an updated video? If not, thank you for this information!

Thank you...loving it. I am preparing to start an ICU rotation and so excited to stumble upon this.

Thanks for sharing this topic.. The choice of IV Fluids isn't easy one. A new friend here to support you. Stay Safe and Connected

Hi Dr. Eddyjoe, can you make a video on resuscitation in septic patients for PGY-1s?

thanks for your video, its great. But the reason for hyperK+ in DKA its another than acidosis itself, since organic metabolic acidosis dont cause per se hyperK+.

Why does having low anion difference have decreased risk for acidosis?

THANK U SO MUCH

First video of yours I ever watch and you're awesome! As I subscribe! However I cannot really tell if you are saying HYPERkalaemia or HYPOkalaemia

excellent!

Thanks!!

Awesome!!!

Which fluid would you recommend that has Postural Orthostatic Tachycardia Syndrome (POTS) which means they struggle with low blood volume?

I’m an obgyn resident. I’m memorizing this lecture as best as I can, our field doesn’t deal with these medical issues too often so it’s always an argument when someone says you can’t give LR to a septic patient or that a Na of 130 should be corrected with a liter of hypertonic saline (@_@)

Great video. How do you explain a senior doctor that his approach is wrong?. I don't wanna sound like a gunner :/ thank you for your video amazing explaining

Would you give 0.9% saline or LR for DKA? My textbooks say 0.9%saline but I see many sources that are conflicting.

Nurses must know, especially in ICU and step down units, so if an intern just does NS they can request a more optimal fluid!

Hello Doc. This video has been awesome. I've been trying to teach out firefighters the difference between NS/LR. Apparently, our private EMS system only utilizes NS. This Video has been very helpful. Can you send me the study regarding LR vs Plamalight/

Great Stuff!!! Keep doing what you are doing! I do have a video suggestion. If possible could you do a video explaining vasopressors and inotropic medications? Thanks, Doc. Much appreciated. Love the ICU as well. The best of the best!

Hi. You said that the sodium lactate in LR is not the same as lactic acid. I am a new physician and it's embarrassing that I only learned this now. Anyway, can you please provide me with the literature? I would really love to read on it further.

I'm thinking for pancreatitis 5-10mL /kg/hour LRingers , higher volumes in first 48 hours = worse outcome. Saline also has worse outcomes.

thank you for your valuable information and i need to contact you for your opinions in other polyionic electrolyte solutions,

I'm in nursing school and I'm writing my final paper regarding the dangers of normal saline. Is LR always safer than NS (except some neuro patients) ? What about LR for maintenance on a medsurg floor?

Does anyone call you and ask you what your writing says when you're at work? (Kinda hard to read) Thank you for the inormation you are a huge help. Huge. 💛

CITATIONS: www.eddyjoemd.com/2019/04/citations-for-my-choosing-ivf-in.htm Thank you for checking out my video. Follow me on Twitter and Instagram @eddyjoemd Twitter: twitter.com/eddyjoemd Instagram: instagram.com/eddyjoemd Books I recommend for ICU Beginners. Marino's The ICU Book: amzn.to/2M2oFVm The Washington Manual of Critical Care: amzn.to/2MfmDR4 The Ventilator Book: Second Edition: amzn.to/2BYbyhK The Advanced Ventilator Book: amzn.to/2nhvyTY Essentials of Mechanical Ventilation: amzn.to/2vqQAnF @eddyjoemd is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com I haven't been making as many videos as of late because I've been using my time to learn more about how to invest my money myself. I have found the following books very helpful along the way. These are affiliate links and I will make a small commission if you buy something from Amazon after you click on a link listed below. Rule #1: The Simple Strategy for Successful Investing in Only 15 Minutes a Week! by Phil Town amzn.to/2Ql27kW Invested: How Warren Buffett and Charlie Munger Taught Me to Master My Mind, My Emotions, and My Money (with a Little Help from My Dad) by Danielle Town amzn.to/2Usevy9 Payback Time: Eight Steps to Outsmarting the System That Failed You and Getting Your Investments Back on Track by Phil Town amzn.to/2UvGb56 The Dhandho Investor: The Low-Risk Value Method to High Returns by Mohnish Pabrai amzn.to/2EoYRi2 The Education of a Value Investor: My Transformative Quest for Wealth, Wisdom, and Enlightenment by Guy Spier amzn.to/2EoYSCC The Little Book That Still Beats the Market by Joel Greenblatt amzn.to/2QtLaVO One Up on Wall Street by Peter Lynch amzn.to/2XsqNrA Invest Like a Guru: How to Generate Higher Returns At Reduced Risk With Value Investing by Charlie Tian amzn.to/2ED7dBu

Hi may i ask. How dr decide to put 2 pint 0.9% nacl or 3 pint or 4 pint per day?

Whilst there is a school of thought that using balanced solutions is beneficial for resus, the clinical trials aren't super conclusive and normal saline remains the current treatment preference in most healthcare systems (see UK and Australian guidelines..... Far superior systems with better outcomes than US). Plasmalyte and even Hartmanns is expensive also.

great talk, one suggestion you should also develop a stand up act!

Very well explained can be plz properly explain intravenous fluids in kids

do you have an update on these studies?

The 0.9% saline section of this video would you say that regular healthy ppl cant have saline not cant but shouldn't ???