Foundations of Medicine

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

Practice Updates

The most recent COR and LOE definitions from the AHA are used in the 2020 CPR guidelines. A total of 491 specific recommendations are made for systems of care, resuscitation education science, adult, pediatric, and neonatal life support. A few physiologic fundamentals and CPR techniques have changed. Chest compression technique was the main CPR improvement. By changing the chest compression, the guidelines have improved high-quality CPR. Dr. Ashima Sharma covered a lot of fundamentals in Part 1 of her series on changing CPR guidelines, and now we're back with another #BlockBuster live in the series available only on Medflix!

Changing Guidelines for CPR : Part 2

Antipsychotics are widely used medications for a variety of mental health disorders. While effective, these drugs do have many potential side effects. First-generation antipsychotics (FGAs) are associated with significant extrapyramidal side effects. Anticholinergic adverse effects like dry mouth, constipation, urinary retention are common with low potency dopamine receptor antagonists like chlorpromazine, thioridazine. They can also lower the seizure threshold, and chlorpromazine and thioridazine are more epileptogenic than others. In comparison to FGA's, the Second-generation antipsychotics (SGAs) have a decreased risk of extrapyramidal side effects. SGAs are however associated with significant weight gain and the development of metabolic syndrome. Clozapine can cause clinically important agranulocytosis, leukopenia, and therefore requires monitoring of white blood cells and absolute neutrophil count. In order to effectively manage these potential adverse effects, Join Dr. Himanshu Desai LIVE as we illustrate how to safely prescribe Psychiatric Medications and go over all the do's & don'ts. 

Prescribing Psychiatric Medications : Do's & Don'ts

10 Questions with Dr. Tushar Shah.

The burden of gout is growing worldwide, due to the increasing number of people with conditions that predispose them to hyperuricaemia such as hypertension, obesity, diabetes, chronic kidney disease and the use of diuretics. In just 10 key questions, Dr. Tushar Shah takes us through the entire clinical picture of gout and its management. Each question is designed to explore a new clinical angle & enlighten us on all of the latest gout management techniques. Experience the #Joy of Learning Medicine with Medflix's cherished Mentor.

Gout in 10 Questions

After TB part 1 and part 2, we present to you a masterclass in TB treatment. Treating TB with jaundice, or DRTB, is a challenge. This session will focus on real-time TB regimens and treatment challenges. Let us learn from the top experts in the country: Prof. Dr. Salil Bendre in conversation with Dr. Vikas Oswal. This is going to be an incredibly interactive session, so please share your thoughts and ask questions in the comments section and join us live for this #BlockBuster live masterclass. 

Masterclass in TB Treatment 

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

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.

Approach to Tonsilitis

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.

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