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How Coronavirus Kills: Acute Respiratory Distress Syndrome (ARDS) & COVID-19 Treatment

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How COVID-19 causes fatalities from acute respiratory distress syndrome (ARDS) by pulmonologist and critical care specialist Dr. Seheult of www.medcram.com
This video illustrates how viruses such as the novel coronavirus SARS-CoV-2 can cause pneumonia or widespread lung inflammation resulting in ARDS.
Includes evidenced-based ARDS treatment breakthrough strategies: Low tidal volume ventilation, paralysis, and prone positioning.
Our more recent COVID-19 updates can be accessed free at our website www.medcram.com/courses/coronavirus-outbreak-symptoms-treatment or here on RUvid: ruvid.net/group/PLQ_IRFkDInv_zLVFTgXA8tW0Mf1iiuuM_
Here are the links referenced in this video on coronavirus outbreak:
www.nejm.org/doi/10.1056/NEJM200005043421801?url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&rfr_dat=cr_pub%3Dwww.ncbi.nlm.nih.gov
www.nejm.org/doi/10.1056/NEJMoa1005372?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dwww.ncbi.nlm.nih.gov
www.nejm.org/doi/full/10.1056/NEJMoa1214103

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Speaker: Roger Seheult, MD
Co-Founder of MedCram.com
Clinical and Exam Preparation Instructor
Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine.
MedCram = More understanding in less time
Topics from our COVID-19 pandemic series include: =Ibuprofen and COVID-19 (are NSAIDs safe?), trials of HIV medications, Rapid coronavirus Spread with Mild or No Symptoms, How Hospitals & Clinics Can Prepare for COVID-19, Global Cases Surge, The ACE-2 Receptor - The Doorway to COVID-19 (ACE Inhibitors & ARBs), Flatten The COVID-19 Curve, Social Distancing, Hospital Capacities, New Outbreaks & Travel Restrictions, Possible COVID-19 Treatments, Chloroquine & Zinc Treatment Combo, Italy Lockdown, Medication Treatment Trials, Global Testing Remains Limited, Coronavirus Epidemic Update 32: Data from South Korea, Can Zinc Help Prevent corona virus? Mortality Rate, Cleaning Products, A More/Less Severe Virus Strain? More Global COVID-19 Outbreaks, Vitamin D May Aid Prevention, Testing problems, mutations, COVID-19 in Iran & more.
MedCram.com has medical education topics explained clearly including: Respiratory lectures such as Asthma and COPD. Renal lectures on Acute Renal Failure, Urinalysis, and The Adrenal Gland. Internal medicine videos on Oxygen Hemoglobin Dissociation Curve / Oxyhemoglobin Curve and Medical Acid Base. A growing library on critical care topics such as Shock, Diabetic Ketoacidosis (DKA), aortic stenosis, and Mechanical Ventilation. Cardiology videos on Hypertension, ECG / EKG Interpretation, and heart failure. VQ Mismatch and Hyponatremia lectures have been popular among medical students and physicians. The Pulmonary Function Tests (PFTs) videos, novel coronavirus in china (wuhan virus), 2019-nCoV, 武汉 肺炎, CDC, infectious disease, MERS, SARS, how coronavirus causes morbidity and mortality, world health organization, and Ventilator-associated pneumonia lectures have been particularly popular with RTs. NPs and PAs have provided great feedback on Pneumonia Treatment and Liver Function Tests among many others. Mechanical ventilation for nursing and the emergency & critical care RN course is available at MedCram.com. Dr. Jacquet teaches our EFAST exam tutorial, lung sonography & bedside ultrasound courses. Many nursing students have found the Asthma and shock lectures very helpful. We're starting a new course series on clinical ultrasound & ultrasound medical imaging in addition to other radiology lectures.
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Produced by Kyle Allred, PA
Please note: MedCram medical videos, medical lectures, medical illustrations, and medical animations are for medical education and exam preparation purposes, and not intended to replace recommendations by your doctor or health care provider.
#coronavirus #COVID19 #ARDS

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Jan 28, 2020

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Comments 80
Lesleyjane Jane
Lesleyjane Jane 12 hours ago
Thankyou for clear , simple illustrations that teaches us instead of loosing us , your audience 😁. Well done 👍🏼
george
george Day ago
And I wander if being a loner makes me stupid still. People are just a literal Payne in my respiratory system. Oh wait. I dont hang around people I stick to myself.
Mary Forbus
Mary Forbus 3 days ago
A lot of doctors are beginning to think maybe mechanical ventilation may not be correct initially. Some of these pts are coming in with SATs of 50% with no distress! They are not struggling to breathe as with ARDS. They have named this happy hypoxemia! A Dr Joseph Fair had the virus and waited too long before calling 911 and going to the ED. They asked him if he wanted to be intubated. Naturally as a doctor he said no. Instead they gave him very high % oxygen. It worked. A lot of frontline doctors are rethinking immediately going to the ventilator.
Keen Joaquin
Keen Joaquin 3 days ago
Another khan academy video
Lucinda Ayala
Lucinda Ayala 4 days ago
I came across a book that discusses Cytikine Storms. It says that the HMGB1 needs to be reduced. It suggested several herbs: Angelica sinensis; Salvia miltiorrhiza; licorice constituent glycerrhizin directly binds. Green tea component epigallocatechin gallate (EGCG) also inhibits ; counterintuitively nicotine also lowers it. The pharmaceutical minocycline can be helpful. I hope this helps.
top eye
top eye 5 days ago
More interresting will be what kills the Coronavirus: OZONE THERAPY!!!
elevatorman013
elevatorman013 7 days ago
TRUTH.....ruvid.net/video/video-1TxVNYS7tFU.html
Ninshu
Ninshu 8 days ago
10000000 of likes
Ever Note
Ever Note 9 days ago
I have covid 19 :( i hope i get better soon
Jere Moore
Jere Moore 9 days ago
Is is true, as I have read, that 50-80% of covid-19 patients who go onto a vent die on the vent? If it is true, then we shouldn't look at the vent as a life-saver, or rather we shouldn't think that if we get into that kind of trouble, the vent will save us. It won't save a large percent of those who go onto one, and even it you do survive, you may have sustained significant lung damage that will be with you for the rest of your life. So I would think that the main life-saving, if it is to occur at all, would happen by the proper treatment early on, 'before' ventilation becomes the only resort and too often the 'last' resort.
Zapper Dave
Zapper Dave 10 days ago
Even a better choice: zapperdave.blogspot.com/2020/05/wuhan-coronavirus-covid-19-wrong.html
Chance the Boss
Chance the Boss 11 days ago
🐶
G M
G M 12 days ago
Say NO to mandatory vaccinations! ruvid.net/video/video-uFzc_OgEDgI.html
Gus Ibrahim
Gus Ibrahim 15 days ago
In a perfect world people do not get ill or die or what? WHAT.
Olga G
Olga G 16 days ago
Get some real stats and info!! You don't gotta understand all those deets.. thanks for trying to be confusing and how about hypercapnia from wearing those masks and re-breathing your own toxins and Carbon ? Is ARDS NEW ?? IS IT NOVEL? WHY ARE HOSPITALS PAID PER PATIENT ON VENTILATOR? This is
Tom Scott
Tom Scott 16 days ago
To put it simply for you, WASH your Hands, and when you think that they are clean, THEN wash them again. Maybe you will survive.
Tom Scott
Tom Scott 16 days ago
As a Respiratory Therapist of 33 years, We also used etoh as a bronchial dilator which also broke the surfactent level of the mucus bearer That made it possible to sucking the fluid out every 2 -3 hours. We called it or nick named it as a COPD Cocktail. Today the use of Peep and negative pressure on the newer Ventilators is simply outstanding. There is another form of life saving measures being carried out , and , that is Hyperbaric ventilation. Used , for a wide variety of traumas to the lung.
Muhammad Rafay
Muhammad Rafay 16 days ago
They did this to my mother but still she was unable to survive the reason was ARDS due to COVID19.
Theo Swart
Theo Swart 16 days ago
Congratulations! The video is very well made in that it gives so much detail and I enjoyed it thoroughly. I am not in the medical profession but I have an immense hunger for knowledge and research, to equip myself with the facts and because the video was so in detail it sent my mind on further research to make sure I understand all fully and that process is leading to a question. I understand from the video that during “Covid-19” the interstitial fluid in the interstitial space becomes inflamed [ 03:43 ] and because of the inflammation in the interstitial space spontaneous diffusion between the oxygen in the alveoli and the capillary is strained or even not existent at all and therefore the need to be incubated with a ventilator so assist with breathing during ‘Covid-19” My question is: If the inflammation present in interstitial space renders spontaneous diffusion between alveoli and the capillary impossible then it appears the situation will not be remedied by a ventilator because even if one tries to breath normally, use a CPAP, another device or a ventilator surely the blockage cause by the inflamed interstitial fluid is present in all cases which make spontaneous diffusion labored or not possible, and I don’t believe that a ventilator can clear up the inflammation in interstitial space to begin with. Can you please elaborate on this. thanks in advance Theo
scarface
scarface 16 days ago
Fantastic representation
tuber12321
tuber12321 17 days ago
Isn't this information out of date? Ventilators are killing people.
Hardwire
Hardwire 18 days ago
Dr. Seheult, thank so much for your videos! I have a question about aspirin and possible help with Covid-19. Do you think that a 81mg aspirin per day, along with your regimine of Vit C, NAC, Zinc, Vit D, Quercetin would be helpful overall. Also how about vitamin A. I have heard some positive things on adding some of that, which may be helpful. And lastly in your opinion from all of your research,, do you see a problem with taking all of these together with me being on 25mg of Losartan and 10 mg of amlodipine. Also, any other promising supplements to try. I ask as I have come down with 3 days if diarrhea outbofbtge blue.. My co-worker has had Covid for over 6 weeks and he just informed me today that his symptoms started with 2 days of diarrhea then went right into a bad cough so bad that it broke his ribs.. interestingly he has had no fever and no lots taste or smell.. I am concerned with starting with the bad diarrhea that came out of the blue,, with chills, muscle aches and headaches. No fever at this point and knock on wood, no cough. I am concerned for my kids and wife catching the potental virus, thatvI have isolated my self as a precaution as I am still waiting to he tested. Thanks so much for all you do and for your time. One more thing, I am looking for your covid video #60 and I cannot find it. Thanks again! Ronnie
Cali Evo
Cali Evo 18 days ago
Love the explanation and how calm he explained it. Love this video
La Ssozi
La Ssozi 19 days ago
what is the recommended low tidal volume ?
Lee Schloss
Lee Schloss 19 days ago
Have you questioned if any of these cases might actually be due to vaping illness? If not, what are the differences? Thanks!
Bernadette Duroch
Bernadette Duroch 19 days ago
I read an NIH article that said that they successfully treated lungs of a r d s patients with Rosemarin and licorice extracts.
Girija DEEPTHI
Girija DEEPTHI 20 days ago
You have collected almost all information about virus why don't you try to prepare vaccine
Girija DEEPTHI
Girija DEEPTHI 20 days ago
You have to replay my question definitely
cindycc
cindycc 20 days ago
How do these treatments/ methods affect patients with pre existing diseases such as heart condition? And what if those methods aren’t effective, what is the next best step?
Syrena Xhaferi
Syrena Xhaferi 21 day ago
night time flu medicine and high citrus and liquid intake and NSAIDS
Tanja Fijalkowski
I really think that COVID-19 is not a respiratory illness. It can affect the respiratory system, but it's really a blood based illness. Without getting too into the weeds, on a high level, it 'thickens' the blood preventing proper blood oxygenation levels. medium.com/@tfijalko/why-covid-19-is-probably-not-a-respiratory-disease-and-whats-really-going-on-4ee63073b317 Here's a heavily data & research backed article that ties it all together.
Matthew Cho
Matthew Cho 21 day ago
The evidence is clear, Vitamin D deficiency is killing people with ARDS brought upon by COVID-19. Countries with high mortality rates, specifically Northern Italy and Spain, people have low vitamin D levels due to their high carb, low animal fat diet. Countries like Norway, Finland, Korea, Japan had low fatality rates because their high fatty fish diets. If you are not convinced, here are data points. - Dozens of studies past 20 years that link ARDs with Vitamin D deficiency. - Many overweight/obese people have severe Vitamin D deficiency because their body fat obsorbs Vitamin D - Death spiked during winter when people produce less vitamin D because of low sun levels - Older people have degraded ability to produce vitamin D and usually are very deficient and if they are not mobile, they stay indoors. - Darker skin people in northern latitudes have had high fatality rates... dark skin prohibits Vitamin D production Vitamin D deficiency is why the Vikings were able to conquer Europe 1000 years ago. They had a custom of eating dried cod and drank cod liver oil during winter. Rest of Europe had rickets, bone disease and all kinds of sicknesses and when the Vikings invaded in the Winter, most of them couldn't even fight. Lesson here is if you are at risk take vitamin D supplements, fish liver oil, eat plenty of salmon, sardines, mackerel, herring. Also get some sunlight! It's unfortunate that we are telling people to stay home... they need to go out and get sunglight!
Varun K.R
Varun K.R 23 days ago
I pray for all the asthma patients including my dad. May God give you the strength to survive this deadly virus
RIDD EEKO
RIDD EEKO 23 days ago
It might be worth updateing the thumbnail of this video as we learn more everyday =P keep up the good work :)
Johnny Aingel
Johnny Aingel 23 days ago
DR JUDY MIKOVITZ knows about this as well
Avacodo
Avacodo 23 days ago
So ... ventilators used improperly can kill. You probably can’t do a A/B testing like we do in software on ventilators. Comparing survivorship among patients with or without ventilators. Also percentage of patients who survive once being on the ventilator. I am sitting on the fence of real usefulness of ventilators until( in practice) until I see that data
Josiah Eze
Josiah Eze 24 days ago
👮🏼 Coronavirus
Villager
Villager 24 days ago
My tummy feel weird and if touch the bones it hurts do i have the corona? and im coughing but its dry but i dont have headache and sick
Dai C Thomas
Dai C Thomas 26 days ago
Hope this song resonates with many of you during these hard times. Memory Lane ruvid.net/video/video-hiv0p9wDlUM.html
David Cesarino
David Cesarino 26 days ago
Fortunate is the student who has a professor like you.
Vasyl Muzychka
Vasyl Muzychka 26 days ago
Flight MH-17 July 2014 shot by Russian over Donetsk region with at least 6 virologist . Yesterday Russian government figures on Covid-19 10500 people inflected 48.7% without symptoms. It means they can travel anywhere in the world and infect anyone. And temperature screening was nonsense since beginning. 80% theese people live in Moscow and Saint Petersburg. And they received immunisation before Covid-19 started in China with 6% symptoms free. So the question is why all world leader's are hiding and not telling the truth that Covid-19 started in Russia before it spreaded to the rest world. Is it because of Russian billions.?!
NOFX0890
NOFX0890 28 days ago
I really appreciate these informative videos in a time of dangerous misinformation. Thankyou to everyone involved. Thanks from Australia. Ironically the advertisement before the video told me it could protect me from the virus. The MindValley app. I felt violated.
Pamela Rice
Pamela Rice 28 days ago
Oh my, I have an infection in my finger! .... Quick, I better shoot myself in the heart.
Leslie Eubanks
Leslie Eubanks 29 days ago
I had the pleasure of having him as my doctor. He was one of the best doctors I have ever had. I had something going on with my lungs and he fixed me right up.
Vonkatter
Vonkatter 29 days ago
Why isn't anti inflammatory used in lung ? Why isn't carbon dioxide removal methods used ? Does the virus block the bloods ability to carry oxygen or just block by affecting the lung ? Why isn't oxygen used with ventilation ?
Sadiya Deshmukh
Sadiya Deshmukh 29 days ago
Your explanation is just Excellent
Fuat Bukhari
Fuat Bukhari 29 days ago
Knowledge is power well said my friend
Fuat Bukhari
Fuat Bukhari 29 days ago
Good teacher
top eye
top eye Month ago
More interesting will be, how we can kill the corona virus - with the ozone therapy! www.mbs.news/c/2020/04/ozone-therapy-reduces-mortality-labor.html
CooLDaX
CooLDaX Month ago
Maybe doctors should use Liquid Breathing method with critical patients, that might help patients to avoid ARDS
DR Bill McGraw
DR Bill McGraw Month ago
The link between neural inflammation and the corona virus. ruvid.net/video/video-1jJm31FMVMc.html
MedicoDENTCITY
MedicoDENTCITY Month ago
Useful 👏👏
Rob Koning
Rob Koning Month ago
biomagnetisme.nl/interview-dr-goiz-about-coronavirus-or-covid-19-cure/ see cure of Boris Johnson
Hit Stream
Hit Stream Month ago
ruvid.net/video/video-IH_xwSFm42A.html
Terri Sand
Terri Sand Month ago
How about using a newly invented multi- patient ECMO machine in the event like 2020 Covid19 outbreak? My name is dilip . A chem eng / houston TX.
jen jaradat
jen jaradat Month ago
Thank you for this. This came at the right time, as my friend lay in icu on a respirator with covid pneumonia. I now have a more understanding. Bless you.
Da YingYanger
Da YingYanger Month ago
For Covid-19, Ivermectin aerosol or Hydrogen Peroxide aerosol. Covid-19 is done.
Karen Cole
Karen Cole Month ago
I'm so sorry, I think this is a really silly question, because I know theres an answer for why it doesnt work, but... I'm going to ask anyways. When a part of your body becomes inflamed, like after twisting an ankle or something, I've learned that you cant reduce inflammation with heat, ice, compression, elevation, etc. In make-up, you can reduce inflation around the eyes with tea bags (caffeine, I guess?). How do those things treat inflammation and why is it not possible/effective in treating lung inflammation?
Tmillchr
Tmillchr Month ago
Why aren't ARDS patients treated with NSAID's or aspirin until the the inflammation stops on its own?
Akim Smith
Akim Smith Month ago
Will aspirin lower the inflammation..
ironwinged1
ironwinged1 Month ago
80% of people put on intubation die. Respirators fine, but I am going to refuse intubation if I get ill and can possibly do it.
HBOT USA
HBOT USA Month ago
Great video on ozone and oxygen as options ruvid.net/video/video-3DPMCba4k-Y.html
James Mitchell
James Mitchell Month ago
Now we know much more about blood clots and organ damage due to sarscov2
Herex Ahmed
Herex Ahmed Month ago
Now are the clots caused by corona virus or by patient mis handling?
_.zae._
_.zae._ Month ago
can someone explain this in 8 sentences?
woloabel
woloabel Month ago
Science has the potential to make metaphysics actually a domaine of true science. Ventilators are such a calamity in themselves and natural lung ventilation unbeatable (however it is not impossible to transplant or even inplant an even better ventilation)....
Too Late
Too Late Month ago
This virus is a scam perpatrated on the public ! 1. To divide 2. impliment and set up a very lethal 5g network which honest doctors would be irrate about and leading the way to banning it. 3. To crash the economy and bring forth a cashless society of tracking and controling personal individual wealth through means of Crypto, Credit and Debit Cards already in use and Chip! which is in the plan to place inside the bogus vaccines they are getying billions to create for this bogus virus to mandatorily inject in all humans to place everyone under the will of the Global elite Criminal Cabal Forces. 4. To Eliminate the remainder of mans inherent freefoms to buy sell trade and barter on his own terms. 5. To dictate who lives and dies 6. To make way for a real virus to spread within the next 2 years to depopulate the rest of the considered undesireables and dissenters from the New World Order Global Government. Stop bsing people! There are honest doctors on youtube who have come together to stand against the lies and unite people to take back their inherent freedoms to buy sell trade barter bare arns speak and think freely choose their own doctors schools and life!
UglyThot
UglyThot 26 days ago
The crazy of day award goes to....
Vince Stagbaugh
Vince Stagbaugh Month ago
Administer a mixture of hydrogen has and oxygen to coronavirus patients early on and they will not need a ventilator. ruvid.net/video/video--oh9Ztgjm4A.html
Dr SAJID
Dr SAJID Month ago
ruvid.net/video/video-AzVBhHx3L08.html
bobo brazil
bobo brazil Month ago
Thanks for this wonderful uplifting video as each of us wants to know all of the details about how this virus is killing us ....so that we can't tell it to our grand children.
Rita Deniston
Rita Deniston Month ago
I have changed my opinion of proning, especially if it can be implemented before the patient is intubated, if the patient did not have to be in a medically induced coma, I can imagine a person in the early stages, sitting in a chair, leaning forward resting their head on a pillow to semi duplicate the prone position, or elevating the head of the bed, as you would with an acid reflux patient,
willguggn2
willguggn2 Month ago
Thank you for all of the condensed information a layman like myself can easily grasp; enabling us to fight the flood of disinformation coming from a multitude of propaganda sources with backed up facts and links to actual, scientific sources.
INNOVATION & INITIATIVE Diy
7:18 but without removing co2 from blood how it's possible to fill or replace oxygen in blood ? Is there enough room in blood ?
INNOVATION & INITIATIVE Diy
3:56 this is so rich knowledge you saying us
Kristy
Kristy Month ago
"Power is power"- Game of Thrones Cersei Lannister 😜 ruvid.net/video/video-ab6GyR_5N6c.html
Ds Scroggin
Ds Scroggin Month ago
So you basically suffocate due to lack of oxygen? Is that the way you die?
MasterPiece
MasterPiece Month ago
The “Flu” can kill also, and for decades, that’s life, so Stop trying to scare us healthy and Smart people with this “Coronavirus Pandemic” scam, ain’t going to work.
UglyThot
UglyThot 26 days ago
MasterPiece it’s not the FLU. It’s okay to be Skeptical but not stupid
MasterPiece
MasterPiece Month ago
jess c There are no people dying from it in the first place
jess c
jess c Month ago
The flu has a mortality rate of .1% and each infected person spreads it to roughly one other person. coronavirus is two times as contagious and has a mortality rate of 5%. call it what it is. you don’t care about the lives of those who are at risk, since those are the people dying it’s no big deal to you.
MasterPiece
MasterPiece Month ago
Karen Cole No, the Flu is the most common virus around people for decades according to many sources, that’s why they chose it symptoms for the Coronavirus “Plandemic” ,so they can feed on your fear, and run to the store to buy tons of toilet paper, like the mindless Sheep you are. And No, it’s Not killing anybody nor anything, people die everyday and every minute, That’s called Life! You just believe in whatever the Media tells you to believe like a puppet, even if they told you this virus’s symptom is growing a tail, you would believe! But I’m gonna be honest, I walked into a hospital few days ago, and I saw nurses and doctors so overwhelmed and stressed from the amount of infected and dead bodies, that they started dancing at “TikTok”! ruvid.net/video/video-QtBgnjxic4c.html They are so stressed out from the countless amount of Coronavirus victims so they’re dancing! Pandemic my ass.
Karen Cole
Karen Cole Month ago
@MasterPiece and also, many of the symptoms typical in a flu are not typical here - runny nose, nausea, dizziness, etc. This is not flu. This isnt a flu; and moreover, its killed more people in the past month than this entire last year's flu season. Partly because we dont have any vaccines or immunities.
Chakravarthy C
Chakravarthy C Month ago
It seems Sudarshan kriya in yoga is a perfect remidy to increase efficiency of lungs. .
MTPolo
MTPolo Month ago
Hee thanks for the clear information, awesome
Rosie's Nirvana
Rosie's Nirvana Month ago
FB says I can't share this due to being abusive! Now what??
Re re
Re re Month ago
I wish this could end soon 😔♥
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