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Hello, everyone. Like eye. Can you text in the chat to see, to let us know that's working. Ok, if you go there and um, it did you post uh on the Facebook group? Uh, but I think, you know, you are already alive. So I had, um, just to let you know. Mhm. Ok. I think we'll wait for a few minutes, wait for more people to join. Then you join. Do you wanna start it off? Use it as well and then I can introduce myself and stuff? Ok. So let me just, uh, talk for a few minutes because I have two patients waiting. Yeah. Right. So, hello, my name is seven and I'm one of the founding board members at the Association of Children and Doctors in the UK. We are, uh, really pleased to start the series of, um, of, uh, teaching sessions, continuous medical education sessions. Uh I've called it Vitals. Uh, it stands for virtual interactive, the transfer of learning. Basically, I'll write down the, the uh what it stands for later on anyways. So, um, today we'll be starting with the first one with doctor to small. Thank you very much for um volunteering to do it. I really hope we can manage to do uh this every two weeks so that we can maintain uh maintain it throughout the weeks, uh throughout the year. Really. Uh And I really want to thank uh Doctor Laja for her um initiative because all of this wouldn't have been done without her. So, thank you very much, Laja, you and uh I hope everything goes well for you and uh, hopefully we're starting to have more people. Now. We, we have uh four people so far. So hopefully, uh all these will pick up as, you know, weeks go by. Yeah, but, um, and as they find as they find how useful this is going to be. So, uh, thank you very much, doctor. Thank you very much. Thank you doctor. I wish you all the best. Thank you. All right. Yes. Hello everyone. I'm uh, I'm one internal medicine trainee, year two in the northwest. Um Hopefully, this is the Kickstarter of our uh teaching program, uh through JD UK. Uh Hopefully it's gonna be really um useful for everyone. Um Today's session will be about N IV and ABG interpretation. It will be done by, uh be delivered by doctor to small. Uh, he will introduce himself shortly. Um I will ask everyone, hopefully there's more people joining us now. Um I will put a poll down in the uh, poll section just so I can know what grade you are. Can you please answer that poll. So in the future, we can tailor the sessions a bit better towards your learning and we can gear different sessions towards different audiences. For example. Um if uh doctor to has a uh ask this question to the audience, can you please leave the answers in the chat box, um we'll monitor them. Um Can you please keep the microphone turned off during the session? Just so we don't have any extra noise going around. Um And if you have any, any issues to doctor to, can you also please leave them in the chart, we'll keep an eye on them. Um And we'll get to them by the end of the session. Is that ok? Everyone, just a small uh note to add. Thank you. Just a small note to add uh that this um uh this session will be recorded. Uh If uh hopefully there will not be mention of any specific names, but if anybody has any problem with your colleague, please do let us know. Um Another thing is um uh this session will be uh it's set to be around uh one hour and a half. So hopefully because it, it might disconnect if it's longer than that. So hopefully it doesn't uh go along that I just said it longer than the diabetes. And your last point is I can see in the audience there are uh members who are non Arabic speaking, which means that we have members from all around. Uh So I would like to welcome you all to um our sessions at the Association of Jordanian Doctors in the UK. We are a small association aimed at uh helping doctors grow and learn. And uh we currently have around uh 1000 J and doctors in the UK and we try to help support them and uh provide them with um with anything that really can uh help them with their careers. So thank you for attending. I'm sorry, I have to step out to go back to the clinic and thanks for your help. Thank you, Doctor Z. Bye bye. Thank you. All right, thank you, Jane. Um Hi everyone. Uh First of all, I would like to welcome all of you in uh our first teaching session. Uh Hopefully it's helpful, useful and more uh more importantly practical. My name is, I'm one of the uh I mt trainees. I work in Bournemouth Hospital. Um If you can see, I uh there's a poll if all of you can just say what level of trainee are you or what level of or what grade you are. Uh just so we can see um how many with us, so very even distribution. So we have which as a child? Very good. Uh I have no consultants yet, but that's fine. We don't need them at the moment. Um Yeah, so my name is TA, I'm uh I'm T three trainee in Bournemouth Hospital. Uh, I've been working in the UK for about five years now. I work in different department and, um, I thought to deliver my first teaching about an IV and ABG interpretation because although it can be quite basic, sometimes can be tricky, it can be challenging. Um, and, um, usually if you don't have a dark exposure to patients requiring an IV, as for example, if you're a medical deer on call, uh, you, you might end up being the first one to see these patients at some point. And I think being familiar with this with this topic is quite important. If you have any questions during the presentation, please, uh, let me know, um, you can text in the group or the group in the message box and, um, please try to make it interactive as much as you can, meaning if I ask questions, try to answer the questions. Um, obviously I'm not gonna make it questioning session, uh, just post it on the, uh, in the, in the, uh, chat box. Ok. So I'm gonna start sharing my window. So I'm gonna make a slide show. So it's going to be, uh, are you able to see the slides very well? I actually cannot see the chart for some reason. Uh, I'll, I'll moderate or monitor that shot. You can go ahead with that. Ok, perfect, perfect. So, yeah, so, um, we'll start talking about, uh, uh, an IV or noninvasive ventilation. Um, but I will, I will kick it off. Let's start with the talk with the clinical case. I think that's the best way to kind of get it embedded here in your head. Um So the first case uh is we have a 75 years old patient. You could be the medical destroyer or the medical reg uh as such your on call. This patient uh has hypertension, asthma, co PD ischemic heart disease. Uh He was admitted with shortness of breath. Uh, he, uh, hi history, basically, he's been complaining of cough and fever for the past five days. Uh, he contacted his GP, which gave him, uh, which he, he gave him um, some antibiotics, but this did not improve his symptoms. Um, and he, he hasn't discontinued get worse despite the oral antibiotics. He recently start, returned from a holiday to Spain. But in the last 24 hours, things become much, much worse and he more bro, breathless and drowsy. So, uh, the patient's uh, partner had to call, uh, the patient to, uh, the call the ambulance to bring the patient to the hospital I examining with, um, um, for just more history for the patient. Uh, so his medications or you can say regular medication, nothing specific. You can see that he has some inhalers, uh, for COPD, he's quite independent. He's an ex smoker with the extensive smoking history in the past and um, occasional alcohol drinking. So there's no, uh, history of alcohol abuse his observation and uh resource or with the ambulance crew in Chile when they saw him, his respiratory rate was quite high. So he was tachypneic. Uh BP was on the higher side. Uh.