Comments by "Allison James" (@allisonjames2923) on "Institute of Human Anatomy" channel.

It would be useful to do a video on why people who are hyperventilating develop pins & needles & cramping in their hands & feet. With so many people having anxiety disorders these days, a lot of people call an ambulance because of this & don’t understand it’s a natural response to the decreased carbon dioxide in the blood causing vasoconstriction to the distal nerves, decreasing blood flow & causing the nerves to fire abnormally.
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@mychellemill That’s not true unfortunately. CBD oil etc help with analgesia & help with some forms of epilepsy, but do not stop or slow the progression of diseases. They don’t have that mechanism of action.
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Thank you for this. Would be really interested in a video on adenomyosis, which is like endometriosis but the tissue is actually embedded in the walls of the uterus, causing severe pain, heavy menstruation & a bulky uterus
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@thewisebananaguy5117 Yes you can. The body recognises a large amount of blood as something that it can’t obtain nutrients from, and as something that isn’t good for the body, so it triggers the gag reflex to make you vomit it back up. (Critical Care Paramedic for 21 years)
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@tiellalauren5823 No! As the blood vessels heal the clot will flake away on its own or fall out, just like a scab on your arm does.
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@angelskyy6574 Different institutions usually have their own. Medical & other students doing human anatomy get a cadaver (human body) to dissect each semester/year & there are also those which are ‘typical’ examples of anatomy or are unusual so are dissected really carefully & professionally, which become medical specimens.
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It used to be first aid advice to lean back & pinch the nose. Until someone realised that swallowing all that blood wasn’t ideal
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Has your Dr suggested Celebrex which is better for long-term anti-inflammatory/analgesia for arthritis? Ibuprofen is meant to be a short term medication.
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@DJTLYFE They are really real. They just look that colour because there’s no blood or bile colouring things. But they are real human beings who very kindly donated their bodies to help educate
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So very sad for you. That must be really tough. So many people lost to this drug. Really tragic.
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If you go to hospital immediately after a Naloxone reversed overdose, or you have any symptoms from withdrawal of opiates (eg by going cold turkey), many of the symptoms can be managed by medication to make it a far less horrific experience. You don’t have to do it alone & you don’t have to do it the hard way. And, if you have taken a long-lasting opiate that lasts for longer in the body than the Narcan, you can renarcotise & overdose again. So if you give someone Narcan, don’t just assume that’s it & they’re fine. Keep an eye on them for hours. One more note - Narcan only works on opiates. It does not reverse the effects of other sedatives or tranquillisers. The latest extremely dangerous Fentanyl / Xylazine combo that is causing huge numbers of OD’s can only be partially reversed by Narcan. That’s one reason it’s an extremely dangerous drug, not to mention the necrosis (tissue death) & infection it causes which is causing people to lose limbs.
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Who in the heck is feeding their kid 5-10 pieces of gum PER DAY???
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Just an FYI from a practical on road perspective (I’ve been a Paramedic for 22 yrs & am a Critical Care Paramedic). Naloxone in the doses we use, doesn’t usually precipitate full withdrawal syndrome immediately. It certainly temporarily reverses the respiratory & sedative inhibitory effects of opiates, as well as the pleasurable effects, but it doesn’t usually cause the immediate onset of full withdrawal symptoms (severe anxiety, shaking, tears, runny nose, nausea, vomiting, pupil dilation with possible light sensitivity, insomnia, hyperactivity, exaggerated reflex responses, fast breathing, fast heart rate, sweating, high blood pressure, high body temp & yawning). However, in some cases it can cause seizures & acute pulmonary oedema. And if people’s blood & brains have been starved of oxygen for a prolonged period, and this is not corrected prior to giving them Narcan, by ventilating them (preferably with 100% oxygen), then they will wake up angry & swinging in a confused fight or flight response. Admittedly, in my region in Australia, we don’t have to reverse OD’s anywhere near as frequently as most American Paramedics seem to do, nor as frequently as in our biggest cities like Sydney. But I’ve never yet seen acute withdrawal symptoms present immediately, nor in the up to an hour I’ve been with patients post opiate OD reversal. Nor have I ever had patients seize or develop APO. Not saying it doesn’t happen, but that it’s not a guaranteed, nor extremely frequent event. We do have a practice of reversing hypoxia prior to administering Narcan though, so don’t know if this has any effect. I know that many agencies in areas with high overdose rates just administer Narcan immediately without ventilating them first. So the cells of the body may be hypoxic or have high metabolic waste from anaerobic metabolism which may contribute to the onset of withdrawal type symptoms. Or it may be dose dependent. Will have to do more research. Also, If you go to hospital immediately after a Naloxone reversed overdose, or you have any symptoms from withdrawal of opiates (eg by going cold turkey), many of the symptoms can be managed by medication to make it a far less horrific experience. You don’t have to do it alone & you don’t have to do it the hard way. And, if you have taken a long-lasting opiate that lasts for longer in the body than the Narcan, you can renarcotise & overdose again. So if you give someone Narcan, don’t just assume that’s it & they’re fine. Keep an eye on them for hours. One more note - Narcan only works on opiates. It does not reverse the effects of other sedatives or tranquillisers. The latest extremely dangerous Fentanyl / Xylazine combo that is causing huge numbers of OD’s can only be partially reversed by Narcan. That’s one reason it’s an extremely dangerous drug, not to mention the necrosis (tissue death) & infection it causes which is causing people to lose limbs.
1
Just an FYI from a practical on road perspective (I’ve been a Paramedic for 22 yrs & am a Critical Care Paramedic). Naloxone in the doses we use, doesn’t usually precipitate full withdrawal syndrome immediately. It certainly temporarily reverses the respiratory & sedative inhibitory effects of opiates, as well as the pleasurable effects, but it doesn’t usually cause the immediate onset of full withdrawal symptoms (severe anxiety, shaking, tears, runny nose, nausea, vomiting, pupil dilation with possible light sensitivity, insomnia, hyperactivity, exaggerated reflex responses, fast breathing, fast heart rate, sweating, high blood pressure, high body temp & yawning). However, in some cases it can cause seizures & acute pulmonary oedema. And if people’s blood & brains have been starved of oxygen for a prolonged period, and this is not corrected prior to giving them Narcan, by ventilating them (preferably with 100% oxygen), then they will wake up angry & swinging in a confused fight or flight response. Admittedly, in my region in Australia, we don’t have to reverse OD’s anywhere near as frequently as most American Paramedics seem to do, nor as frequently as in our biggest cities like Sydney. But I’ve never yet seen acute withdrawal symptoms present immediately, nor in the up to an hour I’ve been with patients post opiate OD reversal. Nor have I ever had patients seize or develop APO. Not saying it doesn’t happen, but that it’s not a guaranteed, nor extremely frequent event. We do have a practice of reversing hypoxia prior to administering Narcan though, so don’t know if this has any effect. I know that many agencies in areas with high overdose rates just administer Narcan immediately without ventilating them first. So the cells of the body may be hypoxic or have high metabolic waste from anaerobic metabolism which may contribute to the onset of withdrawal type symptoms. Or it may be dose dependent. Will have to do more research. Also, If you go to hospital immediately after a Naloxone reversed overdose, or you have any symptoms from withdrawal of opiates (eg by going cold turkey), many of the symptoms can be managed by medication to make it a far less horrific experience. You don’t have to do it alone & you don’t have to do it the hard way. And, if you have taken a long-lasting opiate that lasts for longer in the body than the Narcan, you can renarcotise & overdose again. So if you give someone Narcan, don’t just assume that’s it & they’re fine. Keep an eye on them for hours. One more note - Narcan only works on opiates. It does not reverse the effects of other sedatives or tranquillisers. The latest extremely dangerous Fentanyl / Xylazine combo that is causing huge numbers of OD’s can only be partially reversed by Narcan. That’s one reason it’s an extremely dangerous drug, not to mention the necrosis (tissue death) & infection it causes which is causing people to lose limbs.
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Btw the reversal of an overdose by itself doesn’t cause the heart to stop. The hypoxic effect of not breathing for a prolonged period prior to the Narcan being given can affect the heart & other organs, which may cause an ischaemic heart attack &/or dysrhythmia, plus I guess a massive adrenaline induced response in a heart that has been damaged from prolonged drug use might cause it, but the heart failing just from the Narcan is very unlikely.
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Very interesting. Thank you 😊
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I had a classic example of how subjective pain is in a 15yrM patient who fractured his radius/ulna. He was literally screaming in pain. It was displaced, but still just a standard #radius/ulna, yet he required more analgesia & sedation to be able to move him off the football field & to hospital than any other patient I’ve treated, with far more severe injuries. When I asked his family if he’d ever previously had any significant injury, they indicated that the worst he’d suffered in his whole life was bruising, so for him, this was literally the worst pain he’d ever had & his brain interpreted it like he was being eviscerated or having his skin peeled off. It was really quite fascinating.
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