Thanks for the video. Do you recommend those of us whose only training is from RUclips videos to attempt any of this? I'm trying to find a good Stop the Bleed class, but I live in a very rural area. A part of me thinks that I should't carry a chest seal (or tourniquet) until I've had training in person.
Do you have any data showing that taping down 4 sides is better than 3? I know the EMS world is moving towards taping on 4-sides, but I can't find any studies or explanations as to explain why.
In the case of an open pneumothorax, the application of an occlusive dressing is a critical initial step in management. This helps to prevent air from being sucked into the chest cavity with each breath, which can lead to a tension pneumothorax, a life-threatening condition. After applying an occlusive dressing to seal the wound, whether you should provide rescue breaths depends on the patient's condition. If the patient is not breathing or not breathing adequately (i.e., in respiratory arrest or severe respiratory distress), rescue breaths (as part of CPR or assisted ventilation) might be necessary. However, this must be done with caution. Here are key considerations: Monitor Closely: After applying an occlusive seal, it's essential to monitor the patient closely for signs of a developing tension pneumothorax, indicated by increasing difficulty breathing, cyanosis, decreased blood pressure, and tracheal deviation away from the injured side. If these signs develop, the occlusive dressing may need to be temporarily 'burped' or partially removed to allow air to escape from the chest cavity. Ventilation Techniques: If the patient requires assisted ventilation, careful attention must be paid to the volume and pressure used to avoid exacerbating the pneumothorax or causing a tension pneumothorax. Seek Immediate Medical Attention: Immediate transport to a medical facility is crucial for further evaluation and treatment. Training and Protocols: Follow the protocols for emergency care that you've been trained in.
@@schooloffirstaid2643 yea, I'm asking because yesterday kids broke into my ex gf's place and stabbed her sons best friend in the chest a bunch, she gave him rescue breaths because his lips were blue and the kid died. This is in Prince George BC Canada if you want to look into it. She thinks she did the wrong thing and killed the kid. She didn't have a chest seal on hand and probably didn't know about how to make one. Brutal situation.
Excellent comment. We may see a deviation of the trachea when a patient is presenting with an open pneumothorax. When a patient experiences an open pneumothorax, the natural path of least resistance for air to enter the pleural space is through the defect in the chest wall. As a result, air rushes into the pleural cavity during inspiration, leading to a buildup of pressure. This pressure pushes the mediastinum, which is the central compartment of the thoracic cavity containing the heart, great vessels, and trachea, away from the affected side. The trachea, being a relatively rigid structure, is anchored by various ligaments and attachments within the thoracic cavity. When there's a significant pressure differential between the two sides of the chest due to an open pneumothorax, the trachea may be pushed or deviated away from the affected side towards the unaffected side. This deviation of the trachea is a compensatory mechanism the body employs to alleviate the pressure on the collapsed lung and to maintain airflow to the unaffected lung.
Great channel!!! New sub.
Thank you for the explanation.
Thanks for the video.
Do you recommend those of us whose only training is from RUclips videos to attempt any of this? I'm trying to find a good Stop the Bleed class, but I live in a very rural area. A part of me thinks that I should't carry a chest seal (or tourniquet) until I've had training in person.
Do you have any data showing that taping down 4 sides is better than 3? I know the EMS world is moving towards taping on 4-sides, but I can't find any studies or explanations as to explain why.
should you give them rescue breaths?
In the case of an open pneumothorax, the application of an occlusive dressing is a critical initial step in management. This helps to prevent air from being sucked into the chest cavity with each breath, which can lead to a tension pneumothorax, a life-threatening condition.
After applying an occlusive dressing to seal the wound, whether you should provide rescue breaths depends on the patient's condition. If the patient is not breathing or not breathing adequately (i.e., in respiratory arrest or severe respiratory distress), rescue breaths (as part of CPR or assisted ventilation) might be necessary. However, this must be done with caution.
Here are key considerations:
Monitor Closely: After applying an occlusive seal, it's essential to monitor the patient closely for signs of a developing tension pneumothorax, indicated by increasing difficulty breathing, cyanosis, decreased blood pressure, and tracheal deviation away from the injured side. If these signs develop, the occlusive dressing may need to be temporarily 'burped' or partially removed to allow air to escape from the chest cavity.
Ventilation Techniques: If the patient requires assisted ventilation, careful attention must be paid to the volume and pressure used to avoid exacerbating the pneumothorax or causing a tension pneumothorax.
Seek Immediate Medical Attention: Immediate transport to a medical facility is crucial for further evaluation and treatment.
Training and Protocols: Follow the protocols for emergency care that you've been trained in.
@@schooloffirstaid2643 yea, I'm asking because yesterday kids broke into my ex gf's place and stabbed her sons best friend in the chest a bunch, she gave him rescue breaths because his lips were blue and the kid died. This is in Prince George BC Canada if you want to look into it. She thinks she did the wrong thing and killed the kid. She didn't have a chest seal on hand and probably didn't know about how to make one. Brutal situation.
The trachea may change or slide
Excellent comment. We may see a deviation of the trachea when a patient is presenting with an open pneumothorax. When a patient experiences an open pneumothorax, the natural path of least resistance for air to enter the pleural space is through the defect in the chest wall. As a result, air rushes into the pleural cavity during inspiration, leading to a buildup of pressure. This pressure pushes the mediastinum, which is the central compartment of the thoracic cavity containing the heart, great vessels, and trachea, away from the affected side.
The trachea, being a relatively rigid structure, is anchored by various ligaments and attachments within the thoracic cavity. When there's a significant pressure differential between the two sides of the chest due to an open pneumothorax, the trachea may be pushed or deviated away from the affected side towards the unaffected side. This deviation of the trachea is a compensatory mechanism the body employs to alleviate the pressure on the collapsed lung and to maintain airflow to the unaffected lung.