Great demo , one addition Now needle Decompression site has been changed to 5th ics ,10th ATLS guidelines since 2018 For demo iv cannula is ok but in real life you need at least 7 cm long needle for decompression if you don't have just do finger thoracostomy It's not needle thoracostomy but needle Decompression or paracentesis There is no need to waste time to prepare for under water seal drainage as it's life threatening and 20 ml syringe is ok or do simple decompression followed by chest tube . Regards
Hello sir.. Please post a video about SCAD diagnosis and management.. since it's also an emergency case. Need to learn from you.. thanks. And I really loved watching your video as it is informative and easy to understand.
in tension pneumothorax, if you follow the recommended site, chances are very less. above the rib is the most important thing to keep in mind as this avoids the vascular bundle running at the lower surface of the ribs.
On a mechanical ventilator which will appear first A drop in blood pressure OR A drop in SpO2? I have missed tension pneumo multiple times due to this confusion
Depends on the acuteness with which it develops ; it will fall in spo2 followed by fall in BP ; importantlyu don’t have to wait for all this to develop , clinically examine , decrease breath sounds and resonant percussion .
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Great demo , one addition Now needle Decompression site has been changed to 5th ics ,10th ATLS guidelines since 2018
For demo iv cannula is ok but in real life you need at least 7 cm long needle for decompression if you don't have just do finger thoracostomy
It's not needle thoracostomy but needle Decompression or paracentesis
There is no need to waste time to prepare for under water seal drainage as it's life threatening and 20 ml syringe is ok or do simple decompression followed by chest tube . Regards
thanks VERVE MEDISIMUHUB, I am pinning your comment. soon will upload a new short for this update . thanks for sharing and welcome to the channel
thanks drayush, I am pinning your comment and will make a update video on this .
Thank you sir. Excellent demonstration of this life saving procedure.
So nice of you
Many thanks to you ESBICM n doctors. 💐. You r doing a great work
thank you .
OMG I'm waiting for this for a long time since my first semester
wow , this is nice to hear.
Thank you sir for this video ! 🙏🏻🙏🏻
Most welcome
Excellent lecture sir
Thanks for liking
Sir please do a video on all the nebulisation drugs where it acts moa and side effects
What an awesome video,thanks
Hello sir..
Please post a video about SCAD diagnosis and management.. since it's also an emergency case. Need to learn from you.. thanks. And I really loved watching your video as it is informative and easy to understand.
noted your request, need to consult a cardiologist also. and thanks for your comments.
Thank you sir 😊👍🏻
According to ATLS guidelines, it is now 5th ICS slightly anterior to midaxillary line
Yes see the pinned comment but for Pediatric it’s same . Will update a video soon .
Thank you sir
Welcome
Sir, After the procedure how to remove the needle before referred to higher centre.
Thank you sir.
Sir is there possibilty to injure vital structures while piercing the needle sir
in tension pneumothorax, if you follow the recommended site, chances are very less. above the rib is the most important thing to keep in mind as this avoids the vascular bundle running at the lower surface of the ribs.
@@TheICUChannel ok sir
I always wondered how to manage tension pneumothorax,your video made it clear for me sir💥
Thank you sir.
Sir when to remove the needle after the procedure: and how to remove it
After u insert ICD or definitive treatment done
Can we shift the patient with this,?
hi, excellent one .just to buy time to get ICT in. thanks
ya that's the reason, buy time.
On a mechanical ventilator which will appear first
A drop in blood pressure OR
A drop in SpO2?
I have missed tension pneumo multiple times due to this confusion
Depends on the acuteness with which it develops ; it will fall in spo2 followed by fall in BP ; importantlyu don’t have to wait for all this to develop , clinically examine , decrease breath sounds and resonant percussion .
👍🏻
Icd is compulsory sir? One surgeon told me pnemo is not indication for icd
Read books , don’t even trust me , just cross check with books 📚 ; this is what I tell to my students
Sir now guidlines say in 5th intercostal space whether needle or icd insertion
Wat is intracath no sir 14or 16?
can u post or name the guideline.?
@@TheICUChannel ATLS newer guidelines
Waaaaaaao
Better if needle site shown on a real patient with marker and later on mannequin
Nice suggestion, will try that . Also there is an update , will post that soon .
Please sir talk in Hindi
issue is the audience of the channel is now global so we have to keep the language in simple english