Dune Wreck After Action Medical Report
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- Опубликовано: 20 июл 2024
- During this after action medical report we will take a look at a sand dune wreck with multiple patients.
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These videos are great for mental practice incase I ever encounter them in real life. Very informative, great work!
Absolutely!
Just got tboned where the guy who hit me had a a huge laceration on his scalp where the glove was peeling, but I had my skinny medic ifak with me and used it along with all the knowledge videos of yours I watches till the emts arrived. This channel is a gods send
PLUS 1 Many, many thanks for all you do.
I think the first takeaway on this is don't get too distracted by the first injury that you see. Keep your wits and continue triaging your patients.
It’s my belief that every department should have a dedicated off-road vehicle for extractions from hard-to-access areas. Some places aren’t good options for heli (dense woods, for example).
Ooooph, that's gonna leave a mark. I sure hope they got everyone to the ED real quick and in a hurry.
Reminds me, I was first on a single vehicle a couple weeks ago on I-20 to find a compound mid -humerus and I played back in head what little training I have, but in your voice. Had a good laugh about that later.
Nice!!!
My Dad got a similar type of injury when he fell and broke his leg. Everyone freaked everyone out that his leg got shorter and was so crooked.
I learn a lot from your videos, keep up the great work 👍
Ouch!
Nobody ever talks about triage. Was on an MCI years ago before the cavalry arrived. There was a DOA, an entrapment, and 3 other various injuries. I made some hard decisions that day. I think about them time to time, but i stand by them. Follow your training and integrity.
Thank you. I didn't notice the girl at first, that is something that makes you think and that makes those after action reports so valuable.
Up for 5 hours and it's not age restricted yet. The RUclips monetizer department must be closed on the weekends
I really appreciate these refresher videos! No longer working, but on the road a lot, and in the woods. As a volunteer, these reports are much needed.
Very tough situation. Thanks for the debrief. Practical and thoughtful.
Dude ur friggin awesome an wonderful resource for the correct mindset
Good job skinny keep up the great work
Very good breakdown. Thank you.
Love the shirt! Amazing story behind it too! 🤯
You do more good than you realize. Thank you.
Thank you!
Thanks!
Great one!!!!
I don't think I've seen a video of you recently that wasn't almost a year old...
Dang man you're not Skinny medic anymore, you're Bulked Medic!!!
Great clip 👍🏻👍🏻👍🏻
Extricating that front passenger looks like it’s going to be difficult. That would definitely trip me up a bit. I’d be interested to see how they eventually moved him.
Same here ... it was like the first thing I saw ... I was like, how the hell are we going to get him out? I didn't see any roll bar or cage near him ... and that is a big plus. The girl in the back might be a bigger problem ... there is quite a bit of tubing back there. I wish there was more video on this one.
After he's stabilized in place, he's getting covered with a tarp/moving blanket and then you bring in the spreader jaws on the Jaws of Life and a hydraulic ram. The dash needs to be moved up at least 8-16 inches to completely clear his legs. Cut the "B" pillar to his right, recline/cut the seat backing, slide a backboard under him, secure and slide him out.
Similar for the girl on the back. Instead of taking her out sideways, clear enough of the wreck from behind her (back window, seats, possible truck aread), slide a backboard under her and pull her straight back. This is referred to as "tunneling" into a vehicle. The only good thing is that the vehicle is a lose the second the wreck happens which allows you to destroy whatever needs to go in order to properly extricate someone in any direction which maintaining the best possible spinal/neck positioning while moving them. Ideally, make it into a door less convertible and remove anyone that cannot move under their own power
Absolutely love these videos. Really helps me with scene preparedness when responding.
i have saw A lot of bad things happen over the years riding quads all over the midwest!! for the most part people freak the F**** OUT or the just freeze & stare!!! i have litterally had to shake a by stander to get them to be able to call for help!!! I saw a girl in a buggy similar to this video not make it to the helo ride, (didnt know her) I watched the buggy flip down the hill to the river bottom, the driver was shaken up but walked away. the girl was impaled by a tree limb that came in the cage!! thanks for sharing this great info with everyone!!
Great content and advice as always! Also screw RUclips! Knowledge is power!!! Cheers from Canada brother!!! 🍻
Thanks
Lots of details in this one.
Ooo a thumb shirt. I love Scott
That was such a short clip. Any idea what happened to these people? I hope they all survived. Thanks for the valuable info. If I encountered a scene like this, I’m sure my instinct would be to focus on the guy with broken legs first, but you’re so right-often the most seriously injured person is not the one with the most horrific-looking injury or the one who’s screaming. This is why training is so important.
No idea
Ouch 🤕
This sounds crazy but i have to ask it. If a person has a serious neck wound, would it be possible to take and a tube with needles on both ends and sort of jerry rig the blood flow of the wound
Does anyone have a link to the full unedited video
Would you be able to tell if he's losing blood in his legs if it's not leaking out and if so would you apply tourniquets?
A limb with internal bleeding with become swollen, but any injury will become swollen so it's hard to determine exactly how much bleeding is going on in there.
@@mannys9130 would you be able to apply a tourniquet or should you?
I wouldnt apply tourniquets, I'd prioritise straightening the legs and putting traction on. Will reduce pain and reduce bleeding too.
Great assessment. Panic is the #1 killer to survivalable situations.
I didn't really see anything wrong with the car I'm sure a little Bondo and little welding it'll be all right
As for the passengers They look like they do need medical attention but I'm sure it'll be okay
Great video
Stay safe stay healthy God bless
Is “who is the president of the United States” actually a simple question tho? Not even the president of the United States knows who’s the president of the United States…. 🤔🤔🤔
Hahahaha
Its a trick question !
If you get a trump won and biden cheated. They are very aware.
You beat me to this haha... trick question. TRUMP is the correct answer!
Holy sh*t that kids legs man🤯🤯🤯
I'm not red or blue, but I don't know if I could answer 'who's the president'. All jokes aside thx for what u do
I've had a broken femur. He needs to get out of that thing before the pain sets in. Right now there's just a strong burning for a few min. I have never in my life felt pain like that. I got caught between the load on a forklift and the tailgate of a pickup. I still have knee trouble from that. Luckily this is America and we have great healthcare. Ambulance was there in 10 minutes and had drugs in me to ease the pain. And within 30 min f from it happening I was at the hospital. I could only imagine being in a desert.... that was a Thursday evening and they had me up and putting a little weight on it with crutches By Monday and out of the hospital. I can only imagine what this guy is going to be feeling
Skinny you still a practicing medic?
Yes … I work on the truck a few times a month and a swat medic.
2A❤️🇺🇸❤️
Geez
Right!
If that guys pinned like that, high and tight, check his upper resp and see if he ate those teeth
Instant HEMS or MERIT and trauma protocols in the UK. I can't handle that! I need a Dr there to RSI the guy and intubate the girl!
👍🤠
"Its only gonna hurt while I pull you out." wink wink
But, but, The president can't even answer who the president is!! :-)
Not only tell how many tell that at least one in entrapped to get the FD strted
Holy crap i didn't even see girl in back
So I understand to check up on the girl to see if she is alive. But still don't understand what can I do to help passenger in front?
You can but check on the girl first because she is not moving.
@@SkinnyMedic What can I do for the guy with messed up leg?
@@abccde3832 If you're just a bystander running up on him? Make sure the vehicle isn't at risk of bursting into flames. Keep his head and spine still and stop him or others from moving them around. Keep the leg stable. Make sure he can breathe and can protect his own airway. If there are bleeding wounds, pack or tourniquet them. If there are sucking chest wounds, seal them. Otherwise, leave him there until EMS arrives with C collars, a back board, limb braces, and the manpower to extract him from the vehicle steadily and with as little movement of that spine and leg as possible. If the vehicle is leaking gasoline or burning already, you gotta do what you gotta do to get him out of there with as little harm to his spine and broken bones as possible. What good does an intact thoracic spinal cord do if he burns alive in the fire before EMS gets there to extract him properly, you know?
@@mannys9130 Good points. Thanks for sharing, very valuable!
@@abccde3832 You're welcome! Another good thing bystanders can do is examine the person for traumatic amputations. If this guy was missing his left hand for example, search for it and when you find it just wrap it in a clean cloth to protect it and put it on ice in a cooler if you have that available to use. Cooling the hand would increase viability when it's time to reattach it at the hospital. If no ice or cooler are available, just wrap it up and keep it clean, safe from further blows or burning or chemicals, and out of the heat of direct sun. Make sure the EMS team takes the body part with the patient and knows what's been located if some stuff is still missing.
Jaws of life to pull the guys legs out?
Maybe. It looks like the dashboard and floorpan intruded/collapsed and it's possible his feet are pinned down low. The floorpan and dash intrusion is likely why he has that injury. Or he wasn't wearing his seatbelt harness, so in the crash he slid forward out of the seat and became thousands and thousands of pounds "in weight" and slid forward pressing against the floor with his feet and putting all that pseudo bodyweight on his leg(s) which unsurprisingly shattered immediately. Even if he was wearing the seatbelt, it's totally possible that the floorpan getting shoved up violently in the crash shattered his leg(s) in the same manner especially if they were resting flat on the floor fully extended. :(
Algorithm
Hmmmmmm..... Is someone perhaps a Kentucky ballistics supporter????? Hahahaha, just put a thumb in it!
Skinny...do you like, color all of your guns with crayons before you out them on your wall....hehehehehe
Pretty much! Hahaha
And here I thought that crayons were just for snacking...
"Who is the president of the united states?"
Is somewhat of a hard question to answer these days haha