I live in Jamaica. A LOT of knife, and machete wounds. Gunshot wounds are VERY rare. Here, ninety seven percent of gunshots result in death. I watch your videos to make sure I'm able to do more than just being a bystander, if I'm ever in the right place at the right time. Jesus said to "Love thy neighbor as thyself." Love is faith in action. I appreciate the videos.
John knife wounds are increasing exponentially here in the states. I think predators are seeing that it is easier to obtain, conceal and use knives over guns.
Yup, when seconds count LE/EMS are only minutes away.. I am amazed at the number of people who are not even remotely trained in first aid. Thanks brother for your part in fixing that.
Yea I wish it was taught in every hs especially how to do cpr being taught how to do cpr while calling 911 is a rly shitty way of having to learn they do teach first aid in Germany and everyone’s required to help most ppl have a first aid kit in their cars which I think is amazing wish it was like that here in the US 😭
Hey Ben! Super stoked you are starting your EMT program. Like both of the above said, thick skin and thick boots. EMS likes to eat it's young so don't be discouraged by a coworker or patient that chews you out or gives you shit. You would not believe the crap I get from my coworkers about having this channel😂.
Great job. I am a retired RN who has gone back into the work force as a Substitute School Nurse. One can never be too prepared or know too much. Thank you from me, old Grandma.
Thank you for this. I am in England and we have a knife crime epidemic going on, especially in our cities (London, etc) as guns (sidearms, etc) are illegal, and knives are easier to purchase and dispose of. I carry an EDC backpack with some basic first aid kit including an Israeli field dressing in it. My number 1 thing was treating a knife wound on me or telling someone how to do it to me OR me treating someone else to keep them stable before the Paramedics arrived and took over. I have subbed and will be watching all your videos as I am a visual learner, so can pretty much memorise them.
This is fantastic info. I wish there was more we could do as first responders, but it basically comes down to airway, stop the bleed, isolate injury, prevent heat-loss, and get the person to surgery as soon as possible.
I’ve been studying trauma for the last 6 hrs and figured I’d take a break and hop on RUclips. I’ve ended up watching all your trauma videos over the last hour even though I was sick of studying it in the first place. Good job, everything you’ve said was exactly in the AAOS Emergency book. I love your videos. Keep on keepin on.
Love these easy to remember High Yield videos. You're a rising star and a real asset for the RUclips firearms/gear/medical community! You're doing a lot of good for the world.
Awesome video buddy. Been in the marines for 6 yrs firefighter aemt for a few years. Awesome simple refresher. Love getting hem stable and to the pros. Not sure why so many people want set on scene for 30 minutes when we are 5 minutes from a trauma emergency room.
We got taught that if you have a knife impaled or anything in impaled in your abdominal. you can turn a gauze into a doughnut and use that around the impaled object. Love watching were the first aid ones brings back so much memories studying 2 maybe one day be a paramedic. Love the job I find it fantastic passion because it's never boring it's always something new and it's challenging. So I'm still happy with my first aid certificates I make my way up there one day.
That's one way, I was taught they're more preferable for the eye. But take time into consideration, look at how quickly he stabilized the knife compared to rolling gauze into a doughnut. Hope this helps
Like Ryet said, doughnuts are great for eye injuries but they are a waste of time in an abdominal injury and they don't conform to the object very well so they are not alway the best option.
EMT basic. Great video never fails to keep me sharp on my knowledge. Nice to watch a video to take a break from the books. Maybe a video for civilians being able to triage who to treat first and what a civilian can do durning a car accident. Addressing the bystander effect and so on. Keep up the great work love the videos!
I used to be a volunteer EMT (not in the US) and our approach to road accidents was: 1. Check the area, independent of any other LEO or EMR team already on the scene. 2. Perform a quick visual scan of the victim(s). 3. Asses the victims consciousness level (verbal and non invasive physical prompt). 3. Perform the ABC check. 4. Extract the victim while keeping the victims head and neck in line with the torso as to avoid cervical spine injury. 5. Deal with major bleeding before resuscitating ( if the case applies). 6. Monitor the vital signs of the non critically injured ( this can be performed by bystanders/the non-injured in order to manage the crowd) The above can be "easily" done by a civilian (minus the extraction, which is doable... but tricky when alone). Nr. 4 and 5 can be inverted if you don't want to (risk) harm the victim.
Could you do a video on what to do in case of an overdose. Unfortunately ODs are becoming increasingly common (especially im america) and I think its something everyone should know how to treat
Are you in the medical field? It depends on what you are, and your scope of practice. Generally for an OD patient you would obviously check for a pulse and respiratory rate. Secure the airway because they might vomit and they could choke on it. That being said, you always want a suction device on standby. Last but not least you would administer narcan "Naloxone ". That will stop the opioids from attaching to the neuro system receptors. Opioids are known to cause respiratory distress which which is a main killer in Overdoses. Hope that helps for now..
Another excellent video thanks so much! I am learning so much from you, thank you for being such a good human and helping others help themselves and others too! I also really like that you explain the honest and serious side of this kind of trauma-you can only do whats possible in the field with what you know and what you have-a hospital is the ultimate fix. BUT actively helping to do what we can to help buy some time, its worth more than I can say. It might be the difference in saving a loved one. I do find lots of blood and gore to be scary but I want to be prepared! Please make more videos like this, : ) Thanks!!
I DON'T have a gallbladder anymore. They removed it via laparoscopic procedure. It was the worst thing that's ever happened to me, besides being shot and clinically dying twice, but nobody told me dying would be "no big deal." Almost EVERYone I met before this gall bladder removal told me it "was nothing," "doesn't hurt that much," "no big deal to concern yourself with" and I actually started beLIEVING them--then I got the operation and it felt like hell on earth. I don't think I would've lived through the operation the way they used to do them before the laparoscopic way was discovered. My brother had it the old way but he's a soldier by profession,
Very awesome video. It's your 1st one that I've seen. I will be watching more. Very informative, especially the part about not putting a pressure bandage on an abdominal wound.
This is so helpful. I needed a refresher. I haven't looked at an AP Book in a while. I was going for my M.A. back in 2009 and had to stop school 6 months from graduating. My Dean was pissed (Dean's List, Perfect attendance). Thanks for your hard work in the video. Still imbibing information and have to go back and finish. Single parents life is crazy. This stuff carries over to SAR. Sam is a rifle away from a combat medic. It's a different area mentally when you could possibly have to shoot someone and then apply abdominal trauma care. But it happens.
Great detailed explanation to help in case of an emergency. I would make one recommendation and that is to use simpler (layman terms) in your explanations. "Necrosis" - might not be a term many people would understand. Thanks for sharing your expertise and knowledge.
Thank you for the video as always. A question for you or whoever is knowledgeable on this: In case of an evisceration, if you don't have access to sterile water, is it better to use non-sterile water, or not moisten the dressing at all? The only sterile water I have in my trauma kit is two vials of phisyological serum, which wouldn't amount to much.
Where I worked it was more like 'Get them to a trauma center & wait 20 mins for a Trauma Surgeon to arrive, or wait for an operating room to become available.' It was like that so often, it alarmed me. I worked at a trauma center. I had 2 jobs.
Just a thought, unsure if you have done this on future videos. But as you are going through and describing the parts of the body, these areas could be highlighted as you mention each one, or a arrow points to the part of the body you are describing.
Hey Sam... quick question. You mentioned placing a bulky dressing on a puncture would but what about an occlusive dressing like a chest seal, etc.? We were trained to use an occlusive dressing on all puncture wounds from "neck to nuts". Great videos by the way!!
being that you are based out of a hospital what do you do when you are not on call, like do they have you help out in the ED or something. Love your videos are great knowledge and refreshers
We usually do our own work. Most of us have things we are in charge of such as education, special event planning, etc... We are not required to help in the ER but if they are super busy or have a cool case we will go over and help out. We all get a lot of tubes in the ER because the docs are awesome about letting us in on critical patients to help us practice.
When it comes to eviscerations, would you have to wrap them before moving the PT into the ambulance? Also what priority does stabilizing an impaled object take? Again would you do so before moving the PT? It doesn't fall under CABC or MARCH, but if moved, depending on the site, it could cause massive bleeding.
I watched the anime "Oshi no Ko" and saw how Ai Hoshino d!ed, which is through a deep frontal abdominal stabbing. She was stabbed in a major artery (descending aorta or inferior vena cava), which caused her profuse bleeding. Although the scene was very emotional, I just couldn't help but feel like something could've been done to save her🤔. I'm very glad I found this video👍. It's very helpful in case a situation like hers actually happen in real life🙏 Things I noticed: • She was stabbed once but very deep in the upper left or right quadrant • The knife had a lot of blood and gore • She was bleeding rapidly (a pool of blood formed almost instantly)
I'm reference to you saying "if it was a stab wound. You want to see how long the knife is and if there is any gore on the knife." I was always thought that you don't want to remove the object that is in the persons wound due to it could cause internal bleeding as well as possible shock due to blood loss due to removing object, such as a knife. As well as a question how would the person administering Aid to the victim know the size of object and if there is any gore on the object without removing the object? Thus causing internal bleeding and possible shock due to blood loss?
Hi Sam. Could you please attached english subtitles to your videos, because i know english little bit and not quite understand at the hearing. Thanks a lot for your work.
Damn. Here to learn about how to treat standard blunt/penetrating trauma for roleplaying/writing purposes. Didn't expect to see intestines but, yeah. Here we is.
Hey Sam wondering if you'd be able to do a video on EtOH poisoning and various recreational drug presentations/complications. I feel like some of us can become complacent in how serious these patients can be just due to burnout or bad practice
Hi, thank you for another nice video. What is your take on the use of hemostatic granules (e.g. Celox) on abdominal haemorrhage? Is it worth trying the hemoscatic agent without the possibility of effective pressure, or could it be even harmful in any way?
EMT basic. You wouldn’t want to put a chest seal on a wound that has the object of injury still penetrating. If there is a penetrating trauma in the thoracic cavity then yes seal it and check for and exit wound or other penetrating traumas during initial trauma assessment, but this is a video in abdominal trauma. You would never put a chest seal on an abdominal injury.
Evan Gagnon interesting, I thought chest seal was the way to go, good to know. So what would be the proper treatment for a gunshot wound in the abdomen or low back? He said cover with gauze, but Israeli bandage? I saw this video yesterday where a police officer shot a suspect, but they provided aid by an Israeli bandage on his back. I though that was the wrong move, and asked to myself why not put on a chest seal? The video is here: ruclips.net/video/Dkkcxdb5eQM/видео.html The shooting is within the first 30 seconds and they start providing aid around the 4:15 mark. What’s the right move?
Chest seals are for the chest. The chest is the thorax, not the abdomen. Many non-medical people think the chest includes both, but this is not the case. There is no treatment for an abdominal gunshot other than treating airway/breathing and giving blood etc. The only treatment for these injuries is surgery, so these patients require rapid evacuation to a trauma center. Cover with a sterile dressing and drive/ call 911. It doesn’t matter what you cover it with; could use an Israeli, an ABD pad, gauze etc. An occlusive seal isn’t harmful, just unnecessary. I couldn’t really tell if that wound in the police video was high enough to be in the thorax. I carry Vaseline gauze in my kits and would’ve probably used it along with a trauma pad and tape. Pretty much everyone will dress wounds differently, and there’s not just one “right” way. The important thing is to get him definitive care at the hospital. It sucks, but what you do before that is going to make little difference.
@@toastywaffles2551 They used the bandage because that's what they had. These bandages have a fair amount of gauze on them. The right move is to pack 'em and run 'em. A chest seal is meant to stabilize the difference between the outside environment and the intrathoracic pressure needed to allow for the lungs to expand. It has zero to do with bleeding, and everything to do with proper ventilation. Gauze is the right call.
Hi Sam! I hace a question about your video. If you have a patient, with a knife sticking from the abdomen, how fast do you need to get them into the OR? Do you treat the wound, assess if other wounds are visiable oder do you treat the wound and go directly into transport (other life threatening wound are already treated). Thanks.
In my TCCC courses, I was thought that any trauma above the belly button required a chest seal as any wound to the upper quadrants could cause pneumothorax and tension pneumothorax.
Just a guy trying to be able to help others if no one else can, no formal training here but I have a quick question: For massive bleeding (car accident, active shooter, etc), penetrating wound in say mid-torso, what should I use to stop the bleed (or at least lessen the bleed until the patient can get to a trauma center) chest seal or abd pad, and why?
MrGlobalTransport, the bleeding can only be controlled in surgery. The rib cage prevents pressure from being applied, and you cannot place anything inside of the wound because the heart and lungs are contained in the cavity. You should, however, use a chest seal. Although it will have no effect on bleeding, it will hopefully prevent air from entering through the chest wall and collapsing the lung on the affected side. If you do not have a commercial chest seal, you can use any air tight material with tape (plastic bag, petroleum gauze, glove etc.)
@@anthonypetrillo841Thank you for the response, I guess what I'm really trying to ask is this: How do you determine when to use a chest seal as opposed to gauze/bandage on a wound?
MrGlobalTransport, a chest seal should be used when there is penetration of the thoracic cavity (basically the area contained by the rib cage). Gauze can be used to pack extremity wounds or junctional (shoulder, groin, neck) wounds. Abdominal wounds should be covered but not packed. Vented chest seals are designed to vent air. Blood won’t come out very well, but if it did, that may actually be helpful. When blood is outside blood vessels, it doesn’t do any good. If too much builds up in the chest, it can actually put pressure on the heart and cause it to pump ineffectively. A surgeon will drain the blood by inserting a tube into the chest.
@@anthonypetrillo841 Thanks for taking the time to clear it all up for me. I definitely need training (with hands-on experience), and am figuring that part out now. In the meantime I've made a house and car kit and continue to find the knowledge I seek everywhere I can. Just want to be prepared for the slim chance that I could save a life one day.
A question: how you stabilize after rupturing the spleen, with blunt force trauma, say from car accident, and from stabbing, or other form of perforation? This is the most critical trauma of all, that's why I'm asking
It’s not the most critical trauma call of all times but it is serious. If you are a layperson there is not a lot you can do. Keep them warm and keep them calm then get them to the nearest OR as fast as you can.
If you hit your belly over a iron bar, could this damage organs? I tripped and hit my belly over a exercise machine. There is no open wound. But it hurt
Understanding that you cannot place preesure on the abdomen if there is internal bleeding, how than do you stop the bleed? Do you pack it with gauze? What if an artery that you mentioned is cut?
You should not pack the abdomen with gauze, as Sam explains in the video. The only think you can do is treat airway and breathing and get the patient to a surgeon right away for an exploratory laparotomy. The abdomen will have to be opened in an operating room so the source of the arterial bleeding can be found and any contamination can be cleaned out.
Bryan, right. If any of those vessels get hit, you’re in bad shape. I get it; we all want to help, and it sucks when you have to watch and do nothing. Just attempting to calm and reassure the patient is better than providing an incorrect treatment, though.
What is your opinion on having a Disposable Nasopharyngeal Airway in your kit? I have a set since it seems like one of the major areas of concern for life threatening injuries. Does anyone know what to do for young children/infants? what size would a 1 or 2 year old need? If im going to have items I want to make sure my whole family can be covered.
Can you clarify, gunshot to the abdomen. Control bleeding with pressure and quickclot is what i was taught, do you not suggest pressure? Is a gunshot wound to the lower back treated different?
what about object impailed in the chest? would it be allowing air into the chest cavity if it is not removed? would it be safer to leave it in place or pull out and chest seal?
Question so I pick up medical waste at the hospital and when I was there yesterday I was cutting something n slipped with the knife n it got turned around by an accident and I stabbed my self right below the center of my chest thankfully staff saw and went n got someone from the ER but they were moving so quickly cause they were swamp and they had me in and out of there pretty fast the doctor said the knife went in 1 to 2 inches but he did not want to stitch me up because I work with medical waste and was sure if bacteria got inside or not. They told me to not take a shower and I can take a bath but to not get it wet so my question is how do I clean it and should I be cleaning it? I’m just kinda nervous of it getting infected it doesn’t hurt at all intact didn’t even hurt when I accidentally stabbed my self which I thought was odd lol
![Noob To Max With DRAGON REWORK In Blox Fruits [FULL MOVIE]](http://i.ytimg.com/vi/LnBMOinoOvA/mqdefault.jpg)
I live in Jamaica. A LOT of knife, and machete wounds. Gunshot wounds are VERY rare. Here, ninety seven percent of gunshots result in death. I watch your videos to make sure I'm able to do more than just being a bystander, if I'm ever in the right place at the right time. Jesus said to "Love thy neighbor as thyself." Love is faith in action. I appreciate the videos.
God bless! Way to be a difference maker!
well done.
Very good attitude to have.
That sounds like London
John knife wounds are increasing exponentially here in the states. I think predators are seeing that it is easier to obtain, conceal and use knives over guns.
Yup, when seconds count LE/EMS are only minutes away.. I am amazed at the number of people who are not even remotely trained in first aid. Thanks brother for your part in fixing that.
I am working on it and have a few trauma bags I’ve made. One for home, car and carry.
Yea I wish it was taught in every hs especially how to do cpr being taught how to do cpr while calling 911 is a rly shitty way of having to learn they do teach first aid in Germany and everyone’s required to help most ppl have a first aid kit in their cars which I think is amazing wish it was like that here in the US 😭
you should write this out as a transcript i would very much like to read this a few times to get it into my head.
ai summarizer do that for you. Google it
Been an EMT since "1973" ........... still am!! Kid you are Great, keep the videos coming and ...... thanks for your service!!
Hi Sam! I have been watching your videos for a while, I'm going for my EMT soon! You inspired me to go into this field!!!!!
Ben Hall buy some puke resistant boots
And get some super thick skin as well. Some of these patients/coworkers will be brutal. Best of luck
Hey Ben! Super stoked you are starting your EMT program. Like both of the above said, thick skin and thick boots. EMS likes to eat it's young so don't be discouraged by a coworker or patient that chews you out or gives you shit. You would not believe the crap I get from my coworkers about having this channel😂.
PrepMedic the channel is very well put together and presented so take the crap and don’t quit.
Also look out for mothers who know how to treat their children more than you because they know everything.
Great job. I am a retired RN who has gone back into the work force as a Substitute School Nurse. One can never be too prepared or know too much. Thank you from me, old Grandma.
Thank you for this. I am in England and we have a knife crime epidemic going on, especially in our cities (London, etc) as guns (sidearms, etc) are illegal, and knives are easier to purchase and dispose of. I carry an EDC backpack with some basic first aid kit including an Israeli field dressing in it. My number 1 thing was treating a knife wound on me or telling someone how to do it to me OR me treating someone else to keep them stable before the Paramedics arrived and took over. I have subbed and will be watching all your videos as I am a visual learner, so can pretty much memorise them.
This is fantastic info. I wish there was more we could do as first responders, but it basically comes down to airway, stop the bleed, isolate injury, prevent heat-loss, and get the person to surgery as soon as possible.
These videos help me so much! Just finished anatomy section in my EMT-B/AEMT course. We are starting to get more into skills now ! This is so helpful!
I’ve been studying trauma for the last 6 hrs and figured I’d take a break and hop on RUclips. I’ve ended up watching all your trauma videos over the last hour even though I was sick of studying it in the first place. Good job, everything you’ve said was exactly in the AAOS Emergency book. I love your videos. Keep on keepin on.
Love these easy to remember High Yield videos. You're a rising star and a real asset for the RUclips firearms/gear/medical community! You're doing a lot of good for the world.
Awesome video buddy. Been in the marines for 6 yrs firefighter aemt for a few years. Awesome simple refresher. Love getting hem stable and to the pros. Not sure why so many people want set on scene for 30 minutes when we are 5 minutes from a trauma emergency room.
Not a medic but a writer and this is really helpful. Thank you
real
We got taught that if you have a knife impaled or anything in impaled in your abdominal. you can turn a gauze into a doughnut and use that around the impaled object. Love watching were the first aid ones brings back so much memories studying 2 maybe one day be a paramedic. Love the job I find it fantastic passion because it's never boring it's always something new and it's challenging. So I'm still happy with my first aid certificates I make my way up there one day.
That's one way, I was taught they're more preferable for the eye. But take time into consideration, look at how quickly he stabilized the knife compared to rolling gauze into a doughnut. Hope this helps
Like Ryet said, doughnuts are great for eye injuries but they are a waste of time in an abdominal injury and they don't conform to the object very well so they are not alway the best option.
@@PrepMedic ok thanks for that 😊
EMT basic. Great video never fails to keep me sharp on my knowledge. Nice to watch a video to take a break from the books. Maybe a video for civilians being able to triage who to treat first and what a civilian can do durning a car accident. Addressing the bystander effect and so on. Keep up the great work love the videos!
I used to be a volunteer EMT (not in the US) and our approach to road accidents was:
1. Check the area, independent of any other LEO or EMR team already on the scene.
2. Perform a quick visual scan of the victim(s).
3. Asses the victims consciousness level (verbal and non invasive physical prompt).
3. Perform the ABC check.
4. Extract the victim while keeping the victims head and neck in line with the torso as to avoid cervical spine injury.
5. Deal with major bleeding before resuscitating ( if the case applies).
6. Monitor the vital signs of the non critically injured ( this can be performed by bystanders/the non-injured in order to manage the crowd)
The above can be "easily" done by a civilian (minus the extraction, which is doable... but tricky when alone). Nr. 4 and 5 can be inverted if you don't want to (risk) harm the victim.
So you are "plunging" into the videos to keep your knowledge "sharp."
Got it.
I'm doing the same.
Could you do a video on what to do in case of an overdose. Unfortunately ODs are becoming increasingly common (especially im america) and I think its something everyone should know how to treat
Are you in the medical field? It depends on what you are, and your scope of practice. Generally for an OD patient you would obviously check for a pulse and respiratory rate. Secure the airway because they might vomit and they could choke on it. That being said, you always want a suction device on standby. Last but not least you would administer narcan "Naloxone ". That will stop the opioids from attaching to the neuro system receptors. Opioids are known to cause respiratory distress which which is a main killer in Overdoses. Hope that helps for now..
You can hold the government and big pharma accountable.
Found this channel today can’t stop watching it
still watchin'?
Love your videos sam! So Educational! Future Paramedic!
Very nice review. You mentioned all the important points, and I've been an ER doctor for 38 years. - M. Kirk, MD, MPH, FACEP
thank you from a normal citizen. may be very useful one day. especially the extra anatomy lessons make it very clear.
almost 400 likes and no dislike brother. proud for you
I am always super curious about the dislikes.
@@PrepMedic at least you don't have to be curious at this point, cuz it still remains no dislike at all lol
Another excellent video thanks so much! I am learning so much from you, thank you for being such a good human and helping others help themselves and others too! I also really like that you explain the honest and serious side of this kind of trauma-you can only do whats possible in the field with what you know and what you have-a hospital is the ultimate fix. BUT actively helping to do what we can to help buy some time, its worth more than I can say. It might be the difference in saving a loved one. I do find lots of blood and gore to be scary but I want to be prepared! Please make more videos like this, : ) Thanks!!
I DON'T have a gallbladder anymore. They removed it via laparoscopic procedure. It was the worst thing that's ever happened to me, besides being shot and clinically dying twice, but nobody told me dying would be "no big deal." Almost EVERYone I met before this gall bladder removal told me it "was nothing," "doesn't hurt that much," "no big deal to concern yourself with" and I actually started beLIEVING them--then I got the operation and it felt like hell on earth. I don't think I would've lived through the operation the way they used to do them before the laparoscopic way was discovered. My brother had it the old way but he's a soldier by profession,
Very awesome video. It's your 1st one that I've seen. I will be watching more. Very informative, especially the part about not putting a pressure bandage on an abdominal wound.
This is so helpful. I needed a refresher. I haven't looked at an AP Book in a while. I was going for my M.A. back in 2009 and had to stop school 6 months from graduating. My Dean was pissed (Dean's List, Perfect attendance). Thanks for your hard work in the video. Still imbibing information and have to go back and finish. Single parents life is crazy. This stuff carries over to SAR.
Sam is a rifle away from a combat medic.
It's a different area mentally when you could possibly have to shoot someone and then apply abdominal trauma care. But it happens.
Great detailed explanation to help in case of an emergency. I would make one recommendation and that is to use simpler (layman terms) in your explanations. "Necrosis" - might not be a term many people would understand. Thanks for sharing your expertise and knowledge.
Necrosis is the dying of an organ and tissue, caused by lack of blood supply or other injury.
Absolutely loved your video and will be showing it to my Emt Student thank you so much for this have a great day
Thank you for the video as always. A question for you or whoever is knowledgeable on this: In case of an evisceration, if you don't have access to sterile water, is it better to use non-sterile water, or not moisten the dressing at all? The only sterile water I have in my trauma kit is two vials of phisyological serum, which wouldn't amount to much.
A bottle of water should be ok but I am honestly not sure what the official recommendation is.
Where I worked it was more like 'Get them to a trauma center & wait 20 mins for a Trauma Surgeon to arrive, or wait for an operating room to become available.' It was like that so often, it alarmed me. I worked at a trauma center. I had 2 jobs.
Just a thought, unsure if you have done this on future videos. But as you are going through and describing the parts of the body, these areas could be highlighted as you mention each one, or a arrow points to the part of the body you are describing.
Do you have a trauma assessment/treatment playlist? I would binge watch all of it and probably comment if any concerns or questions I have.
I need to get on that.
I think these videos are helpful. One bite at a time - nothing wrong with that.
Great video. Like to get your take when it's WROL and treating injuries. What to stock up on etc.
Greetings from Finland. This is very good information.Thank you so much Sir!
Sisu
Hey Sam... quick question. You mentioned placing a bulky dressing on a puncture would but what about an occlusive dressing like a chest seal, etc.? We were trained to use an occlusive dressing on all puncture wounds from "neck to nuts". Great videos by the way!!
Thank you so much your videos are amazing the are so useful and content important note
Im military dentist and it help my so much
Hey man Ive been a sub for a long time I start my EMT cert on the 26 and I couldn’t be more stoked!!
Good luck brother!
Hey Nick how it going? Do you enjoy it or was it not for you?
being that you are based out of a hospital what do you do when you are not on call, like do they have you help out in the ED or something. Love your videos are great knowledge and refreshers
We usually do our own work. Most of us have things we are in charge of such as education, special event planning, etc... We are not required to help in the ER but if they are super busy or have a cool case we will go over and help out. We all get a lot of tubes in the ER because the docs are awesome about letting us in on critical patients to help us practice.
Love these videos! Ill be taking my EMT midterm next week.
Good luck!
I love these videos, please continue them. I'm going to get my EMT this summer and hopefully get employment with my county EMS next year!
Oh my goodness, love all these videos from a grrrrreat paramedic!!
When it comes to eviscerations, would you have to wrap them before moving the PT into the ambulance? Also what priority does stabilizing an impaled object take? Again would you do so before moving the PT? It doesn't fall under CABC or MARCH, but if moved, depending on the site, it could cause massive bleeding.
I watched the anime "Oshi no Ko" and saw how Ai Hoshino d!ed, which is through a deep frontal abdominal stabbing. She was stabbed in a major artery (descending aorta or inferior vena cava), which caused her profuse bleeding. Although the scene was very emotional, I just couldn't help but feel like something could've been done to save her🤔. I'm very glad I found this video👍. It's very helpful in case a situation like hers actually happen in real life🙏
Things I noticed:
• She was stabbed once but very deep in the upper left or right quadrant
• The knife had a lot of blood and gore
• She was bleeding rapidly (a pool of blood formed almost instantly)
I'm reference to you saying "if it was a stab wound. You want to see how long the knife is and if there is any gore on the knife." I was always thought that you don't want to remove the object that is in the persons wound due to it could cause internal bleeding as well as possible shock due to blood loss due to removing object, such as a knife. As well as a question how would the person administering Aid to the victim know the size of object and if there is any gore on the object without removing the object? Thus causing internal bleeding and possible shock due to blood loss?
Great, great videos. To the point, easy to follow, well organized in playlists. Well done!
Really informative video! Been focusing on GI assessments at university recently so this was very helpful!
Glad it was helpful! Hope school is going well for you.
Hi Sam. Could you please attached english subtitles to your videos, because i know english little bit and not quite understand at the hearing. Thanks a lot for your work.
Use synthetic graft arteries to controll arterial vascular bleeds, use a sedative serum
Great stuff! Had to watch a couple of times but it all made sense!
Excellent all important info in short transmission..!very educative!
Can I wrap an abdominal wound softy and loosely with no pressure, using an Israeli bandage to delicately keep the gauze in place?
Another awesome video, these videos help keep me up to date on my training thanks
I read a diagram where they said to use chest seal all the way from chest down to the belly button (meaning includes abdomen)
thank you for the knowledge you share with us for free
Also trauma and medical assessments, anaphylaxis, stroke, and mi tx.
Damn. Here to learn about how to treat standard blunt/penetrating trauma for roleplaying/writing purposes. Didn't expect to see intestines but, yeah. Here we is.
Hey Sam wondering if you'd be able to do a video on EtOH poisoning and various recreational drug presentations/complications. I feel like some of us can become complacent in how serious these patients can be just due to burnout or bad practice
Yes I think that will be one of my future videos.
Hi, thank you for another nice video. What is your take on the use of hemostatic granules (e.g. Celox) on abdominal haemorrhage? Is it worth trying the hemoscatic agent without the possibility of effective pressure, or could it be even harmful in any way?
It wouldn't do anything for you so It would honestly just be a waste of supplies.
PrepMedic Thank you for your answer.
Super outclass... much informatic
Would you not put a chest seal on a stab would or gunshot wound?
EMT basic. You wouldn’t want to put a chest seal on a wound that has the object of injury still penetrating. If there is a penetrating trauma in the thoracic cavity then yes seal it and check for and exit wound or other penetrating traumas during initial trauma assessment, but this is a video in abdominal trauma. You would never put a chest seal on an abdominal injury.
Evan Gagnon interesting, I thought chest seal was the way to go, good to know. So what would be the proper treatment for a gunshot wound in the abdomen or low back? He said cover with gauze, but Israeli bandage? I saw this video yesterday where a police officer shot a suspect, but they provided aid by an Israeli bandage on his back. I though that was the wrong move, and asked to myself why not put on a chest seal? The video is here:
ruclips.net/video/Dkkcxdb5eQM/видео.html
The shooting is within the first 30 seconds and they start providing aid around the 4:15 mark. What’s the right move?
Chest seals are for the chest. The chest is the thorax, not the abdomen. Many non-medical people think the chest includes both, but this is not the case. There is no treatment for an abdominal gunshot other than treating airway/breathing and giving blood etc. The only treatment for these injuries is surgery, so these patients require rapid evacuation to a trauma center. Cover with a sterile dressing and drive/ call 911. It doesn’t matter what you cover it with; could use an Israeli, an ABD pad, gauze etc. An occlusive seal isn’t harmful, just unnecessary. I couldn’t really tell if that wound in the police video was high enough to be in the thorax. I carry Vaseline gauze in my kits and would’ve probably used it along with a trauma pad and tape. Pretty much everyone will dress wounds differently, and there’s not just one “right” way. The important thing is to get him definitive care at the hospital. It sucks, but what you do before that is going to make little difference.
@@toastywaffles2551 They used the bandage because that's what they had. These bandages have a fair amount of gauze on them. The right move is to pack 'em and run 'em. A chest seal is meant to stabilize the difference between the outside environment and the intrathoracic pressure needed to allow for the lungs to expand. It has zero to do with bleeding, and everything to do with proper ventilation. Gauze is the right call.
So primarily assessment and supportive care and ER ASAP!
Hi Sam!
I hace a question about your video. If you have a patient, with a knife sticking from the abdomen, how fast do you need to get them into the OR? Do you treat the wound, assess if other wounds are visiable oder do you treat the wound and go directly into transport (other life threatening wound are already treated). Thanks.
Great video, Very informative. Thank you.
In my TCCC courses, I was thought that any trauma above the belly button required a chest seal as any wound to the upper quadrants could cause pneumothorax and tension pneumothorax.
Been waiting for this kind of video!
Have you seen my other videos in my first aid playlist?
Just a guy trying to be able to help others if no one else can, no formal training here but I have a quick question: For massive bleeding (car accident, active shooter, etc), penetrating wound in say mid-torso, what should I use to stop the bleed (or at least lessen the bleed until the patient can get to a trauma center) chest seal or abd pad, and why?
MrGlobalTransport, the bleeding can only be controlled in surgery. The rib cage prevents pressure from being applied, and you cannot place anything inside of the wound because the heart and lungs are contained in the cavity. You should, however, use a chest seal. Although it will have no effect on bleeding, it will hopefully prevent air from entering through the chest wall and collapsing the lung on the affected side. If you do not have a commercial chest seal, you can use any air tight material with tape (plastic bag, petroleum gauze, glove etc.)
@@anthonypetrillo841Thank you for the response, I guess what I'm really trying to ask is this: How do you determine when to use a chest seal as opposed to gauze/bandage on a wound?
And maybe a stupid question...when using a vented (Hyphin) chest seal, will blood pour right out of the vent?
MrGlobalTransport, a chest seal should be used when there is penetration of the thoracic cavity (basically the area contained by the rib cage). Gauze can be used to pack extremity wounds or junctional (shoulder, groin, neck) wounds. Abdominal wounds should be covered but not packed.
Vented chest seals are designed to vent air. Blood won’t come out very well, but if it did, that may actually be helpful. When blood is outside blood vessels, it doesn’t do any good. If too much builds up in the chest, it can actually put pressure on the heart and cause it to pump ineffectively. A surgeon will drain the blood by inserting a tube into the chest.
@@anthonypetrillo841 Thanks for taking the time to clear it all up for me. I definitely need training (with hands-on experience), and am figuring that part out now. In the meantime I've made a house and car kit and continue to find the knowledge I seek everywhere I can. Just want to be prepared for the slim chance that I could save a life one day.
6:49 answered the few questions i had.
A question: how you stabilize after rupturing the spleen, with blunt force trauma, say from car accident, and from stabbing, or other form of perforation? This is the most critical trauma of all, that's why I'm asking
It’s not the most critical trauma call of all times but it is serious. If you are a layperson there is not a lot you can do. Keep them warm and keep them calm then get them to the nearest OR as fast as you can.
Awesome video man! Learned some new stuff, refreshed on the old!
Im in Chicago.....Im watching intensely....
Great stuff, thank you for doing these videos!
If you hit your belly over a iron bar, could this damage organs? I tripped and hit my belly over a exercise machine. There is no open wound. But it hurt
Great video! Could you do a Paramedic Vlog?
Understanding that you cannot place preesure on the abdomen if there is internal bleeding, how than do you stop the bleed? Do you pack it with gauze? What if an artery that you mentioned is cut?
Load and go. Not much you can do prehospital.
If the artery is cut they're dead bud.... Not much you can do
You should not pack the abdomen with gauze, as Sam explains in the video. The only think you can do is treat airway and breathing and get the patient to a surgeon right away for an exploratory laparotomy. The abdomen will have to be opened in an operating room so the source of the arterial bleeding can be found and any contamination can be cleaned out.
@@anthonypetrillo841 even more so if the patient has an AAA, poor bastard better have luck on his side
Bryan, right. If any of those vessels get hit, you’re in bad shape. I get it; we all want to help, and it sucks when you have to watch and do nothing. Just attempting to calm and reassure the patient is better than providing an incorrect treatment, though.
What is your opinion on having a Disposable Nasopharyngeal Airway in your kit? I have a set since it seems like one of the major areas of concern for life threatening injuries. Does anyone know what to do for young children/infants? what size would a 1 or 2 year old need? If im going to have items I want to make sure my whole family can be covered.
Would it be bad to try and pack a puncture of a dominal wound say a gunshot wound. ??
PrepMedic: *Releases a fantastic and educational video*
Comments: “That’s a cool uniform”
😂
Cool video! Thank you so much! Can you say me where can I buy all these products in the USA please?
Excellent, as ever, many thanks.
Priceless!
Can you clarify, gunshot to the abdomen. Control bleeding with pressure and quickclot is what i was taught, do you not suggest pressure? Is a gunshot wound to the lower back treated different?
Nothing you can do pre-hospital. The bleeding will be internal and all you really can do is cover with a bulky dressing and get them to an OR.
what about object impailed in the chest? would it be allowing air into the chest cavity if it is not removed? would it be safer to leave it in place or pull out and chest seal?
Always leave in place.
Sam, loved the vid. Could you do treatment for burns? Telfla? Something like that?
Can you use iodine as a replacement to sterile water or Celine?
You can't pack it for bleeding but what about hemostatic granuals
Question so I pick up medical waste at the hospital and when I was there yesterday I was cutting something n slipped with the knife n it got turned around by an accident and I stabbed my self right below the center of my chest thankfully staff saw and went n got someone from the ER but they were moving so quickly cause they were swamp and they had me in and out of there pretty fast the doctor said the knife went in 1 to 2 inches but he did not want to stitch me up because I work with medical waste and was sure if bacteria got inside or not. They told me to not take a shower and I can take a bath but to not get it wet so my question is how do I clean it and should I be cleaning it? I’m just kinda nervous of it getting infected it doesn’t hurt at all intact didn’t even hurt when I accidentally stabbed my self which I thought was odd lol
Curious if it would be beneficial to apply a cheat seal to an abdominal penetrating wound.
I suppose it could be but if it is bleeding at all at least a pad will absorb the blood.
What happens to the peritoneum once it has been cut to remove my appendix? Is the peritoneum then sutured back or does it remain open?
is sutured back with an absorbable suture often polyglycolic acid.
Omg they gotta do something about the name tape over the right pocket, looks like your name is Mary Greeley.
It reminds me of that scene out of shaun of the dead where shaun is like “seriously uh, uh,(looks at name tag) Mary”
Ha! We use our name badges for our name and the name tape for our service. The logistics of getting custom name tapes was..... difficult in our area.
Still handsome
If you get shot in the appendix is it cool to just take it out?
Ok, not a medic, but trying to get knowledge in case of a mass casualty incident. So abdominal stabs/gunshots aren't packed?
I asked this before finishing the video, and he answered my question lol
Very good. Thank you.
Would it be ok to use normal potable water if no saline or sterile water is available?
I would imagine a bottle of water would be fine but I honestly don't know what the official recommendation is.
@@PrepMedic great.. Thanks
Tell me child complicated birth plz
Agree
Great video brother thank you
Beautiful uni man!
Very educative. ❤
Very educational, thank you!
Thank you brother
Wow Sam, more content like this bro
Thanks! I try to intersperse these but I need to do more of them.