Chest Trauma Treatment: Blunt, Penetrating, Impaled
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- Опубликовано: 29 июл 2024
- A detailed overview of the assessment and treatment of chest trauma in the pre-hospital environment. This video covers blunt force trauma, penetrating trauma, and impaled objects.
Hands down, one of the most informative channels on RUclips.
I now like him more then skinny medic
OK City Children's Hospital found 50% of all infant mortality was due to nurses having long fingernails, they found more than 3mm of nail growth (i.e. pretty much any 'white' of the nail) was such a haven for viruses, bacteria, and fungii you may as well quit washing your hands) - and yet oddly this guy perpetually has long fingernails. That makes me very cynical of the information he is conveying. That's unacceptable hygiene for a medical professional. I understand he's not a doctor and I'm holding him to doctors standards, but christ this isn't rocket science.
Yeah so you heard a story and have grossly misquoted an incident that occurred back in 1997 where the same bacterial infections found in 16 babies in the OK NICU was linked to the fake fingernails of two nurses. Although a correlation was found, causation was never proven. It did change hospital policy to not allow fake fingernails but that’s it. “50% mortality” is blatantly false and the mm that you threw out is not mentioned in any of the cohort studies I read. Here are my sources:
pubmed.ncbi.nlm.nih.gov/10697282/
www.nnbw.com/news/2001/dec/20/long-fingernails-linked-to-bacteria-found-in-infan/
As an old ER nurse go over choking treatment as a lot of folks panic.🙏🏻🙏🏻🙏🏻
Thanks again. 11 months into the war and I still watch your videos from time to time. Very helpful!!!!
Between you and Garand Daddy my week is now complete.
DarkAutumnNight stopping holes fixing holes and making holes
Keep up the good work as a emt in training this is real helping me
Truth.
Best of luck to you bro.
Between you and SkinnyMedic I cannot thank you both enough for the comfort/confidence I have grown in. It's a great feeling knowing that I am better prepared and less prone to panic because of the things you've both shared.
I'd suggest you also find ways to train the thing you're watching videos about, things tend to get a lot harder when the elements of stress and adrenaline are involved so training in a controlled and calm environment is not enough either imo. But it's certainly a lot better then watching a few videos and assuming you're prepared, even if the information you get is really good and useful. Sssoooo get out there and train, you might even end up having fun :^)
This channel is what the RUclips gun community is missing. Such important stuff
Just got Certified to Teach First Aid in Canada. Understanding your Heightened Level of Response and Training is far above what I do....
It was how you explained it and your Props.
My Classes are gonna get much better, even if I am unable to pass on all aspects of what you have shared.
Hard Truths & Reality
-> Trauma is Not Fixed in the Field
-> Life over Limb & the Hard Choices that Follow.
I enjoy your videos, you are giving out really good info. One thing you didn't mention about the chest seals is to be really careful when peeling the plastic off of the "sticky side" of the seal. It's very easy for the seal to stick to itself and basically ruin it. Especially if you're wearing gloves. I had problems with that during training. I just thought it was worth mentioning. Keep up the great work. BTW I subscribed. Peace.
The internet is a powerful resource, and you contribute to its greatness.
I appreciate that brother!
for stabilizing an embedded object, you can make a log cabin or a doughnut around the object (different gauze techniques). This will both stabilize the object and help bleeding.
I bought a Mini-IFAK today from the North American Rescue, with those chest seals so that was a good starting point. Your awesome man keep the videos coming i think i have watched them all to date!
Great topic. Keep up the good work. The principles/tactics of how to treat chest trauma seem to have changed numerous times over the past 40 years.
You’re channel was the final push to get into EMS 🚑
Have my Final Test today to finish the Medic Course
Update?
Wanted to commend you on your professionalism and thank you for sharing your knowledge with others. This is the stuff that saves lives!
Watching from Donbas Region right now! Thank you for these from us! 🇺🇦
I found this channel about 2 months ago. I wish I would of knew about this a long time ago, I love this channel it really helps me out a lot
You stabbing that box directly in front of your arm freaked me out
Thanks for the quality content. You deserve the 20k subs you have and then some
I love the practical information you give. How do you not have a million subscribers?
Being a first responder I find this channel very informative. Thank you sir. I am a volunteer and not a professional.
Glad to see you have 20k subs, I hope you keep growing.
I just applied for my EMT program! Excited but nervous thankfully i took 3 years of healthcare in high school so I was able to understand what to do in this video so thankfully I have some knowledge going into the program !
Your videos are excellent, I think you will save many lives educating us.
I asked for a video on this and you made it. So thanks and congratulations on the good stuff.
Thank you for all the videos! You are a great teacher.
I'm career LEO and your channel is great roll call training. God bless you.
Great to see your channel growing!
That into blows my eardrums out every time
Such an amazing channel this is. So beneficial. And I actually refresh on a lot of skills as a paramedic.
thank you for the information! nice to see a educative channel here in youtube for nursery. Brazilians still dont have one of our own
Great information brother! Thank you for the knowledge!
Thank you for sharing your experience!
Great stuff bro. Keep up the good work. I'm a Tac-medi with my team and watch your stuff fir tips.
This is definitely a channel we needed, whether concerned citizens, "minutemen", or anybody who participates in high risk recreation. Thank you. I'll definitely be plugging your channel where I can.
@@PrepMedic you're absolutely right about that, and those same people usually look really confused when you point out that all the guns and ammo in the world don't amount to a hill of beans when you're bleeding out.
I have to catch up with your channel. I generally watch your videos at least twice, to make sure I catch all the info you're putting out, but I hope, when the time comes, you don't mind me making a few requests. I am one of those "minute man types" and the Combat Life Saver training I went through, back in the 90's is woefully outdated.
@@PrepMedic good to know. Thank you.
Exceptional info and very clearly relayed.
Really enjoy your teaching style.
Awesome video and channel. I recently joined a SAR team and this type of info is extremely educational.
Thank you for your channel. I know this is an old thread so probably won't be read. I have several first aid and advanced first aid along with an emt+ trauma medicine course. Mostly because I just didn't know how to triage or know what to do. I do however seek knowledge and continue to refresh myself as much as possible. Videos like this do help anyone who wants to learn.
Thank you! So easy to follow and understand. I was directed to watch this as part of the Remote Emergency Course here in Australia. I will now subscribe and learn more from you!
Fantastic vid man , great channel
Another very informative video. Thank you.
Thank you for making another informative and educational video.
I told 911 to tell the RP not to remove an impaled object or to tell the patient not to remove it and, when we arrived on the scene, the patient had removed a fish-cleaning knife from his cubital fossa. It's a good thing he doesn't know how many important vessels are in that area. I couldn't believe he missed every one of them pulling out the knife. But his wife, who was a nurse, was furious at him for doing it.
You are right but basically just the brachial artery and most repairs are pretty straight forward.
Great video as always
Thank you for another informative video, as a father and concerned citizen I hope that I will never have to use what I am learning but I want to be prepared to help whenever and wherever I can. Can you recommend where the average citizen can get training (bleeding control, CPR, basic first aid)? It feels good to have supplies/equipment and watching your videos definetely gives me the knowledge I need, but in my experience it is best to also get hands on training. Thank you and keep doing these great videos.
I'm an EMT student just about to do my nremt and you have been very informative and have helped me along with my studying I really look forward to your videos thank you and keep up the good work I love your channel
If you haven't taken it yet, I'd recommend downloading the EMT review plus app
I have that one and a couple others they've been really helpful
Thank you
Great information! Well done!
I really appreciate your content. I want to become an EMT and later a paramedic but I have misdemeanor drug charges in my background so it's been very hard to get accepted into the NREMT but I'm still going to try. Thanks again!
I have spent hundreds of dollars on med supplies, My wife thinks I’m crazy but she has thousands of dollars of shoes and purses. Thanks for the great video.
Saaaaaame
Yes sir. Thanks for all the info you give. I always wanted to be a paramedic but I fell a few times connecting iron now I can not work. But I watch all I can and you give some of the best content. Tanks much.
As a woman, I don't understand the obsession with ridiculously priced shoes and purses or "designer" fashion. I'm with you on buying med supplies instead 🤷
Fantastic, as ever, thanks.
Great presentation.
Top notch information sir 👌🏾
Really pretty good video for emergency medicine practice.
GOOD VIDEO, KEEP THEM COMING
Thanks obviously this is very useful to me reference my job.
I like your use of the box.
Hell yeah! Stoked you get to go to swat school man. Hope you kick ass bro! Good luck!
PrepMedic of course man!
good job done bro!
THE BOX 😂. But this honestly is a really informative and creative video. Thanks
thank you!!
Awesome info!! Great videos
Great info! Thank you very much....
Thank you sir I appreciate your Time and expertise
Great advice!
Excellent, thank you so much
I rank u up there with Skinny Medic and Dark Angel Medical. Keep up the good work.
Thanks so much!
Not a medic, although working may way to a PD. at the very least, these types of videos can help people know what to tell dispatchers when things go south in day to day life.
Russia here. Thanks man.
Genial ! Gracias!!!
Good to know, my husband is a armed security guard gonna translate this for him Incase he ever sees himself in that situation. 👍
thanks!
What would be done if a patient was, say, involved in a car crash, and suffered not only blunt force trauma, from either a seatbelt or other object in the vehicle, and was then impaled by an object, whether it be from the same vehicle or something else, what would be done there? which treatment would be considered higher priority?
excellent!!!!!!!!!!!!!!!!!
awesome thanks
Please fill us in about treatment for blast injuries to the chest cavity
Could you please in the near future do a video on IV/IO access?
also ET administration please :) Thx
If the patient have *lets say* knife stabbed into his neck like you said, can we do tracheostomy below the wound so we can prevent more bleeding?
Correct. In trauma cases, the goal is to keep the pt in as a stable condition as possible to give them the best shot at survival when you get them to a trauma center.
Hey! You mentioned a stabbed trachea as an example of an obstruction... I'm that scenario, should you apply a chest seal?
Can you use an occlusive dressing on the larynx/trachea?
Quite a bit late but one question I have is when there is a impaling object obstructing the airway, would, if it´s sticking in a "good" place, making an artifical airway below the object not make more sense than pulling it out?
August 2022, has the treatment of a penetrating chest wound changed?
I’m an OFA3 construction FA in Western Canada, similar level as a firefighter I’m told.
On my last recertification, we were told Not to use a chest seal but to use gauze instead.
As of 3 months ago, they, Worksafe, our overseeing Govt body is still preaching this.
I’m not able to find any support for the gauze method.
Our instructor told us to use our own discretion, so I think she disagreed.
Any thoughts?
Thanks
So if you do have to pull out a object from a person, should you or can you apply a aclusive dressing.
Work in am or.non trauma kind but ty for.replying also an I emt but very low exp so always learning great stuff here thank u! Good luck.on the swat training;)
what would be the procedure for a penetration wound thats has air escaping through it, as well as a heavy bleed?
Hi I known its been 5 years so I dont know if you will see it but
I am a new police officer and I am trying to understand how all the items in an Ifak works so I have this question
If we use a VENTED chest seal lets say in an stubing (so there is no exit wound) is it steal possible for tention pneumothorax to occur?
I do armed security and am trained in first aid, cpr, and trauma response I would like to one day become a EMT and work up to Medic but continue to work as an armed security officer.
okay so after doing a little more research I get the vent part at 7:23 but what do you mean by taking off the chest seal or the burp part
burping question - if the chest seal is vented, will it create pneumotorax? do I need to burp vented chest seal? (or its only for the non vented?)
Good job ! You could have mention alternative like plastic bag and tape on 3 edges to create a valve or is it obsolate !?
Are HyFins something that I can carry in my first aid/trauma pack without an EMT? certification
i remember using those bolin chest seals,holy shit those things would stick! do they still use those?
Great videos. Not a paramedic, just a guy trying to learn some basic first aid and how to help if needed. I do have one question. Again, I am not a paramedic, so pardon my ignorance. You mentioned when you place a bandage over a penetrating wound, it could cause "??? Thorax", where the bandage may need to be lifted to burp the wound. What is that called? I tried to listen to it the several times in your video and I couldn't make out what you mentioned. Keep up the great work.
Pneumothorax. Aka a collapsed lung. Putting a chest seal on a sucking chest wound can cause what is known as a tension pneumothorax
Hey, hugs from brazil. I love your chanel. What do you think about the Rhino rescue gear? tks!
Thoughts on chest tubes in the field?
Subscribed for sure :)
GL
I need to find out where I can watch a couple episodes of emergency..
What about a situation where you're impaled by a large tree branch in an area without reception or something where you can't get the person professional medical help right away and you need to be able to move them? Should you risk trying to remove them from the branch, or should you leave them and try to bring help back?
I'm curious about this because I've seen branches go through side by sides (offroad vehicles) before, and if they were to go into people it would be really bad. I'm not sure how to approach a situation like that where you have to relocate in order to contact emergency services
Leave them and get help if there's nobody else who can do it.