Finally at last, someone is SHOWING people what to do in a real life situation instead of just talking about equipment and supplies. Mega Thumbs Up !!!
My mother treated a Vietnam casualty at Fort Devens Massachusetts. It was an active base obviously back during the Vietnam war. This guy I'm not sure how he was wounded but the end result was a laceration across the abdomen that opened the peritoneum. Is large and small intestines were exposed and protruding. It was a very bad fire fight at the time and in order to get him out of the combat area they had to drag him through the brush and the dirt. When they got him back to the aid station they tried to deep breathe it wrapped him up send them on to I believe it was Saigon to domain hospital. They did further debridement send them on to Tokyo where they continued to try to clean the wound and just kept wrapping him up for the next flight. His last hospital of record would be Fort Devens. My mom took care of him. His wound had been open so long they could not so it shut and so they had to use some kind of wash to keep his internal organs from drying out and to keep bacteria from forming colonies making him sicker. As they were treating him they were gradually closing the wound from each side. And all while they were treating him little pieces of dirt and organic matter would slowly reach the surface. This obviously would be removed. The medication that they were using on is open wound back in 1967-68 cost over $2,000 a bottle. And they were using one a day. After many months of treatment this soldier was able to walk out of that hospital with some assistance to start his rehabilitation.
Internal Heart compressions are an actual procedure when a throacotomy is performed in clinical enviroment or also in prähospital situations. One actual case i remember was suicide with over 7 stitches around the heart with a kitchen knive. because of an upbuilding tamponade around the heart the doctor performed an clamshall thorakotomy in the MICU.
Wonderful information. I have a question about bags and packs. Have you ever used, or know anyone that uses a Arcteryx ILBE Recon Corpsman Assault Pack, I need to build up a kit to carry on my jeep that can handle a group of injured persons. Maybe you could do a interview with a Corpsman or get the pack and do a review. I know other that would like that as well.
My mother talked to me about doctors doing open heart massage during World War II. That's what she called it presumably that was what they called it in the hospitals. She was also a nurse in London during World War II during the Nazi blitz.
Hey how’s it going, I’ve been an EMT in a large inner city in northern New Jersey. It gets a lot of shootings and stabbings, I’ve also been in Emt Instructor for 22 years. It’s Jenn has some of the best videos there are
Thanks for the video.. We were just having this exact conversation the other day at work as far as what to do if hit in the chest... Quick Clot pads... seal it up w/ a chest dressing..... or both... We are cops, not medics.. LOL.. and the training we get w/ the kits are very limited.. Thanks.
Absolutely ! Your Channel along with Patriot Nurse, Nutnfancy, Scooth00, Crockett 20, 22 Plinkster, Late Boy Scout, Hickok45 , & Son, Mark Dice, Among others are my Top Favorite RUclips Channels ! I truly appreciate and enjoy as well as Respect All of your hard work bringing Us such Excellent Content and sense of Humor..... Sincerely, Doug
My dad told me how to handle a sucking chest wound. My dad was not a medic he was an armored crewman during World War II. In fact he was an E7 in the 6th Armored Division. During World War II and Korea they would sprinkle the area and the wound with salsa powder and then cover it with plastic or the soldiers poncho and then bandage it. You need to get them to the aid station pronto still because that air seal isn't the greatest. I don't think a clotting agent in the chest cavity would be a very good idea it could put a clot in the lungs for instance that could break off and travel to the heart and brain. No I am not medically trained in case you're curious. I did grow up around some medical things since my mother was a nurse. I have always been interested in medical treatments and frequently read articles on new treatments.
two questions 1.is it a good practice to use an abdominal imergency or isreali bandage for a chest wound or an abdominal wound. 2.if you use a vented chest seal wouldnt the vented seal effect the breathing of the "patient". thank you for what you do the information in your videos will help save lives.
My instructor thought us that anything above the belly bottom and down the jaw, you do not pack the wound but use a chest seal. Anything else below the belly bottom, you pack the wound. What is your intake on that?
Can you say more about abdominal injuries? What do we do if we see someone who has had their intestines come out like pictured? you said a dressing but that looks like a big bandage
Wait a minute if you're watching this video for medical advice and you can't stand the sight and smell of blood and guts than its pointless to get advice because if you're trying to save someone the last thing you want to do is throw up all over the place and most likely get some on or in the wound or some times even faint so if you can't help them find someone who can before something happens and make sure they're right next to you to help or just don't go anywhere where you can or will be shot/stabbed
Sometimes you just end up on this side of youtube. You go from watching How to restore old General Electric Key/Trunking Card systems and EDACS radio reviews to what to do when the hood starts popping off and moms is hit.
When you get confronted by a trauma, you don’t think about. You just do what you have to. Afterward the emotions hit you. I’ve never seen a real emergency where someone was like, “That guy is dying, but eww, gross! I don’t want to get blood on me.” People probably do throw up, but not on the patient. Just turn your head to the side? Haha. There are, unfortunately, those assholes who don’t have their priorities straight who film the victims instead of helping.
In the situation you set up, just having the knowledge would help, you could coach the other person through it. Dont be so damn rude, especially on videos that are about learning/helping others, really serves no point.
I know several EMTs who are incredibly calm and cool in real-life trauma situations, but are grossed out by gory photos. Doesn't prevent them from being good at their jobs. I'm an EMT trainee and I do great in real-life and am largely unbothered by photos, BUT. If I'm the one bleeding, I tend to faint. I'm NOT freaking out or screaming or throwing up when I've gotten seriously injured, and sometimes I can stay conscious enough to treat myself (I had a pretty deep knife wound on a finger from a kitchen accident a few months ago that would not stop bleeding and ended up needing quite a few stitches), but very frequently my brain nopes out at the sight of my own excess blood. Bleeding/trauma on someone else? I immediately get super calm until the situation is handled. I've been like that since I was a kid.
A good thing to do when wound packing is to take a sharpie and mark near the trauma the number of gauze you used in a circle. Helps let the surgeons know if they got everything before sticking up!
how to deal with injuries on the back? I heard you said chest seal but where it stops being useful, how far down? And where is that border where we stop using chest seal on the abdomen and start to use moist dressing on the belly? Thank you for any help with this.
Not an EMT but I believe he was saying that you would use a moist dressing on the organs if they were exposed/out of the abdominal cavity. As for the chest seal, you would use that if your patient had a sucking chest wound and was having trouble breathing. The best you could do for the abdominal area for bleeding control would be to apply some gauze pads and tape it down or wrap the abdomen with gauze/Israeli bandage. Just my thoughts and I’m open to corrections by anyone more knowledgeable than me,
OK no wound packing for the torso, but shoulder and the back is OK (the back as long as the spine is OK and it is not right near the spine) ??? When there is something on the Torso I do Cheast Seal it or do a not too tight bandage, when organs out a wet bandage and cover the whole spot also with less pressure.
very informative. thanks. I would definitely say though you should age restrict this video, as I wouldn't want it watched by younger people as its very graphic stuff.
I had a thought some time back, not just one of course just one of many, that using a Cotex Tampon as a bullet wound plug would be a good first aid approach. Having watched this video I am still on the fence about that. Do you have an opinion on that?
I don't currently have a chest seal in my trauma kit I use when I am working with chainsaws. I don't think I need one? Don't want to put anything unnecessary in there. I want it nice and light and easy to find stuff.
I seen a boy with a cut on his arm that went to the bone years ago and I puked. Just seeing the photo you showed made me squirm a bit. I've personally been in a couple horrible accidents and have even cut myself badly and I don't get sick, it's just when seeing others. Is this normal for everyone? Is it something medics like you overcome or get used to or are people in your trade naturally immune?
You would typically use sterile water or sterile saline solution on a trauma pad. If you had no supplies in an emergency, you could use distilled water or regular water on a trauma pad or other large dressing. It's not ideal, because you can't be certain of how clean/what's in that water, but you would at least prevent eviscerated organs from drying out, which is the primary concern here. A drying/dried out piece of intestine, for example, is basically dead tissue, hence why a trauma surgeon would remove it and connect up the pieces that were still viable. The dressing (ideally trauma pad) doesn't need to be soaking wet, but should be moist or damp all the way through. Depending on how much of an organ or organs were outside of the body, you could put a moistened dressing underneath the organ (i.e. where it is touching the skin of the abdomen), which helps keep it both moist, clean and prevents it from adhering to the skin (although that would take a while), as well as over top of the organ(s). Basically, you want to fool the eviscerated organ into thinking it's still nice and safe inside the body. Then you apply additionally dressings (usually not wet, but it would depend on the amount of exposed organ tissue underneath, and depending on the style of dressing available to you, either seal the dressing(s) with tape, or with a trauma pad/long dressing combo, you could wrap the remaining dressing around the patient's abdomen several times above and below the site of the evisceration. Top Hat Tutorials has a great short video on the latter technique, which usually not taught in my area. He even shows using cling film/saran wrap to reduce moisture loss and try to keep the area extra clean, once all your other dressings are in place. It's not mentioned in this video, but for both treatment and transport, you would lay a patient on their back with their knees up and their head slightly elevated, in order to reduce internal pressure on the abdominal evisceration (i.e. the forces pushing the organs out of the wound).
Must have been a slow day. Some days, particularly holidays, our area can get up to 6 GSVs in a single night. Some not as threatening as the others. A small caliber soft bullet hit in the lower leg through and through or a few grazings. Did you talk to any of the station 3 guys? Han will tell ya.
SMiller5488 Yeah, i don't have one of those in my IFAK (individual first aid kit). It's a trauma kit. An NCD will help prevent tension pneumothorax, so you can bet I'll be using one. I've just not been trained on the ones with seals and I have acquired a few.
I would need a joint in the morning a joint in the evening, and a joint at night if I did what you do every day. Atm a joint at night before be makes me feel alright. You need to smoke two joints before you smoke two joints and then just smoke some more
So for me, a law enforcement officer, and I respond to a scene for a gunshot wound victim. All in the torso area....am I just sealing the area off? What if it's a sucking chest wound? In the military I was trained needle chest decompression, but as a cop that's not my job. But once the scenes safe what would you suggest the first life saving measure should be on a gun shot victim in the torso area.
Finally at last, someone is SHOWING people what to do in a real life situation instead of just talking about equipment and supplies. Mega Thumbs Up !!!
My mother treated a Vietnam casualty at Fort Devens Massachusetts. It was an active base obviously back during the Vietnam war. This guy I'm not sure how he was wounded but the end result was a laceration across the abdomen that opened the peritoneum. Is large and small intestines were exposed and protruding. It was a very bad fire fight at the time and in order to get him out of the combat area they had to drag him through the brush and the dirt. When they got him back to the aid station they tried to deep breathe it wrapped him up send them on to I believe it was Saigon to domain hospital. They did further debridement send them on to Tokyo where they continued to try to clean the wound and just kept wrapping him up for the next flight. His last hospital of record would be Fort Devens. My mom took care of him. His wound had been open so long they could not so it shut and so they had to use some kind of wash to keep his internal organs from drying out and to keep bacteria from forming colonies making him sicker. As they were treating him they were gradually closing the wound from each side. And all while they were treating him little pieces of dirt and organic matter would slowly reach the surface. This obviously would be removed. The medication that they were using on is open wound back in 1967-68 cost over $2,000 a bottle. And they were using one a day. After many months of treatment this soldier was able to walk out of that hospital with some assistance to start his rehabilitation.
wow
You're mom is an Angel .SEMPER FI
“I wish I had a joint” 😂💀
Great video D! Good info to know. Thanks
Thanks for sharing the knowledge!!!👍
Thnx Skinny, that vid really brought som clarity. Appreciate wut u do.👍
I've taken tccc and just having your videos available for review are a helpful asset
great stuff as always
Excellent & educational as usual. Thank you!!!
Hellow My name is Mauricio ,I am from México.Great vídeo, thank you
Internal Heart compressions are an actual procedure when a throacotomy is performed in clinical enviroment or also in prähospital situations. One actual case i remember was suicide with over 7 stitches around the heart with a kitchen knive. because of an upbuilding tamponade around the heart the doctor performed an clamshall thorakotomy in the MICU.
Im glad there are good folks like you to patch up floks like this! I would pass the heck out!
What happened to the fellow in the pic? Sheesh...
It's a survivable injury, as long as you keep the intestines moist enough
great information as always brother.
Always good info/advice - thanks, SM
Enjoy your videos. I've learned a lot - or at least I think I have. Just hope I never have to put it to the test.
Awesome Video Sir, Thank you!!!!
Another awesome video! 👍🏼
Wonderful information. I have a question about bags and packs. Have you ever used, or know anyone that uses a Arcteryx ILBE Recon Corpsman Assault Pack, I need to build up a kit to carry on my jeep that can handle a group of injured persons. Maybe you could do a interview with a Corpsman or get the pack and do a review. I know other that would like that as well.
Hey thanks for the info I always wondered about that.
Great video Brother Bless You 😊
Great info as always.
My mother talked to me about doctors doing open heart massage during World War II. That's what she called it presumably that was what they called it in the hospitals. She was also a nurse in London during World War II during the Nazi blitz.
Good stuff. Thanks from Texas!
Hey how’s it going, I’ve been an EMT in a large inner city in northern New Jersey. It gets a lot of shootings and stabbings, I’ve also been in Emt Instructor for 22 years. It’s Jenn has some of the best videos there are
Thanks for the video.. We were just having this exact conversation the other day at work as far as what to do if hit in the chest... Quick Clot pads... seal it up w/ a chest dressing..... or both...
We are cops, not medics.. LOL.. and the training we get w/ the kits are very limited..
Thanks.
GREAT help thank you for the video. :)
Great video!
Wow...!!! Great job. Thanks
Medic so tactical he says fantactic :3 Great videos, bro, thanks!!!!
Love your Channel Brother !
Thank you!
Absolutely ! Your Channel along with Patriot Nurse, Nutnfancy,
Scooth00, Crockett 20,
22 Plinkster, Late Boy Scout, Hickok45 , & Son, Mark Dice,
Among others are my Top Favorite
RUclips Channels !
I truly appreciate and enjoy as well as Respect All of your hard work bringing Us such Excellent Content and sense of Humor.....
Sincerely, Doug
No particular order in channels
My dad told me how to handle a sucking chest wound. My dad was not a medic he was an armored crewman during World War II. In fact he was an E7 in the 6th Armored Division. During World War II and Korea they would sprinkle the area and the wound with salsa powder and then cover it with plastic or the soldiers poncho and then bandage it. You need to get them to the aid station pronto still because that air seal isn't the greatest. I don't think a clotting agent in the chest cavity would be a very good idea it could put a clot in the lungs for instance that could break off and travel to the heart and brain. No I am not medically trained in case you're curious. I did grow up around some medical things since my mother was a nurse. I have always been interested in medical treatments and frequently read articles on new treatments.
GOD BLESS YOU SON.
man, I wish I can pass you the joint ha. thanks for all the info and help.
Bro kinda reminds of Philip Graves; No bullshit, straight to the point and quite the accent
wish I had a joint LOL good one buddy good review keep up the great work
HAHA .. I can't wait for that "Review"
SkinnyMedic me either....lol
I LOL'd at that one too.
That was pretty funny 😂
Thank you so much.
Good job bro
LMBO wish I had a joint ... that was funny but very good video
still a good video...well explained for me
good stuff,
two questions
1.is it a good practice to use an abdominal imergency or isreali bandage for a chest wound or an abdominal wound.
2.if you use a vented chest seal wouldnt the vented seal effect the breathing of the "patient".
thank you for what you do the information in your videos will help save lives.
Ah sweet no ads
My instructor thought us that anything above the belly bottom and down the jaw, you do not pack the wound but use a chest seal. Anything else below the belly bottom, you pack the wound. What is your intake on that?
TY
What should be done if there is a serious neck injury? Whether it be a break or blood/puncture?
SkinnyMedic can I use a vented chest seal for abdominal or neck wounds?
In my emt class they wound packed the chest yesterday and were in our skill station section..hopefully nremt isnt against it
Can you use celox granules in the carotid artery
Where are all the places you can use the celox granule applicator? The same places as you would wound pack?
Hey skinny medic! I going to take my emt training this next year, any advice?
Can you say more about abdominal injuries? What do we do if we see someone who has had their intestines come out like pictured? you said a dressing but that looks like a big bandage
What about celox or quick clot granules on chest and abdominal penetrating wounds?
just curious in a controlled hospital environment would it be normal to use hemostatic powder in a chest wound?
Wait a minute if you're watching this video for medical advice and you can't stand the sight and smell of blood and guts than its pointless to get advice because if you're trying to save someone the last thing you want to do is throw up all over the place and most likely get some on or in the wound or some times even faint so if you can't help them find someone who can before something happens and make sure they're right next to you to help or just don't go anywhere where you can or will be shot/stabbed
Sometimes you just end up on this side of youtube. You go from watching How to restore old General Electric Key/Trunking Card systems and EDACS radio reviews to what to do when the hood starts popping off and moms is hit.
When you get confronted by a trauma, you don’t think about. You just do what you have to. Afterward the emotions hit you. I’ve never seen a real emergency where someone was like, “That guy is dying, but eww, gross! I don’t want to get blood on me.” People probably do throw up, but not on the patient. Just turn your head to the side? Haha. There are, unfortunately, those assholes who don’t have their priorities straight who film the victims instead of helping.
In the situation you set up, just having the knowledge would help, you could coach the other person through it. Dont be so damn rude, especially on videos that are about learning/helping others, really serves no point.
I know several EMTs who are incredibly calm and cool in real-life trauma situations, but are grossed out by gory photos. Doesn't prevent them from being good at their jobs. I'm an EMT trainee and I do great in real-life and am largely unbothered by photos, BUT. If I'm the one bleeding, I tend to faint. I'm NOT freaking out or screaming or throwing up when I've gotten seriously injured, and sometimes I can stay conscious enough to treat myself (I had a pretty deep knife wound on a finger from a kitchen accident a few months ago that would not stop bleeding and ended up needing quite a few stitches), but very frequently my brain nopes out at the sight of my own excess blood. Bleeding/trauma on someone else? I immediately get super calm until the situation is handled. I've been like that since I was a kid.
A good thing to do when wound packing is to take a sharpie and mark near the trauma the number of gauze you used in a circle. Helps let the surgeons know if they got everything before sticking up!
For a chest GSW, would you at least put hemostatic granules in the wound before applying the Hyfin chest seal, or just the seal alone?
you my go to guy. Where can I go on average for free medic type training. If not free then cost effective?
Hello there Skinnymedic, after applying the chest seal, what we must do if blood stills came out from the wound ?? is someway to stop it ??
Easy doper. Lol. Great advice/knowledge as always.
how to deal with injuries on the back? I heard you said chest seal but where it stops being useful, how far down? And where is that border where we stop using chest seal on the abdomen and start to use moist dressing on the belly? Thank you for any help with this.
I pray to God you don’t live in my state.. ZERO common sense.
Not an EMT but I believe he was saying that you would use a moist dressing on the organs if they were exposed/out of the abdominal cavity. As for the chest seal, you would use that if your patient had a sucking chest wound and was having trouble breathing. The best you could do for the abdominal area for bleeding control would be to apply some gauze pads and tape it down or wrap the abdomen with gauze/Israeli bandage. Just my thoughts and I’m open to corrections by anyone more knowledgeable than me,
OK no wound packing for the torso, but shoulder and the back is OK (the back as long as the spine is OK and it is not right near the spine) ???
When there is something on the Torso I do Cheast Seal it or do a not too tight bandage, when organs out a wet bandage and cover the whole spot also with less pressure.
Doctors still manually pump the heart, I’ve seen it 2 times in traumatic cardiac arrest
very informative. thanks. I would definitely say though you should age restrict this video, as I wouldn't want it watched by younger people as its very graphic stuff.
Also don't try to place exposed intestines back inside. Just cover them up qith a moist dressing like he said.
I had a thought some time back, not just one of course just one of many, that using a Cotex Tampon as a bullet wound plug would be a good first aid approach. Having watched this video I am still on the fence about that. Do you have an opinion on that?
Oh look! There's a video titled "Tampons in a trauma kit?!?!?" I'll watch that'n next.
That thumbnail had me like O..o
What would you do for a compound fracture?
CoGhostRider Seems legit
Knee to the groin.
I don't currently have a chest seal in my trauma kit I use when I am working with chainsaws. I don't think I need one? Don't want to put anything unnecessary in there. I want it nice and light and easy to find stuff.
The right lung is larger because of the placement of the heart.
I seen a boy with a cut on his arm that went to the bone years ago and I puked. Just seeing the photo you showed made me squirm a bit. I've personally been in a couple horrible accidents and have even cut myself badly and I don't get sick, it's just when seeing others. Is this normal for everyone? Is it something medics like you overcome or get used to or are people in your trade naturally immune?
Many surgeons are sociopaths who enjoy the cutting. Nothing wrong with it.
Shane K cuts, wounds, dead people are no problem it's puke and shit smell that I hate.
Skinny, apologies if this was asked already, but you're saying a water-dampened/ soaked dressing is sufficient for the abdominal trauma?
You would typically use sterile water or sterile saline solution on a trauma pad. If you had no supplies in an emergency, you could use distilled water or regular water on a trauma pad or other large dressing. It's not ideal, because you can't be certain of how clean/what's in that water, but you would at least prevent eviscerated organs from drying out, which is the primary concern here. A drying/dried out piece of intestine, for example, is basically dead tissue, hence why a trauma surgeon would remove it and connect up the pieces that were still viable.
The dressing (ideally trauma pad) doesn't need to be soaking wet, but should be moist or damp all the way through. Depending on how much of an organ or organs were outside of the body, you could put a moistened dressing underneath the organ (i.e. where it is touching the skin of the abdomen), which helps keep it both moist, clean and prevents it from adhering to the skin (although that would take a while), as well as over top of the organ(s). Basically, you want to fool the eviscerated organ into thinking it's still nice and safe inside the body. Then you apply additionally dressings (usually not wet, but it would depend on the amount of exposed organ tissue underneath, and depending on the style of dressing available to you, either seal the dressing(s) with tape, or with a trauma pad/long dressing combo, you could wrap the remaining dressing around the patient's abdomen several times above and below the site of the evisceration. Top Hat Tutorials has a great short video on the latter technique, which usually not taught in my area. He even shows using cling film/saran wrap to reduce moisture loss and try to keep the area extra clean, once all your other dressings are in place.
It's not mentioned in this video, but for both treatment and transport, you would lay a patient on their back with their knees up and their head slightly elevated, in order to reduce internal pressure on the abdominal evisceration (i.e. the forces pushing the organs out of the wound).
La county EMT here,was talking to a compton fire medic and he told me he had 6 GSWs in 1 day.
Must have been a slow day. Some days, particularly holidays, our area can get up to 6 GSVs in a single night. Some not as threatening as the others. A small caliber soft bullet hit in the lower leg through and through or a few grazings. Did you talk to any of the station 3 guys? Han will tell ya.
SkinnyMedic, if I use a chest seal with a valve, I still use the NCD (needle decompression device) right??
nvm, they are different tools for the same thing
BubblewrapOracle you listen, the stethoscope will tell you what you do/don't need.
SMiller5488 Yeah, i don't have one of those in my IFAK (individual first aid kit). It's a trauma kit. An NCD will help prevent tension pneumothorax, so you can bet I'll be using one. I've just not been trained on the ones with seals and I have acquired a few.
When you recieve the training to do needle decompression, you will learn when to do it. The answer to your question is, it depends.
What happened to the guy that his guts spilled out?
What if someone has a hairy chest?
Also what if their lungs fill up with blood.
In nj, you dont wound pack at all:/
I would need a joint in the morning a joint in the evening, and a joint at night if I did what you do every day. Atm a joint at night before be makes me feel alright. You need to smoke two joints before you smoke two joints and then just smoke some more
So for me, a law enforcement officer, and I respond to a scene for a gunshot wound victim. All in the torso area....am I just sealing the area off? What if it's a sucking chest wound? In the military I was trained needle chest decompression, but as a cop that's not my job. But once the scenes safe what would you suggest the first life saving measure should be on a gun shot victim in the torso area.
ABCs bro what
you would have to pack a lot of gauzes to pack a chest wound haha
So in that image, what happened exactly? Was that a large knife cut?
Not sure
Probably best to explain what your gonna show before you show it. I definitely didn’t expect to see a dudes guts spilled out lol.
Brah what happened to him
I get so queasy and uncomfortable watching this stuff. Like I can suddenly feel every heart beat and hair follicle on my body.
Guy is bleeding out
Quick pack it with combat gauze!
idk man thats kinda expensive
lmao. no offense just found that a little funny
Just kidding...not really, I feel that
I would've killed my battle buddy. Thank you for the education.
Sorry buddy, your life isn't worth a case of gauze, that's some serious money right there.
Kinda obvious ;)