How do you identify the affected side? The only thing I found on this video on 54 sec through 1:16 was The Absent Of Lung Sound. I don't want to insert the needle on the wrong side.
Realistically, an IV catheter is almost never going to be long enough. You need at minimum a 2 1/4" long catheter. The content/instruction/slides are good though. Can an updated one be made with a proper chest decompression needle?
I found an ars ndk stick in my goo. Ive forgotten why i had it. Watched the video and remember all the things i knew but had forgotten. Amazing video. Just the way i learned it. Thats fighting doc shit right there sally. Iraq 05-11.
90 degrees is correct. It should go straight down and never on the side where it might come in contact with tissues or organs you don't want to pierce. That doesn't mean their aren't exceptions and you could even place it in a different intercostal space, but for that you would need to have the training of a MD, PA, NP or RN that work in ED. Since you can really damage or kill a person. Finish HS and go learn some more, you're asking the right questions for someone in HS but you need a little more experience and education before you learn more advanced techniques.
@@namenotfound8747 Or a Paramedic, we do far more then any MD, PA or NP. Most places a RN is not allowed to do one, they yell for a paramedic or provider and care for the psych social needs. (just a little kidding--Nurses are awesome...)
@@kmmedic8030 I am familiar the scope of practice paramedics have, since I did a paramedic program in high school many years ago. But I would put that kind of training as a rough, dirty and straight to basics, what you need to know training. I believe my medical training I got in the Marines was a bit more specialized to trauma and gunshot wounds. Far more advanced then my training as a paramedic in those categories. When I was a RN in ED you are allowed to do this procedure, that doesn't mean every nurse did it or wanted to, but hey lazy nurses are everywhere. In other departments they are not allowed because they don't get as much experience as ER nurses so any good hospital that goes by evidence based practices avoids the unnecessary risk. Now as a MD, I can tell you that you wouldn't ever put a dermatologist to do ER work when they haven't work that sector in 5-10 years for the same reason you don't let an ICU nurse do a procedure that is a lot more common in ED but almost unheard of in the ICU, relatively speaking.
How do you identify the affected side? The only thing I found on this video on 54 sec through 1:16 was The Absent Of Lung Sound. I don't want to insert the needle on the wrong side.
Valuable information. Thank you! I think another good video would be for how to treat a sucking chest wound.
Realistically, an IV catheter is almost never going to be long enough. You need at minimum a 2 1/4" long catheter. The content/instruction/slides are good though. Can an updated one be made with a proper chest decompression needle?
Helpful. Appreciated.
It was very helpful
But is there any other way for puncture where we can't get a needle
Any alternative for the needle???
Large bone needle
I found an ars ndk stick in my goo. Ive forgotten why i had it. Watched the video and remember all the things i knew but had forgotten. Amazing video. Just the way i learned it. Thats fighting doc shit right there sally. Iraq 05-11.
thanks my grandpa was breathing weird, all better
Nice for osce
Merci docteur
Um i don’t wanna judge u cause I am in Highschool but u put it from the side so cause of the heart
Just don’t angle it towards the heart. If it’s properly positioned, it should be fine to go down at a 90 degree angle
90 degrees is correct. It should go straight down and never on the side where it might come in contact with tissues or organs you don't want to pierce. That doesn't mean their aren't exceptions and you could even place it in a different intercostal space, but for that you would need to have the training of a MD, PA, NP or RN that work in ED. Since you can really damage or kill a person. Finish HS and go learn some more, you're asking the right questions for someone in HS but you need a little more experience and education before you learn more advanced techniques.
@@namenotfound8747 Or a Paramedic, we do far more then any MD, PA or NP. Most places a RN is not allowed to do one, they yell for a paramedic or provider and care for the psych social needs. (just a little kidding--Nurses are awesome...)
@@kmmedic8030 I am familiar the scope of practice paramedics have, since I did a paramedic program in high school many years ago. But I would put that kind of training as a rough, dirty and straight to basics, what you need to know training. I believe my medical training I got in the Marines was a bit more specialized to trauma and gunshot wounds. Far more advanced then my training as a paramedic in those categories. When I was a RN in ED you are allowed to do this procedure, that doesn't mean every nurse did it or wanted to, but hey lazy nurses are everywhere. In other departments they are not allowed because they don't get as much experience as ER nurses so any good hospital that goes by evidence based practices avoids the unnecessary risk. Now as a MD, I can tell you that you wouldn't ever put a dermatologist to do ER work when they haven't work that sector in 5-10 years for the same reason you don't let an ICU nurse do a procedure that is a lot more common in ED but almost unheard of in the ICU, relatively speaking.
@@namenotfound8747 I was a Navy Corpsman from 84 to 2011, an IDC and assigned to the FMF over 17yrs of the 27 yrs of time. I hear you!!