Combat Medic Essentials │ Part 4: Needle Chest Decompression
Вставка
- Опубліковано 30 бер 2019
- This Tactical Field Care video is intended for all combatants and familiarizes you with Needle Chest Decompression. NCD is the go-to intervention when aiding a victim suffering from a tension pneumothorax. Watch more combat medic videos here: bit.ly/2J3yNu8
Available subtitles: English
Gear up with gear used in the video:
Striker XT gen.2 Combat Pants: bit.ly/2J3yQpO
Striker XT gen.2 Combat Shirt: bit.ly/2J5ywHc
Striker Gen.2 Boonie Hat: bit.ly/2J3ypvG
Guy doesn't even flinch wtf these are next gen soldiers pain receptors off. Great video love this free education that should be provided publicly all around the world !
Pain is smal but it's something wrong with video: you must't do it on healthy lung because you can couse the problem you cure!!!
@@lantas829 you can, if you don't know what you're doing. If you ram a big ass needle in there like a bullet you can. if you carefully puncture like this, not really that dangerous. And I'd assume if your job involves shooting guys who usually shoot back, you're pretty robust (no blood clotting or connective tissue disorders) and have a somewhat different approach to risk than the average person.
@@chrish.942 Thanks for explanation. And at war there is much higher level of personal risk accepted. Greate, bro👊
@@lantas829 you're welcome
@@chrish.942 I can see , they are better than cyvil anaesth and surgeon both!!!, wonder!!!✨👑🌟👑love u bro💚👊 i'm a crazy doctor here🔥💖
This guy is not only a good field medic, he is also a good entertainer, he knows how to crack jokes while still keeping things under control. What a legend.
Forgot to say no homo... patient expired.
maybe thats because he said that he swallows before the needle got put in
Props to the guy who allowed them to put a chest decompression needle inside his chest!
@@number4777. bitch boys complain about and hate on others feeling empathy because theyre bitches who complain and feel bad about themselves.
@@korvincarry3268 lmao so true bro....
@@number4777. stop trying to act tough buddy 🤣🤣🤣🤣, your such a tool......
I don't think they actually did it. I think they just cut the catheter to different lengths between cuts.
Connor Grossman hell of an editing job if so but your fucking with our super hero image with your logic!!!
i love the idea that this is a actual mission and this medic decided to start filming it while performing first aid on the casualty
Sorry to brake it to you but it's not an actual mission, everything you saw was ment for the the video
@@Hell.on.foot1 no shit guy
Part 5: self circumcision with plastic lid
You guys make some of the best videos and you always produce content of real value. Thank you for your time and effort to help the rest of us be a little wiser than we were.
@1:41 I love this channel, it's super informative and totally awesome. Please do not stick your face directly over the Chest Decompression Needle IRL though. It is likely to expel a good deal of blood along with any trapped air (which will be extremely foul smelling) and if you have your face hovering directly over the needle to listen for the "woosh" you are going to get blasted. Also, as previously noted the smell of a chest decompression is beyond foul, it's like having Mephisto rip a moist fart straight in to your grill. If you aren't used to it, or extremely strong in the stomach there is a chance you could retch and you do not want to risk vomiting on to your patient. Furthermore if the environment is extremely loud and you cannot hear the "woosh" then you can confirm chest decompression by auscultating their lung sounds. Once decompressed the diminished/absent sounds in the affected lung will return and their chest will begin to rise equally bilaterally again. Absolutely a great demonstration video of how to do a NCD!
Awesome videos! As an Advanced EMT my instructor told us about burping the wound, but I have not seen any videos even mention it. You guys are spot on and even show me more tricks. The jokes Crack me up! Keep the videos coming, love it!
I can handle the veiw of blood, guts, decapitations, and gunshot wounds. Once a needle comes out I cringe.
Yeah, seems about right. It seems that we don't like things that stab (e.g. needles). But everything else is fine lol.
Needles make me cry
Probably the most useful video series on youtube! Hands down
It's goon be my best day ever since my birthday + your video
That guy is a freaking badass. Amazing videos guys keep up the good work 🤘🏽
This is officially the best video on youtube on chest decompression, well done and a sub from me.
This Trooper is a real Pro! Great job Sir!
Please more of that. Best Series so far on this Channel. Keep it up ^^
Always enjoy the videos, plus you guys make em simple and fun to watch 😁👍❤
This is an amazing video. I'm nowhere near a medic or medical staff however, to have a time and age where everyone is more connected then ever....Is truly an achievement.
For the every day citizen, this is critical and dynamic information. Even if you are not into guns, the 2nd Amendment, etc. This shows us at least a general overview of what to expect. Also, if you don't carry a firearm daily, let alone own one. This shows a brief conclusion that you CAN in fact save lives. It also shows that even without a firearm, you can be a part of the fight. I'm rambling but, it's a video, let alone a mindset....That you can help even without a firearm.
With all of that being said, I want to also stress the TRAINING mentioned in the video...It is of utmost importance to know what you are doing. Whether it is medical, firearms, tactics, etc. Training at the end of the day, is what WILL make a difference. Take very professional courses, and FULLY understand what is at stake.
Be ready, be dynamic, be intelligent.
Thank you for the video.
Great series UF Pro. Solid work!
Props to the guy receiving the decompression needle. I’ve never heard of one being used in a non “real world” setting.
I'm pretty sure, the needle was only subcutaneous. Otherwise they may have caused a real pneumothorax...
This is the best series about combat medic. In this film I saw a parts of tactic. Maby some about it? Fire contact etc.
Would be amazing if you could do this type of series for other squad roles as well
it's funny how much I'm excited about this
Just in time for my CLS class. Thanks
These are awesome videos, just like being back in CLS with my Corpsman. We were never ballsy enough to actually use the NDs on our guys, only dummies with balloons so we'd get the "whoosh." The worst we had to endure was IVs and NPAs. Hats off to the guy that took it like a champ.
Well done. Big props to you all escpecially that sp!
Way more detailed training than I got at Ft. Sam Houston back in the sixties. They were pushing us through en masse back then.
The video is super awesome.
🙏
👍thank you. Took trauma class.. WTF easy to make holes. Harder to fix them... Please more trauma combat medic. May save someone. Or TRY !
THANK YOU..
BE SAFE.
BEST REGARDS.
Welcome back guys👍
Thank you for all of the education.
You guys are true professionals!!!!!
Alright jimmy we have to make a video addressing a gunshot wound. *Pulls back slide of side arm*
nice video perfect products and nice job with video!
Thank you!
Can't help but feel this is real
I love the video about Needle chest decompress training for the battlefield
Great training vids TY TY TY
This is beyond what I'm willing to do, but I'm still watching lol Good stuff!
Nice one
Nice job boys
did that guy take a real 14ga long nd cather?
he's either out of it, or he really took it like a champ!
are you serious guyz? :D :D
2:48 he blinked = A MAN
im a medic. And no
I love we can see this type of (really really good) content, that is very special we can watch this at home.
I am sure i want to join my countries sf unit, but i wasn't really sure what specialization i would go for.
Now i know thanks to this awesome guy and uhum "No homo" new role model :P
Vamosssss todavía ,otra capítulo más de esta gran serie
Hats off the " patient " love the channel
Good Products and Good Content.
This gives me the inspiration to be a combat medic
More medical videos with luka. He is great
Wow .. amazing
so short and so cool
Their kit is so clean
Everyone's comments on the needle insertion but totally glances over you and the THIRD dude full battle rattle. Ya'll just took the overboard award from Garand Thumb. Great video production btw.
Great job on that...very helpful...could you show how to deal with head injuries
Prayer
Nice
TCCC currently recommends a puncture in the anterior axillary line in the intercostal space :) 💪🏻
Nice video. For those wondering, it is too dangerous to do a needle decompression on someone who doesn’t need it. To do so, you run the risk of creating the very scenario that requires the technique in the first place.
I never understood needle chest decompressions with sucking chest wounds. Just burp it. They already have a hole, no need for a second unless you are doing a chest tube to drain the plural cavity.
the thought process is that while an NCD may create a tension pneumo, a TP is solved by an NCD, so if you NCD someone who didnt need it, and it causes a TP, they already have an NCD in place so its a non issue. I havent looked at any numbers or anything nor am I an ER doc so i cant say for certain how true that is, but thats the idea behind saying "you wont hurt your PT with an NCD even if they dont need it".
Cool, I’m gonna go try this right now!
Please don't...
UF PRO® Was quite literally a joke my friend ;)
Holy cow 😮 you actually punctured him!
guy took that ncd like a champ!
Awesome video once again. Its very hard to learn how to do a right NCD, but this video helps understand what i must do to deserve a UF Pro Combat Medic patch in my uniform :D
THANKS FOR SHARING👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍
And thats why i love the brothers from UF PRO
We are taught to go for nipple line and between second and third rib from the top.
legit videos
That guys a champ taking that needle
As we’re finding, doing a Needle Decompression is not a benign procedure. In the hands of an expert, just passing a needle if not needed has consequences. If it’s something you don’t know as well as you should, hitting the Liver, Spleen, Heart, Mediastinum, Internal mammary Artery, Infection and Pneumothorax are all on the list of possible complications. Somehow, Needle Decompression has gotten out there as a “Benign” procedure. If you can listen for a “Woosh” on the battlefield, pull your stethoscope out before you pass the needle and check for Decreased Breath Sounds. Try it at the Live Fire Range. Remember we’re do a procedure that can make our Casualty closer to KIA. Remember we’re doing this in TFC not CUF. Just some thoughts. Dr. Hull
Hello, thank you for your comment. For an NCD all you need is MOI and difficulty breathing if you got only these two you can do an NCD.
Don't take this out of context; if the patient already has a hole in his chest and a tension pneumothorax has not yet developed, we wont hurt doing this intervention but we just might save him if it has developed....this is what i am trying to say.
But i stongly agree with all your words.
Super
Pay attention: an NCD when he doesn't needs is definitely dangerous. You could create an hemothorax pluging the needle or even stab the left atrium... Stay safe brother.
What the actual fuck is this about inserting a big bore needle into a perfectly functioning lung? My medic training is over a decade old now but i would be very surprised if this is allowed in any training scenario. That shit is just asking for trouble; infection, breaking pleural vacuum, pleuritis, bleeding inside lung tissue or pleural cavity etc. Im no doctor but i feel pretty sure the list of possible complications is long.
@@olaruud9366 there’s a cut everytime the needle is progressively pushed/pulled in, my guess is that they have 3 needles of different lengths.
@@KhezuWiggles in the video they have a little blurb up in the corner saying it's not a big deal I think that's what op was referring too
@@tiggytheimpaler5483 ah, cool
how would you hit the left atrium if you positioned the needle in the correct site?
"Oh he's just gonna notionally put the needle in.." "anddd he just put the needle in"
1:30 omg wtf in dyng inside😂😂😂 good work guys
Once again: awesome! Are there more tccc video’s coming @ufpro ?
Yes!
Nice!!
I hope i will never have to do NCD :) but its good to know, better than not know at all.
I hope that was a test dummy because unless he needed that im sure thats no bueno. (Im not a doctor) and if he did need that then damn hope he's feeling good and doing well. These informative videos are great keep it up.
As the catheter doesn't have a spring release valve to release air but keeps good pressure how about attaching a small tube approx 3 ft long from the mouth of the catheter opening down to a small plastic container through a small hole filled 2/3 rd's with water?
Shout out to the guy who laid there and took it like a champ 🤝
Good vid and will show it to colleagues. One criticism, though: Fix the thoracentesis neelde to the patient!
Most ones available come with, what looks like, the tip of a felt pen or something. Use that to tape it to the chest of the pt.
If you don't have an NCD how often (after which time) you lift the occlusive dressing?
We really need to know if the guy had a chest wound and this was a regular operation, or only the needle part was real?
What an absolute chad
I remember watching our corpsman have to practice the Fast 1 i/o. But there’s always that one guy that enjoys pain haha
Omg that’s a real live guy!
Kind of hard to locate the 2nd rib space, especially when large pectorals.
That's one of the primary reasons this technique is reserved for absolute worst case scenarios, on the battlefield. EMT's don't do this because of the high risk and liability.
were yall using a cadaver for this demo?
I find it rather deficient. Hard to tell if the insertion is at the right place when filmed like this, but looks to high. More tricks to handle the NCD while inserting to counter different problems.
- Direct with finger on skin when hitting bone etc. Also the most pressure will release when removing the needle so get it out asap. This is a best case practice. I would love to see a video taking real life problems into consideration.
I'm saying this because i love this setup and the way to educate with videos like this.
“Because he needs another hole in his body, it’s not that funny” 😂 the way he got that
The Trauma Team from Cyberpunk in real life 🔥🔥🔥
I'm coming in late, but wouldn't an Asherman Chest Seal dressing be a better idea than a fully occlusive dressing?
First make sure you really do have a Tension PTx. Tracheal shift isn't subtle. Major DIB w low volume and Tympany, with no breath sounds on that side. With a chest wound you can do a 3 side occlusive dsg that acts as a valve most of the time. Blunt trauma is more tricky. Seen many needle decompressions done in the field that were not needed and now they bought a chest tube
What in the actual fuqqqqqqq, that guy just took that needle like a champ
How you do that without puncturing his lung? With a tension pneumothorax the lung is away from the plural lining..... but he didn't really have one so the lung would be on the wall?
HOW DO YOU USE THE ACCESSORY THAT YOU WEAR ON YOUR LEFT FOREARM?
Y con subtítulos , estos son videos
Do you burb when the patient inhales or exhales?
Hello im from indonesia any online course for this?
So what job would that be is that like everybody should be able to learn that and how would I join just asking
probably be Combat medic or equivalent MOS possibly CLS. You also have PJ's.
How do you choose the right site to use? And how can you specifically find the second intercostal space
Tech Reviewer 44 you looking for elevated ribcage position (but even if you puncture both sides the rule says that open pneumothorax is better than tension one). Second intercostal space is between 2 and 3ribs. So just count it but remember that 1rib is covered by clavicula so first rib you feel is actually second one. Best way is to find 3rd one and put needle on it and slide up (so you dont risk that you will hit any nerves or vessels.
Injured side, 2nd ICS, mid clavicular line. 2nd ICS is located using the sternal angle on palpation. You can feel it pretty easily, it's that "bump" on your sternum about a fists distance above the nipple line
Good video, but could be a bit more detailed on location and angle of the insertion (for example the needle along the top of the rib rather than the bottom and so on). And I can't stab my buddy with my SAK? How about a KaBar? An additional step to the burping which I read in one of Paul Auerbach's books suggests to unclog the initial hole to relive pressure. Thanks!
The details that you are talking about are in the video, for the army knife...i will refrain from commenting. Take care and stay safe
@@ufprogear I must not have payed attention then, and the Kabar was a joke hehe! Have a good one!
@@ufprogear I also didnt get these informations out of the video unfortunately
Tell him that if he doesn’t wake up then no more chow hall cakes, that usually does the trick
They now make vented chest seals. Would you recommend still carrying a decompression needle or are the vents reliable?!
You still want to burp the wound and carry a DN. Trust your training, not your equipment. As for still burping, the vent could fail to work so you still want to try burping it before NCD. You still want to carry a DN because the chest could've trapped air before you got the seal on or the air might not be released by the vent for a variety of reasons. You would use NCD in that case.
Damn I need to level up