Chest Trauma Treatment: Blunt, Penetrating, Impaled

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Chest Trauma Treatment: Blunt, Penetrating, Impaled

Рет қаралды 145,623

Күн бұрын

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.

Пікірлер: 216

@Whiskey_Actual 5 жыл бұрын

Hands down, one of the most informative channels on KZfaq.

@lockedon8953 4 жыл бұрын

I now like him more then skinny medic

@bashkillszombies Жыл бұрын

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.

@PrepMedic Жыл бұрын

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/

@mettahuttravels3183 5 жыл бұрын

As an old ER nurse go over choking treatment as a lot of folks panic.🙏🏻🙏🏻🙏🏻

@DarkAutumnNight 5 жыл бұрын

Between you and Garand Daddy my week is now complete.

@zits56able 4 жыл бұрын

DarkAutumnNight stopping holes fixing holes and making holes

@ukraine_tbic Жыл бұрын

Thanks again. 11 months into the war and I still watch your videos from time to time. Very helpful!!!!

@jamesjr8297 5 жыл бұрын

Keep up the good work as a emt in training this is real helping me

@Whiskey_Actual 5 жыл бұрын

Truth.

@EstocAD 5 жыл бұрын

Best of luck to you bro.

@mamabear4576 3 жыл бұрын

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.

@isaacconandoyle6681 2 жыл бұрын

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 :^)

@TheMisterMonkeyman 5 жыл бұрын

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.

@DKSorg 2 жыл бұрын

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.

@JoshuaWBledsoe 5 жыл бұрын

This channel is what the KZfaq gun community is missing. Such important stuff

@markwasserman9894 5 жыл бұрын

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.

@joseph7640 2 жыл бұрын

The internet is a powerful resource, and you contribute to its greatness.

@PrepMedic 2 жыл бұрын

I appreciate that brother!

@semperparatus678 2 жыл бұрын

Being a first responder I find this channel very informative. Thank you sir. I am a volunteer and not a professional.

@EstocAD 5 жыл бұрын

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!

@kichohana Жыл бұрын

Wanted to commend you on your professionalism and thank you for sharing your knowledge with others. This is the stuff that saves lives!

@whiterabit09 3 жыл бұрын

Your videos are excellent, I think you will save many lives educating us.

@brad885 5 жыл бұрын

I love the practical information you give. How do you not have a million subscribers?

@chris00gcg 5 жыл бұрын

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

@jordanabir 3 жыл бұрын

You’re channel was the final push to get into EMS 🚑 Have my Final Test today to finish the Medic Course

@middleclick7916 Жыл бұрын

Update?

@dennisgoins3743 3 жыл бұрын

I'm career LEO and your channel is great roll call training. God bless you.

@Shattered_Times 5 жыл бұрын

Thanks for the quality content. You deserve the 20k subs you have and then some

@h3684 2 жыл бұрын

Such an amazing channel this is. So beneficial. And I actually refresh on a lot of skills as a paramedic.

@luisafernandaramirez2520 5 жыл бұрын

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 !

@ukraine_tbic 2 жыл бұрын

Watching from Donbas Region right now! Thank you for these from us! 🇺🇦

@Hedgeflexlfz 5 жыл бұрын

Glad to see you have 20k subs, I hope you keep growing.

@jamescole5407 5 жыл бұрын

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.

@TheDisclaimer 5 жыл бұрын

I asked for a video on this and you made it. So thanks and congratulations on the good stuff.

@fmh357 8 ай бұрын

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.

@michael-gary-scott 5 жыл бұрын

You stabbing that box directly in front of your arm freaked me out

@kripar 5 жыл бұрын

Thank you for all the videos! You are a great teacher.

@user-wi2we4zp4v Жыл бұрын

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!

@leonardo2454 5 жыл бұрын

thank you for the information! nice to see a educative channel here in youtube for nursery. Brazilians still dont have one of our own

@inkscars6380 3 жыл бұрын

Great information brother! Thank you for the knowledge!

@npr386 5 жыл бұрын

Great to see your channel growing!

@chrismartin2540 5 жыл бұрын

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

@jhevgainz2307 5 жыл бұрын

If you haven't taken it yet, I'd recommend downloading the EMT review plus app

@chrismartin2540 5 жыл бұрын

I have that one and a couple others they've been really helpful

@chrismartin2540 5 жыл бұрын

Thank you

@aabb2639 5 жыл бұрын

Really enjoy your teaching style.

@nate18268 2 жыл бұрын

Awesome video and channel. I recently joined a SAR team and this type of info is extremely educational.

@stuffbywoody5497 11 ай бұрын

Thank you for making another informative and educational video.

@l_w6041 5 жыл бұрын

That into blows my eardrums out every time

@sambathchat8856 5 жыл бұрын

Great stuff bro. Keep up the good work. I'm a Tac-medi with my team and watch your stuff fir tips.

@imsogoingtodie 4 жыл бұрын

Exceptional info and very clearly relayed.

@deangullberry5148 5 жыл бұрын

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.

@deangullberry5148 5 жыл бұрын

@@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.

@deangullberry5148 5 жыл бұрын

@@PrepMedic good to know. Thank you.

@SMac8170 4 жыл бұрын

Fantastic vid man , great channel

@janodewald6087 5 жыл бұрын

Thank you for sharing your experience!

@aelobalthrop1413 5 ай бұрын

Awesome info!! Great videos

@MrGlobalTransport 5 жыл бұрын

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.

@whitejor0000 5 жыл бұрын

Another very informative video. Thank you.

@mgallager1449 2 жыл бұрын

I like your use of the box.

@iThomasF 5 жыл бұрын

Great video as always

@jmacd412 4 жыл бұрын

Great information! Well done!

@mikeburgan7675 11 ай бұрын

Great advice!

@v0rpalWeap0n 3 жыл бұрын

Great presentation.

@dr.unicorn5545 5 жыл бұрын

THE BOX 😂. But this honestly is a really informative and creative video. Thanks

@rickl.1603 2 жыл бұрын

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!

@emmatoskin8211 5 жыл бұрын

Really pretty good video for emergency medicine practice.

@roland.j.ruttledge 3 жыл бұрын

Fantastic, as ever, thanks.

@davidwood7530 2 жыл бұрын

Thank you sir I appreciate your Time and expertise

@choychanma5695 2 жыл бұрын

Excellent, thank you so much

@firstlookpro7282 4 жыл бұрын

Top notch information sir 👌🏾

@farmerwayne1404 4 жыл бұрын

Great info! Thank you very much....

@princesssilverblood 4 жыл бұрын

thank you!!

@realpolicetalk 5 жыл бұрын

Thanks obviously this is very useful to me reference my job.

@1967lathrop 5 жыл бұрын

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.

@odsthelljumpers7501 5 жыл бұрын

Saaaaaame

@1967lathrop 5 жыл бұрын

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.

@XSemperIdem5 4 жыл бұрын

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 🤷

@casams1992 5 жыл бұрын

Hell yeah! Stoked you get to go to swat school man. Hope you kick ass bro! Good luck!

@casams1992 5 жыл бұрын

PrepMedic of course man!

@josephdasaro4668 5 жыл бұрын

GOOD VIDEO, KEEP THEM COMING

@chiangchester2775 5 жыл бұрын

good job done bro!

@denispanarin 4 жыл бұрын

Russia here. Thanks man.

@renegade7493 5 жыл бұрын

I rank u up there with Skinny Medic and Dark Angel Medical. Keep up the good work.

@animod8797 5 жыл бұрын

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.

@VickiBee 5 жыл бұрын

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.

@wholeNwon 4 жыл бұрын

You are right but basically just the brachial artery and most repairs are pretty straight forward.

@user-kx9wj2oy2i 14 күн бұрын

thanks!

@prepperpov5852 5 жыл бұрын

Thanks so much!

@hcgpodin23 2 жыл бұрын

excellent!!!!!!!!!!!!!!!!!

@erikavillarreal7186 5 жыл бұрын

Good to know, my husband is a armed security guard gonna translate this for him Incase he ever sees himself in that situation. 👍

@Caligrl1044 2 жыл бұрын

awesome thanks

@jamespurks1694 5 жыл бұрын

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.

@marceloperez9742 5 жыл бұрын

Genial ! Gracias!!!

@brunoleclerc228 Жыл бұрын

Good job ! You could have mention alternative like plastic bag and tape on 3 edges to create a valve or is it obsolate !?

@russv4753 2 жыл бұрын

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.

@turkishninja4310 5 жыл бұрын

Please fill us in about treatment for blast injuries to the chest cavity

@kyleknight8267 5 жыл бұрын

Could you please in the near future do a video on IV/IO access?

@umbertocasagrande8871 5 жыл бұрын

also ET administration please :) Thx

@justanotherintrovert1012 5 жыл бұрын

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?

@surgery6862 5 жыл бұрын

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;)

@WilliamGarcia-tm5pc 2 жыл бұрын

Hey, hugs from brazil. I love your chanel. What do you think about the Rhino rescue gear? tks!

@DM-dy9bq 5 жыл бұрын

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?

@randycoffey2401 2 жыл бұрын

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.

@PrepMedic 2 жыл бұрын

Pneumothorax. Aka a collapsed lung. Putting a chest seal on a sucking chest wound can cause what is known as a tension pneumothorax

@daelinblack6681 3 жыл бұрын

I need to find out where I can watch a couple episodes of emergency..

@joeydr1497 2 жыл бұрын

Sting ray barbs have rearward facing spines so removing them without surgery rips a massive hole.

@kevinemerson5820 2 жыл бұрын

what would be the procedure for a penetration wound thats has air escaping through it, as well as a heavy bleed?

@melindamckelvey7470 4 жыл бұрын

Hey! You mentioned a stabbed trachea as an example of an obstruction... I'm that scenario, should you apply a chest seal?

@tylerlopez2074 4 жыл бұрын

So if you do have to pull out a object from a person, should you or can you apply a aclusive dressing.

@tydavis9557 4 жыл бұрын

Can you use an occlusive dressing on the larynx/trachea?

@bigd2829 2 жыл бұрын

Are HyFins something that I can carry in my first aid/trauma pack without an EMT? certification

@immortalgoatcapt.1165 5 жыл бұрын

If the object reach the heart or the lung in a peneterating chest trauma and the internal bleeding as larger as the Pt won't make it to the hospital in my country(Hungary) the helicopter doctor can perform pre-hospital thoracotomy to reach the damaged organ and stop the severe internal bleeding ;)

@gamazonproducts 9 ай бұрын

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

@kalen9277 2 жыл бұрын

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?

@rogerdickinson920 2 жыл бұрын

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

@user-pc1mi7wt5x 5 ай бұрын

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?

@DavidBurksgeneralprofilepublic Жыл бұрын

I had read that on a penetrating wound, with a collapsed lung, to roll the patient on the side of the collapsed lung then apply the chest seal. Would you agree?

@PrepMedic Жыл бұрын

No. I would just apply the chest seal