Two things to add. If you’re using a SPEAR needle which it kinda looks like, it has a cutting top on the end of it. Use it to create a small incision in the dermis to prevent catheter bunching upon insertion. Also I have personally had more success using a syringe of saline that I squirt out and hook it to the top of the needle while I advance until I get air return, advance little further then wait a few seconds to let it stretch the muscle, then withdraw the needle and advance the catheter until it is buried. No need to secure it in my experience. Also good to mention that studies have shown the highest success rate is the anterior axillary line. Do remember if you think you’re too low, just go higher. It’s better to go higher than it is to go lower. You don’t want to be performing a liver or spleen biopsy.

Only did this once. Motorcycle accident, had a helicopter on the way due to mechanism, transport time, and initial info from dispatch (last one, definitely dumb on my part). Arrived on scene to find a motorcycle on the ground and a bunch of people talking. One was my patient, standing, some pain but otherwise alright. Canaceled the helicopter as they literally flew over my head. Did a standing backboard and when we laid him supine, he started complaining of difficulty breathing. Long story short - position can change things. Relief after needle decompression. Released about two hours later and we didn't need no stinking helicopter 🚁 😂

If I keep watching these I might as well sign up to become a nurse!

There are enough case studies showing why not to "lift up the needle while advancing the Cath" with x rays showing the catheter placed outside of the pleural space. Would recommend watching the NAR Spear video on correct use.

If you put a syringe of saline on the top you can see the bubbles. So yeno your getting air out and no blockage

is this in Florida? I want to be part of the medic program never seen something this cool keep it up yall !

I have had to have this done in the field

Dope video

Great training aid! I just did my first one last night a year and a half into being a medic

Also a useful technique for removing radon from under the foundation of your house.

They taught us in tccc for a tension pneumothorax to apply a chest seal have them breathe out as much air as they can and then apply the other chest seal, wouldnt putting the needle in just be another hole in the chest cavity? Or is it small enough that it’s just pushing any remaining air out while the lung is able to hold air and expand again? Would love to know

you should make a video on how to administer? i noticed package says it can be given I.M. i'm curious do we remove the sponge part to expose the needle?

that's awesome

They go in sharps??? All these years I’ve been putting them in dulls!

Not all pneumothoraxes are tension pneumos!!!

matter of fact I can hear the air rushing through there

Cool😎👍🏿

What is "tension" ?

You gonna eat that rib?

Prac app made right! 🤌🏾