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.
@rescueacademy1052 Жыл бұрын
Good insight thanks!
@BenAEMT11 ай бұрын
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 🚁 😂
@lynguy8824 Жыл бұрын
If I keep watching these I might as well sign up to become a nurse!
@rescueacademy1052 Жыл бұрын
Do it!!
@jermaroni11 ай бұрын
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.
@mrward6510 Жыл бұрын
If you put a syringe of saline on the top you can see the bubbles. So yeno your getting air out and no blockage
@linnachapa2410 Жыл бұрын
is this in Florida? I want to be part of the medic program never seen something this cool keep it up yall !
@rescueacademy1052 Жыл бұрын
Yep! South FL!
@linnachapa2410 Жыл бұрын
@@rescueacademy1052 no way! I'm at fort Lauderdale we're y'all located?
@rescueacademy1052 Жыл бұрын
@@linnachapa2410 hah! Small world the school is called EEI. It's in Coral Springs
@linnachapa2410 Жыл бұрын
@@rescueacademy1052 say no more I'm going to check it out Thank you
@jonathanparker3313 Жыл бұрын
I have had to have this done in the field
@Sammy-xi3cf Жыл бұрын
Dope video
@LZC943 ай бұрын
Great training aid! I just did my first one last night a year and a half into being a medic
@PraxZimmerman9 ай бұрын
Also a useful technique for removing radon from under the foundation of your house.
@isaac-vb1ng11 ай бұрын
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
@YesYes-yt3lb11 ай бұрын
So when you put in a NCD you are essentially giving someone a pneumo. So you're line of thinking is correct, but when you look deeper at what's going on the high pressure wants to go into lower pressure and you give it a way to equalize. NCDs are not very effective, but if you work suburban EMS sure it's fine, but when you work rural EMS you actually have to be proficient in your job
@isaac-vb1ng11 ай бұрын
@@YesYes-yt3lb thank you, I’m still a little confused though so would that be the equivalent of removing the pressure in the unpunctured lung after sealing the wounded lung?
@Nightraven263 ай бұрын
@@isaac-vb1ngafaik, you should not leave the thoracocentesis hole open to atmosphere, you should connect it to a 3-way stopcock and use a syringe to drain out the air bit by bit, while never having the pneumothorax be open to atmosphere
@MsKG-nl5ot Жыл бұрын
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?
@Isaac_cobo Жыл бұрын
that's awesome
@davidramey71865 ай бұрын
They go in sharps??? All these years I’ve been putting them in dulls!
@kylehiatt30043 ай бұрын
🤣🤣🤣🤣🤣🤣
@maciemarshall46427 ай бұрын
Not all pneumothoraxes are tension pneumos!!!
@leahbyard8179 Жыл бұрын
matter of fact I can hear the air rushing through there
@blue3g1 Жыл бұрын
Cool😎👍🏿
@petevenuti7355 Жыл бұрын
What is "tension" ?
@alp0249 Жыл бұрын
Short for tension pneumothorax. It is basically air caught in between the spaces of the lungs caused by trauma
@petevenuti7355 Жыл бұрын
@@alp0249 spaces of the lungs? You mean that membrane that surrounds the lungs?
@petevenuti7355 Жыл бұрын
@@alp0249 and simply speeking, thorax means chest? Right?, I'm aware pneumo means lung related.