Trauma Assessment - Multiple Injuries (Part 1)

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12 жыл бұрын

This video - produced by students at Oxford University Medical School in conjunction with the faculty - demonstrates how to perform the initial assessment of a patient with suspected traumatic injury. This video is part 1 of a muti-system injury scenario (airway compromise, tension pneumothorax, bleeding and head injury).
All videos on this channel are linked to Oxford Medical Education (www.oxfordmedicaleducation.com)
This video was produced in collaboration with Oxford Medical Illustration - a department of Oxford University Hospitals NHS Trust. For more information, please visit www.oxfordmi.nhs.uk

Пікірлер: 56

@estelasteele1173 4 жыл бұрын

Brilliant! I love how there is someone letting the student know what he's finding on the patient.

@myczxr Жыл бұрын

indeed. this video is really nice

@OxfordMedicalVideos 10 жыл бұрын

This is a training video. Clearly in practice the speed and order may differ but the structure of this ATLS-based system ensures nothing is missed.

@iagoink 5 жыл бұрын

thoracocentesis isn't performed in the second intercostal space at the midclavicular line anymore. It is now recommended to punction the thorax at the 5th intercostal space between the mid-axillary line and the anterior axillary line.

@amitpatel86 5 жыл бұрын

Incorrect. this is an emergency needle aspiration of a tension pneumothorax. "Needle thoracocentesis" was described as taught by American, Australian and European guidelines.

@iagoink 5 жыл бұрын

thanks for your response. You should check out ATLS`s procedure description at it's latest edition. It says, ipsis literis: Needle Decompression "For adults (especially with thicker subcutaneous tissue), use the fourth or fifth intercostal space anterior to the midaxillary line"@@amitpatel86

@paska_lia4340 2 жыл бұрын

Hey i just watch this video and i agree with you

@paska_lia4340 2 жыл бұрын

But i have to say that this video was being publicated 10 years ago so during that times what he did is based on the procedure.

@chinthanaillukwatte Жыл бұрын

@@paska_lia4340 EXTRACTLY

@3lPaisita 9 жыл бұрын

great video, thanks!

@irsanabubakar4159 11 жыл бұрын

this is good movie for all doctors. we lear about all trauma case. thanks for shearing

@kittywaymo 11 жыл бұрын

Well done!

@tskcthulhu 8 жыл бұрын

6:01 what a nice nurse.

@safaozair6248 4 жыл бұрын

great job

@MaxSafeheaD 2 жыл бұрын

I wonder how much would be dropped from this for a field assessment and treatment. Especially this many years later how much has changed.

@luhar87 10 жыл бұрын

Perfect for my finals

@amandastevens1117 7 жыл бұрын

3:43 Great gloves.

@ksama3712 Жыл бұрын

Man! This is how OSCE should be😮

@JuhiMittal 7 жыл бұрын

Hello, Is not thoracocentesis done for fluid in the pleural cavity. Why does the student keep referring needle thoracostomy as thoracocentesis?Are they same?( I am medical student) Thanks in advance.

@amitpatel86 5 жыл бұрын

Both terms are interchangeable. thoraco (thorax) centesis (puncture for aspiration). refer to kzfaq.info/get/bejne/qbBlmKZ1qsnde30.html.

@frazzle657 3 жыл бұрын

I think the neck braces are being slowly taken out of service aren't they?

@dryoga_spesialiskulit 11 жыл бұрын

seriously? i think its a bit different than ATLS procedure right?

@Mezahru 10 жыл бұрын

on neck inspection must say about the neck veins distended or flat and for pneumothorax you will have tachycardia

@bryantruong7773 8 ай бұрын

this is good but we should assess neck before placing cervical collar, lookng for jugular vein distention, Tracheal deviation and cervical step off. then C collar should be applied

@harisht45 8 жыл бұрын

1.After the needle decompression of chest is there any role of under water seal of cannula ? 2.When trachea is midline .It is just pneumothorax right ?why tension pneumothorax?

@OxfordMedicalVideos 8 жыл бұрын

Hi Harish, 1. Emergency needle thoracocentesis is only a temporary procedure. After it has relieved the pressure you need to place a definitive drain (if indeed there was a tension pnuemothorax). This requires insertion of a chest drain, which is attached to an underwater seal as are all chest drains. See www.oxfordmedicaleducation.com/clinical-skills/procedures/intercostal-drain/ for details. 2. A tension pneumothorax is any pneumothorax where a pathological one-way valve leads to positive pleural pressure and subsequent venous compression with haemodynamic compromise. This MAY lead to tracheal deviation but you can have significant tension pneumothorax without tracheal deviation. Having said that, in trauma patients with tracheal deviation, respiratory and haemodynamic compromise, tension pneumothorax should always be top of your list. Hope this helps.

@harisht45 8 жыл бұрын

Thank you so much. If a patient is having pneumothroax with hyper resonant sounds with no obvious breathlessness & stable vitals with high hyperresonant sounds .Can we directly go for ICD than needle decompression ?

@OxfordMedicalVideos 8 жыл бұрын

Absolutely. If a pneumothorax is suspected clinically but there is no immediate compromise then no need to do needle decompression; you have some time. Get a CXR to confirm pneumothorax, followed by formal ICD. For usual pneumothorax management see guidelines on www.oxfordmedicaleducation.com/emergency-medicine/pneumothorax/

@rafapra3242 10 жыл бұрын

Excuse-me Sir, I believe there is a problem with this video.It`s stop working at 06:37.What`s happening?

@jerodast 5 жыл бұрын

It's continued in part 2 from where this part leaves off. KZfaq is showing an inaccurate duration, possibly left over in the original video file from when the original recording was split into 2 parts.

@hadad871 10 жыл бұрын

yes,i thought the same thing too

@deepthijose4207 Жыл бұрын

You have to connect the needle thoracostomy to an underwater seal, isn't it 🤔?

@wun-namn6129 Жыл бұрын

What was done was needle decompression, just a temporary management of tension pneumothorax. The definitive one which is a tube thoracostomy, should be connected to an under water seal

@vinay7793 8 жыл бұрын

tape secured with precision....meanwhile, pt arrests from hypovolemic shock/pericardial tamponade

@terryjames5670 10 жыл бұрын

IF he was brought in by paramedics, his c spine would already be immobilised and if he was unresponsive in a high mechanism trauma he would already be RSI by HEMS to protect airway and the pre alert call should mean there is already an anaesthetist waiting in the trauma bay or en route to.. This scenario is not at all realistic..

@marvingroves8456 7 жыл бұрын

This is exam practice, this simulates the exam setting quite well