You are talking about extravasation, and it is not pleasant. I hope you recover quickly.

@@realresponse how long does that normally take to go away, it’s been about 3 weeks since it’s happened and I thought it healed in a week?

@@sauciestconch9275 Best to go see your doctor for advice.

Thanks appreciate the feedback and support!

No it doesn't. It is an inhalational anesthetic rather than an opioid agonist.

@@realresponse I'm asking because I'm on methadone. Even though they don't employ this kind of medication in the United States, it's just interesting to see because it would help curb the opioid crisis.

@@realresponse May I ask what country you are from or residing?In I currently reside in New York State in the u.S

@@realresponse I'm gonna show this to my doctor when I go later this month because i'm very curious if they have this available because i've never seen it before

You are very welcome. Great work getting together a kit for your girlfriend and you. Such an important kit to have access to!

It's good

That is so great to hear, I just used it this afternoon for a patient with a ?humerus/clavicle fracture, was perfect! So happy that you are benefiting from it over there.

You guys still have paramedics over there?

Can you explain in more detail why it's so bad for a first aider to attempt this? Isn't the whole thing with major wounds that blood loss will have you dead in minutes if something like this isn't done

The whole premise of the Stop the Bleed movement is empowering people to take action in the absence of EMS. There is nothing magical about packing a wound. It is in the scope of care for anyone who is willing to attempt it. It is literally putting pressure on a wound which is both instinctive and non-invasive. Your comment is wildly inaccurate.

Yeah, I would need an explanation too. Of course, if EMS is there in <5min, then sure, but what's to be done by a normal person when the bleeding is faster than the professionals can get there.

​@ssygre I carry an IFAK with me, I got some basic skills, Should I not help? If I keep it steril and even if I pack the wound wrong, have I worsened the situation? No, Worst case I lessened the bleeding and EMT's can Overtake once they're on scene. Better then watching somebody loose 2 liters of blood in minutes.

You’re wrong. This is basic first aid direct pressure. -EMS professional

And how do you check for a spinal injury in an unresponsive patient? Unless there is witness report of a mechanism there's really no other way to assess. Airway, breathing and circulation are always priority as well.

@@erinwashere3757 yes of course ABC first. But I was taught in basic FA to at least run your hand along the spine to see if you notice and anomalies before moving them.

@@scottk6659 you can do that - you may not be able to detect much though. C-Spine injuries are the main ones we keep an eye out for and they often require us to palpate middle of the neck to see if it causes any pain to the patient. We also look for changes in neurological status such as numbness and tingling, altered sensations, weakness, photosensitivity etc. these all require the patient to be conscious. Also if you’re alone you won’t be able to assess their spine without causing more damage. Tyis all really depends on tye circumstances but spinal precautions do not matter as much in a cardiac arrest

He didn't want to do the video, so they had to persuade him somehow.

Its such a good technique, changed my practice since I was taught it,

Kudos to him 👍🫡

It also shows how important it is for everyone to learn how to deliver high quality CPR and have an AED nearby. This could happen in any office setting not to mention at home or elsewhere.

no, its an inhalational anesthetic

Good questions,
 It needs to be in the context of the wound you are suturing. Context being : why are you suturing and not leaving open…. or covering with dressing , opposing edges if able simply or packing and bandage ( unless bleeding which is where some sutures will oppose would edges and make a difference )? Once you get to definitive care site if any evidence of infection or if its a large wound it is going to be reopened and washed out with appropriate antibiotic cover intravenously regardless. Maximum time that we should need to have wound sutured is probably 48 hours. In the field ( if you are going to suture a deep wound ….its because its still bleeding… other means haven’t worked … you are not getting help in a hurry…) I would keep everything totally simple stick to Saline and do a thorough washout. Reasons for this: a. its easy and you can use a litre bag and infusion set and target into a laceration under pressure by squeezing bag. Dilution of the bacterial or infections load is the key point …. remove them so they cant multiply…Saline does not impede your view of what is going on .Also no issues with iodine/ betadine allergy etc. ( which is rare) and also ability to culture wound to provided targeted antibiotics later on is not impeded . One less thing to carry.. Save the betadine or chlorhexidine for when you are in the OR .( we use truck loads of it for each wound not just a simple ampoule or two) and you know that the wash can be done properly at the same time and the betadine/chorhexidine can do what its best at ie it mops up the few stragglers.. 2. As for depth…again contextual and location is obviously important… In general wounds ( man made or other ) if below the skin surface ie 1cm are closed in layers. Stronger sutures are used for the deeper layers. If not bleeding then pack / oppose edges with bandage or other means if able . If bleeding then its the deeper layer sutures that will stop the bleeding… use the sutures to pull the edges together… there is no specific depth … its more about what you need to achieve and what other things you have tried.

I was wondering the same thing, I wasn't sure what he meant.

Yeah take it out and start again

​@mantecastotch4260 you should keep packing on top of it, removing the gauze you just packed could disturb any clots that began forming and ruin any progress that has been made

Thank you for your service

nice, yes love that term