How to do emergency needle thoracostomy with seal for tension pneumothorax
Vložit
- čas přidán 11. 11. 2022
- In the above video, Dr Ravindra from Institute of Emergency Medical Sciences (IEMS, Indore) is demonstrating how to do emergency needle thoracostomy with seal for tension pneumothorax. Many thanks to him.
The above is a temporary measure till the definitive management by ICD can be done.
The ICU Channel is a project by Educational Society of Bedside Intensive Care Medicine (ESBICM) for providing forever free bedside intensive care education to doctors and nurses working in ICU & ED. Other than this channel, we provide the following streams of learning; have a look below, we would love to see you there.
1. icu.in forums:
If you have any doubt regarding any video or topic, you can post in comment section or discuss on icu.in forums @ icu.in/forums/index.php (icu.in forums are mainly used to give a detailed reply on simple or complex topics so that the doubt is thoroughly discussed and clarified)
2. Instagram:
On our instagram account we share ICU info cards form which you can grasp crucial tips and info while scrolling:
/ theicuchannel
3. Telegram group of The ICU Channel and discussion group of ESBICM
A. The first group is channel type on which we keep posting the images/videos/updates and you can comment and discuss on those. This helps to keep discussion specific to that post and easy to track:
Joining link t.me/theicuchannel
B. The second the ESBICM discussion group where you can also post and share your stuff/queries and can have discussion on that; also it’s a good way to remained connected with a personal touch.
Joining link: t.me/esbicm.
If you have telegram app on your phone, simply search The ICU Channel by ESBICM or ESBICM and you can find us there.
4. Database gallery of icu.in forums
This is a regular update library where you can access and ALSO contribute to it which remains helpful for all the learners for years to come.
icu.in database gallery link:
icu.in/forums/index.php?media/
5. ESBICM membership form with its own perks (free for doctors and nurses):
docs.google.com/forms/d/e/1FA...
If you want to become ESBICM Academic Volunteer, select the Yes option while filling the membership form. To know more, visit esbicm.com/esbicm-academic-vo...
6. Livestream classes :
We conduct the free online classes on CZcams as well as zoom ; info of these is posted on telegram group and the CZcams community posts.
If you want to suggest a video topic, please post on the icu.in forums at the following section:
icu.in/forums/index.php?forum...
Playlists on The ICU Channel:
To make it simple, we have divided the content on the channel into 6 playlists as follows.
Playlists on The ICU Channel by ESBICM channel:
1. • Mechanical Ventilation...
2. • ICU investigations, im...
3. • Playlist
4. • Playlist
5. • ICU livestreams and un...
6. • Playlist
7. • Intensive / Critical C...
8. • Playlist
9. • Playlist
Brief Info:
1. ESBICM: Educational Society of Bedside Intensive Care Medicine is an organization with the mission to change the way intensive care is delivered in the world today using this platform for providing FREE Bedside Intensive Care Education to every healthcare professional involved in care of critically ill patients.
Its vision is to strengthen the bedside intensive care even in the smallest and most remote ICU of the world.
More details on esbicm.com #esbicm
2. icu.in …sharing what’s critical
icu.in is an online platform by ESBICM to provide free academic activities under one roof. The icu.in forums and ICU database gallery are its core strengths. icu.in #icu_in
3. The ICU Channel
The ICU Channel is the official CZcams channel of ESBICM. / theicuchannel
We hope that this small effort of ours will be of some help to those working in ICU and emergency department. #theicuchannel
Thank you.
Dr. Ankur, Intensivist.
Founder President, ESBICM
Keep learning!
drankur [at] esbicm.org
Disclaimer: esbicm.com/disclaimer/
Great demo , one addition Now needle Decompression site has been changed to 5th ics ,10th ATLS guidelines since 2018
For demo iv cannula is ok but in real life you need at least 7 cm long needle for decompression if you don't have just do finger thoracostomy
It's not needle thoracostomy but needle Decompression or paracentesis
There is no need to waste time to prepare for under water seal drainage as it's life threatening and 20 ml syringe is ok or do simple decompression followed by chest tube . Regards
thanks VERVE MEDISIMUHUB, I am pinning your comment. soon will upload a new short for this update . thanks for sharing and welcome to the channel
thanks drayush, I am pinning your comment and will make a update video on this .
Many thanks to you ESBICM n doctors. 💐. You r doing a great work
thank you .
Thank you sir. Excellent demonstration of this life saving procedure.
So nice of you
Thank you sir 😊👍🏻
Thank you sir for this video ! 🙏🏻🙏🏻
Most welcome
OMG I'm waiting for this for a long time since my first semester
wow , this is nice to hear.
Excellent lecture sir
Thanks for liking
Sir please do a video on all the nebulisation drugs where it acts moa and side effects
Thank you sir
Welcome
Hello sir..
Please post a video about SCAD diagnosis and management.. since it's also an emergency case. Need to learn from you.. thanks. And I really loved watching your video as it is informative and easy to understand.
noted your request, need to consult a cardiologist also. and thanks for your comments.
Sir, After the procedure how to remove the needle before referred to higher centre.
👍🏻
According to ATLS guidelines, it is now 5th ICS slightly anterior to midaxillary line
Yes see the pinned comment but for Pediatric it’s same . Will update a video soon .
Can we shift the patient with this,?
Thank you sir.
Sir is there possibilty to injure vital structures while piercing the needle sir
in tension pneumothorax, if you follow the recommended site, chances are very less. above the rib is the most important thing to keep in mind as this avoids the vascular bundle running at the lower surface of the ribs.
@@TheICUChannel ok sir
I always wondered how to manage tension pneumothorax,your video made it clear for me sir💥
Thank you sir.
hi, excellent one .just to buy time to get ICT in. thanks
ya that's the reason, buy time.
On a mechanical ventilator which will appear first
A drop in blood pressure OR
A drop in SpO2?
I have missed tension pneumo multiple times due to this confusion
Depends on the acuteness with which it develops ; it will fall in spo2 followed by fall in BP ; importantlyu don’t have to wait for all this to develop , clinically examine , decrease breath sounds and resonant percussion .
Icd is compulsory sir? One surgeon told me pnemo is not indication for icd
Read books , don’t even trust me , just cross check with books 📚 ; this is what I tell to my students
Sir now guidlines say in 5th intercostal space whether needle or icd insertion
Wat is intracath no sir 14or 16?
can u post or name the guideline.?
@@TheICUChannel ATLS newer guidelines
Better if needle site shown on a real patient with marker and later on mannequin
Nice suggestion, will try that . Also there is an update , will post that soon .
Please sir talk in Hindi
issue is the audience of the channel is now global so we have to keep the language in simple english