Tension Pneumothorax - Emergency Medicine | Lecturio
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This video “Tension Pneumothorax” is part of the Lecturio course “Emergency Medicine” ► WATCH the complete course on lectur.io/tensionpneumothorax
► LEARN ABOUT:
- Tension Pneumothorax Physiology
- Physical Diagnosis of Tension Pneumothorax
- Pulmonary life treats
- Radiologic Diagnosis vs. Tension PTX
- What is the treatment of Tension Pneumothorax?
- Needle Decompression & Procedure
- Tension vs. Simple Pneumothorax
► THE PROF:
As an assistant professor of emergency medicine at the Johns Hopkins University School of Medicine, Julianna Jung, M.D. is an expert in teaching students. She has been the director of medical student education in the Emergency Medicine department since 2006 and was appointed the associate director of the Johns Hopkins Medicine Simulation Center in 2011. She is also a national leader in education, holding a position on the Executive Committee of Clerkship Directors in Emergency Medicine.
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Thoracic Trauma: Management of Tension Pneumothorax, Rib Fracture, Pulmonary Contusion
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0:00 Introduction
0:38 Tension Pneumothorax Physiology
3:12 Tension Pneumothorax - Physical Diagnosis
3:32 Pulmonary Life Threats
4:23 Radiologic Diagnosis?
7:25 Needle Decompression - Procedure
9:38 Tension Pneumothorax Treatment
10:43 Tension vs. Simple Pneumothorax
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Absolutely fantastic video. very clear, very well presented, not over complicated and covered everything . Top marks from me.
Wonderful explanation
I'm studying to play a role of a Dr. who does this procedure, outstanding teaching, you make it exceedingly clear. Thank you.
This person is an amazing teacher! This was a GREAT review! Thanks.👋🧑🏾⚕️
Such clarity and brivity - Totally awestruck
Outstanding , absolutely beneficial vid.
Thank you ma'am 😃
Thank you so much ! Easy to follow and understand !
excellent teacher and excellent presentation. thanx!
Excellent presentation
Thank you! I understand this much better now!!
Super informative! She's a great presenter.
Outstanding video, clear throughout
You’re wording is wonderful. Thank you
oh my! She is an awesome teacher!!
Thank you very much for the great explanation!
Detailed teaching with good illustrations.
Very informative video! Studying for my CEN and this really puts it all together for me. Thanks!
This video is so informative and helpful to understand!! Thanks.
Really good, clear and easy to understand
she is becoming my new fav tacher
outstanding elaboration
An excellent presentation on TP. Very impressive.
Amazing lect on pneumothorax ...
Very educative, thank you so much.
excellent video! thank you
Thank you! You made it easier
This channel is a great resource
Thank you🙏🏼
Really helpful for my tomorrow exam 👍😊🇮🇩
Thank you!
Wonder who would unlike such a beautiful and easily understandable video ... thanks for the great video
Good information. Thanks!
Fantastic, many thanks.
Very nice presentation... thank you a lot
Thanks for a very informative and excellent description of this material!!
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Great,Thank you very much!
Thanks for knowledge
Awesome content! Study with me and review med school topics!
Great video, concise and straight to the point. Muffled heart sounds?
thanks doc.
Very well explained
well resumed.many thanks
Thanks
Superb explanation
fantastic, pretty expert
really awsum tqu fr dis vedio
Good explain thank you a lot doctor
Thank you for this video
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Lovely presentation
It was really helpful.
Thank goodness
Thank you.
very good and informative video thank you
Thank you so much.
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great thanks
Thank you very much Madam
Wow...I love it...
Useful video
Thank you 😊
Thanks madam, short and nice explanation.
Thank you so much! 23/12/2021
Very helpful
great presentation thanks :)
thank u so much it was reallyyy helpfull
This was such a good video. Thank you
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Thanks mam...
Wow what a great video
very clear lecture, Thank you ma'am!
wham bam
Awesome video 👍
Clear cut
best lecture
She is good !
I love this video.😍
Thank you very much, we do too 😉 If you'd like more videos like this, but also downloadable study materials, quizzes, learning path, access to 3D Model and much more, register and start your FREE trial today: lectur.io/freecontentyt
Love it!!!!!!
Thks
In the last ATLS they recommended to place the needle in the 5th intercostal space in Mid axilar line. The success rate is much better
Jorge A Castro Espinoza **slightly anterior to mid axillary line
In the Army, the medics told us Third intercostal space.
It states 2nd to 5th ics, whatever works at the moment
It is stated in the slide.
I had it working many times in the anterior position at the midclavc line. It's nice to have as many possibilities as possible
This lady is gem
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very nice
Thank you so much
Welcome!
Very good video. I'm curious, at 5:00 the X-ray shows depression on the traumatic side. I'd think that the pressure in the chest cavity would balance and the diaphram would equalize? Therefore the depression on the patients left side would also be shown on the right side? I'm really curious why it doesn't present this way.
Bravooooooooo👏🏻👏🏻👏🏻👏🏻👏🏻
Great informative video thank you. Wondering if tension pneumo is a possibility in a pt that begins as simple pneumothorax? I work the inpatient setting, had a recent ptx from misplaced gastric tube pt was in distress very hypoxic but no hemodynamic instability. Could this have eventually become tension pneumothorax? Thank you!
Please what the difference between
Needle decompression and pleural drain?
Should we cover the wound before inserting the decompression needle?
Am I right in saying that at the start of the video she is explaining an open pneumothorax that has lead to a tension pneumothorax? I was under the impression that simple,spontanious and open pneumothorax could lead to a tension pneumothorax but only in the later stages for example you could get an open pneumothorax without it being a tension pneumothorax unless left untreated?
Please correct me if i am wrong
So I had a tension pneumothorax in December right before Christmas due to pulmonary blebs. I was on vacation out of state. They did an ekg first then insisted on an xray. I could not stand up as every time I moved my entire right side cracked and it was like a tire iron smacking my entire side. Forget that I was gray with purple spots, couldn't talk, move, and my deepest breath was like taking a mouthful at a time. Nope need to stand for an xray. Over 2 hrs in the er I fell in and out consciousness multiple times, the pain finally built to the point that I thrashed to the floor and forced myself to stand. Xray showed a complete collapse (obviously) and trachea was way over and left lung was about 20% collapse. No decompression, jist a 32 French tube and a wall vacuum AFTER the doctor drove in. So with time to get to the hospital about 4 hrs of that shit) was about 2am now. 5pm next day I was at in laws and drove 5 hrs home the following day. Lung was still about * 0% collapsed and no I didn't sign an ama. Got it back up finally right before new years. Again on January 12, had surgery January 14 (wedge resection and non talc pleurodesis) go home January 17, collapsed again January 24 (follow up xray showed I had no idea, 20%) was also hemothorax. I'm fine now, aside from sometimes my nipple is kinda sensitive I can run, work, do everything as normal as if it never happened. So... It is a medical emergency but get to hospital and you'll be fine.
I had an episode in the shops where I rushed to get something nearly collapsed couldn't breathe for a bit & felt like I broke ribs but after a while I could breathe but haven't felt good since that day I was wondering why I was sniffing felt like I wasn't getting enough air so how would I know it's bad enough to get checked
Thats crazy! So glad you are all good now. Any idea what the heck why this happened?
Is 2 nd intercostal space related to Costco mediastinal recesses??
Once the chest has been decompressed, do you leave the cap off or on the end of the cannula?
I’m writing a book where my character suffers from a tension pneumo after she gets shot. Are there any other ways to treat one if the characters do not have a needle handy, and she is about 10-15 minutes away from a hospital? I read somewhere that they would need to “burp” the wound, and let the air leave it in order for her to breathe, but I worry that makes her vulnerable to bleeding out.
Does treatment still remain, when tension pneumothorax occurs in a patient during a flight, since atmospheric pressure is likely to differ
I dont understand why giving C PAP can worsen tension pneumothorax but supplemental O2 can't? Please can you explain. Thanks
❤❤
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Tension pneumothorax can be there not only because of trauma.. TB can also cause tension pneumothorax
Treatment for TB was to inject air into the pleura space which causes iatrogenic pneumothorax this now commonly called artificial pneumothorax to identicate TB treatment.
TB doesn't actually cause it but to treat it traumatic secondary pneumothorax is the result
JVD. Huge sign which was not mentioned
“Insert the needle as far as it goes”. I always thought it was until you get air release out of the plural space, then advance the catheter only.
How long do patients usually stay in the hospital for tension pneumothorax?
Apne ki Bangla bujhe. Tahole kicu kotha bolta??
Life every time addmited hospital...other site patient will be died
you forgot to discribe about - hamman crunch sign (sound)
What is the hamman crunch sign sound?
I had pneumothorax and hemothorax cause i was stabbed numerous times on my upper back it has been 6 months already and i feel pretty good .... one question , can i hold my breath?
Thank God for saving you. Give Him your life. He has preserved you for a reason. Ecclesiastes 12:13,14.
Is the patient awake for the whole experience, or are they put on anesticia?
🙏❤️