Its not so much the injury itself, but trying to manage it emergently that causes panic and a mindless rush. Unfortunately, blood happens to be wet, and tape happens to not like sticking to wet surfaces… which makes creating an adequate 3-way seal or even just sealing the wound off quite difficult!
Nevertheless, according to the pro’s, a controlled and non-hasty approach always works best, so take your time, dry the surrounding area, apply your occlusive dressing (petroleum gauze, HALO chest seal.etc) and Dont Rush! (well, perform a RUSH Exam, but don’t actually rush!!)
Below are some videos of sucking chest wounds
Note the harsh and very audible course Crackles “rales”, crepitations produced by the lacerated alveoli and the pooling blood.
TEDtalk: Healthcare Should be a Team Sport by Eric Dishman
When Eric Dishman was in college, doctors told him he had 2 to 3 years to live. That was a long time ago. Now, Dishman puts his experience and his expertise as a medical tech specialist together to suggest a bold idea for reinventing health care — by putting the patient at the center of a treatment team.
Eric Dishman is an Intel Fellow and general manager of Intel’s Health Strategy & Solutions Group. He founded the product research and innovation team responsible for driving Intel’s worldwide healthcare research, new product innovation, strategic planning, and health policy and standards activities.
Dishman is recognized globally for driving healthcare reform through home and community-based technologies and services, with a focus on enabling independent living for seniors. His work has been featured in The New York Times, Washington Post and Businessweek, and The Wall Street Journal named him one of “12 People Who Are Changing Your Retirement.” He has delivered keynotes on independent living for events such as the annual Consumer Electronics Show, the IAHSA International Conference and the National Governors Association. He has published numerous articles on independent living technologies and co-authored government reports on health information technologies and health reform.
He has co-founded organizations devoted to advancing independent living, including the Technology Research for Independent Living Centre, the Center for Aging Services Technologies, the Everyday Technologies for Alzheimer’s Care program, and the Oregon Center for Aging & Technology.
“‘All of health care is based on one idea from the 1850s,’ says social scientist Eric Dishman, Intel’s director of health innovation. ‘That it has to be delivered in a face-to-face setting.’ His research on aging is behind evolving systems to provide more effective home care. His goal is to enable 50% of care in the U.S. to be delivered in the home by 2020.”
Below is a great Video by Dr. Larry Mellick – Professor of Emergency Medicine and Professor of Pediatrics at the Medical College of Georgia, on an obstructive Intussusception in a young male (<3yo) , subsequently treated with an air enema. The patient demonstrates classic signs of pulling up his legs/ knee raising in reaction to the pain and the fluoroscopy quality in the video is brilliant!
Dr. Mellick has a fantastic collection of medical videos on his Youtube Channel that capture interesting and oftentimes rare procedures in his ED, great for educational tools and discussion points.
I highly recommend having a look at his Channel and some of his other videos.
Check his Youtube Channel out at: http://www.youtube.com/user/lmellick
Inspired by a mate starting out with ECG’s and me ( a visual learner) struggling to explain the concept verbally, here are some videos to help anyone with their first step into ECG interpretation and understanding!
Welcome to ECG’s – Please enjoy this Intro :D
1. The Cardiac Cycle (Lead II)
2. How to Obtain a 12 Lead ECG (skip to 4 minutes for the actual procedure)
12 Leads – the First Videos to Watch!
A more complex and faster but seriously thorough and fantastic video explaining the electrophysiology of the ECG
My Advice: I am a complete n00bie and i’ve been going at it for a year now – which is basically nothing in the long term!
Keep at it, persevere and find someone experienced and knowledgeable who can reduce complicated ideas to simple understandable analogies.