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what are you talking about? you obviously don’t know medicine

if you have ascitis, you sure do! it hate doing it, but I always feel better.

How was it? is it painful?

Curious if it was painful as well or if they gave you pain medicine

Ultrasound can be used, but may not be available to some. A 'blind' approach is acceptable, but the ECG does give helpful feedback. Remember if there is a concern for tamponade from trauma, make sure to optimize fluids and support pre-load. This can allow extra time to prepare and perform the procedure.

The only lead needed is the one connected to the needle during insertion - to monitor for contact with the myocardium. Make sure this connected lead is the one selected for display on a monitor. Additional leads could be in place on the chest but may interfere with the sterile field. They were primarily omitted from filming because no actual electrical signals are produced by the task trainer used.

@@ttuhscelpasoem How does ECG record with only one electrode?

You are correct, and sorry for the abbreviated answer previously. The limb leads are required (RA, LA, LL) from the standard 3-lead EKG to provide the base point of the vector to display a precordial lead (ex. V2). A precordial lead should be setup for display on the monitor. The selected precordial lead is the only one that is needed (of v1-V6), and should get connected to the needle during insertion and be visible on the monitor for display to identify the "current of injury pattern" that would indicate contact with the myocardium.

The model used in the demonstration is Nasco Life/form. Others exist, including some that allow use of ultrasound.

COVID-19 (SARS-CoV-2) can produce pulmonary injury, and bilateral pneumonia, with severe disease appearing as acute respiratory distress syndrome (ARDS). The lung injury can prevent adequate oxygenation thus require supplemental O2 or full ventilatory support. (1) The use of Positive End Expiratory Pressure (PEEP) can help keep lower airways open - improving oxygenation. (2) High pressures can have a risk of lung injury. (3) The goal is to support oxygenation until the body is able to recover from the lung injury and supplemental respiratory support is no longer needed. -This device is not a ventilator replacement, but could help provide support if normal resources are not available.

The goal with this task trainer was to allow creation by individual centers. Please see publication:(journals.lww.com/simulationinhealthcare/fulltext/2019/08000/Development_and_Review_of_the_Chest_Tube.11.aspx). Please reply if you need more details.

Si, con pacientes hoy puede usa ultrasonido para ayudar con la aguja, pero puedo hacer este procedimiento sin ultrasonido tambien. En este vídeo muestra sin ultrasonido porque el modelo no usa ultrasonido. Gracia por su pregunta!