Tension Pneumothorax has hallmark signs and symptoms that you will find on your NREMT exams at every level from EMT, AEMT, and Paramedic. Learn More (Video Study Course): www.prepareforems.com
After doing a self paced emt course and essentially learning from a book, your videos are literally heaven for me to learn better! Going into skills week your videos and course have made me so confident! Thank you!
You should specify that needle decompression is only done by Paramedics not EMTs ("basics"). We'll teach 19 year old infantry privates to do it in combat but only a paramedic can do it in the civilian world.
Ok so in the given scenario of a GSW to the chest. What is preventing the air from leaving the chest thru the bullet wound with the patient breathing but allowing it to leave with posi pressure ventilation?
So in a pneumothorax the air moves in and out but in a tension pneumothorax the air only moves in causing the lung to collapse and squeeze the hear but what is not allowing the air to move out?
There actually will be some air escaping and it will look like the blood in the wound is bubbling out of it, but the sucking pressure on inspiration allows all the outside air to get into the wound while on expiration, the air inside is under so much pressure pushing out on the rest of the pleural walls that not much of it escapes through the tiny hole. In summary, more air can enter through the wound and through the hole in the lung on inspiration, but can't get out from the lung, and can't get out as fast through the wound, to relive all the pressure, causing it to build up over time. Tension pneumothorax is a late sign of a punctured lung and is a lot more serious, the beginning of GSW or stab wounds into the lung just start out as regular pneumothorax and then over time, build up into tension pneumothorax. Tension pneumothorax refers to pneumothorax being so severe, it causes tracheal deviation and obstructive shock from so much pressure in the pleural space.
hopefully that helps. Another thing to add, the air can't get out from the lung hole and back out through the trachea because the lung forms a one way valve and blocks the trachea when they breathe out, and then like I said before, the wound hole is too small for all the rest of the air to exit. Idk how well I explained that but hopefully that helps! 👍
You never say how much is this Lifetime Access is going to cost me Put up the Price right there im not going to enter my CC information BEFORE I KNOW THE PRICE
Tension Pneumothorax has hallmark signs and symptoms that you will find on your NREMT exams at every level from EMT, AEMT, and Paramedic.
Learn More (Video Study Course): www.prepareforems.com
Should you not place a Halo, or other occlusive dressing, before doing a needle decompression, as this is a sucking chest wound?
After doing a self paced emt course and essentially learning from a book, your videos are literally heaven for me to learn better! Going into skills week your videos and course have made me so confident! Thank you!
Wow, thank you!
This was a better explanation than the explanation I was given in class. I understand it now.
17 yrs on the job and I'm always learning. Thank you for continuing education.💯👍🏻
Thank you for your service!
Wow. We studying this chapter right now in my EMT class. I need this information. It helped me understand it alot better.
Welcome to the channel! If you'd like to learn even more the study course is here: www.prepareforems.com
I’m definitely tapping in
Let's go!
I understand it better thru your explanation than from the doctor instructor. Thanks Sir. 👏👏👏
Glad it was helpful!
Love your content I take my test tomorrow NREMT!! ❤
Good luck!!
Sooooooooo........ it's been three months. Did you pass?
Great explanation! Thank you!
You should specify that needle decompression is only done by Paramedics not EMTs ("basics"). We'll teach 19 year old infantry privates to do it in combat but only a paramedic can do it in the civilian world.
He said needle decompression at the ALS level
This is so simple! Thank you so much Evan!
Thank you for making all these videos their very helpful
Great video. Love the information brother!
Glad it was helpful!
Ok so in the given scenario of a GSW to the chest. What is preventing the air from leaving the chest thru the bullet wound with the patient breathing but allowing it to leave with posi pressure ventilation?
roger that .load and go
semper fidelis
I thought the difference between the two is that in a tension pneumothorax, the air cannot escape the pleural cavity?
Awesome video. Helps alot
Glad it helped!
So in a pneumothorax the air moves in and out but in a tension pneumothorax the air only moves in causing the lung to collapse and squeeze the hear but what is not allowing the air to move out?
I need an answer to this question because I'm stuck on it.
There actually will be some air escaping and it will look like the blood in the wound is bubbling out of it, but the sucking pressure on inspiration allows all the outside air to get into the wound while on expiration, the air inside is under so much pressure pushing out on the rest of the pleural walls that not much of it escapes through the tiny hole. In summary, more air can enter through the wound and through the hole in the lung on inspiration, but can't get out from the lung, and can't get out as fast through the wound, to relive all the pressure, causing it to build up over time. Tension pneumothorax is a late sign of a punctured lung and is a lot more serious, the beginning of GSW or stab wounds into the lung just start out as regular pneumothorax and then over time, build up into tension pneumothorax. Tension pneumothorax refers to pneumothorax being so severe, it causes tracheal deviation and obstructive shock from so much pressure in the pleural space.
hopefully that helps. Another thing to add, the air can't get out from the lung hole and back out through the trachea because the lung forms a one way valve and blocks the trachea when they breathe out, and then like I said before, the wound hole is too small for all the rest of the air to exit. Idk how well I explained that but hopefully that helps! 👍
WNna be the best in school now
Can't Positive pressure ventilation worsen Tension Pneumothorax?
Yup thats what I was taught in school
AND I COLLAPSE!
Hey Evan you said bls could place 3 dressings kn the wound but could it be possible to place an occlusive dressing?
Never occlusive in a chest wound
i thought he was bald I was so surprised when he turned his head
Do you still get jvd if it's a stab would in their left chest?
Yes, im pretty sure.
Always good
Mad chill
Ppv for a pneumo??
You never say how much is this Lifetime Access is going to cost me
Put up the Price right there
im not going to enter my CC information BEFORE I KNOW THE PRICE
#replay
You have hair !? I thought you where bald