Some protocols call for the third intercostal space, but military protocols utilize the second intercostal space (between the second and third rib), which is why we chose to reference that location for the purpose of this video. Please refer to your local protocols when selecting the insertion site.
I have heard that it more preferred to insert the needle under the armpit, i.e. from the side of the body... 2nd Intercostal space... Is it correct? I have no medical education to clear this doubt...
@@aakashmohanan4276use. Vented chest seal and avoid the needle. Use the needle only if needed. And using it on the top of the chest cavity is probably best because the lung tissue collapses downward, and inflates upward.
Um. They make these things called vented chest seals which render the needle obsolete unless there is no gunshot. .... Like impact trauma and broken ribs causing the punctured lung.
@@sasquatchrosefartschest seals don’t make needles obsolete.. chest seals are for sucking chest wounds which can develop into a tension pneumothorax where a needle would then be needed. However, a patient can have tension pneumothorax from non penetrating trauma and a chest seal won’t fix that
Thank you, dear author, all americans and USA government for it`s video in particular, for military and material assistance in general, from ukrainan military force and ukrainan national police.
Tregeta. Tension pneumothorax is a clinical diagnosis, meaning its a pneumothorax that alters vital signs. If they are hypotensive (low blood pressure) and have decreased breath sounds and struggling to breathe, for example, that’s a tension pneumothorax. A pneumothorax that is not “tension” is treated with thoracostomy i.e. chest tube only. But like this video says, if theres a penetrating chest injury from trauma and esp if the guy is unconscious or having trouble breathing or just looks “ill” then more than like its a tension pneumo and they need a needle ASAP
No one buys chest seals bro. You use the sterile wrapper of the bandage when you open it and you tape an upside down U shape over it. Those vent seals, chest seals, hyphen vents, etc, are the biggest scam ever. $30 for the plastic you throw away from your bandage and a bit of surgical tape. Don't do it! Use your noggin! We have a century of soldiers teaching us this, the new 'vents' aren't essential, it's price gouging.
@@mountainpass4255yes but if there is already an opening (gsw) can’t you just burp the halo dressing at the gws site to allow air to escape ? Or is that not effective ?
Please help more to the Mexican Army we need your products and your knowledge,at least put a store in Mexico city, a lot of soldiers could be saved if you help us
So does this help when the person's lungs are filling with blood from being shot in the chest? Just curious as I had a friend die from being shot in the chest, I'll never forget the sound of him gurgling and drowning in his own blood, is that what this would help?
The ARS® was designed to meet the requirements and recommendations of the science and protocols of the PHTLS. In the 7th edition, page 302, it describes the requirements for needle chest decompression with the following information, "The relief of respiratory effort far outweighs the negative effect of the open pneumothorax. Because the diameter of the decompression catheter is significantly smaller than the patient's airway, it is unlikely that any air movement through the catheter will significantly compromise ventilatory effort. Thus, creation of a one-way valve (Heimlich valve) is probably unnecessary from a clinical standpoint." With that in mind, the ARS does not contain a flutter valve and functions effectively at releasing pressure from a tension pneumothorax without allowing air to be reintroduced to the plural space through the catheter.
1) I am confused as to how leaving the flash chamber cap in place caused this procedure to fail. Am I misunderstanding the statement, or what am I missing. FWIW, I am a PHTLS instructor and a former military medic and never had the cap get in the way. 2) I personally am familiar with most of the studies quoted, but it adds credibility to list the reference somewhere in the video so someone could do further investigation if desired.
Even tho it could save a life, it's still a good idea to stay within your scope of practice. If you have the device in your trauma pack and someone was qualified to use it, then it would be ok
Just want you to know info from this video was mistakenly used on my serviced wide - I answered the question correctly from your info and but got the question wrong due to the test lol
lol dont listen to that guy...there might not be a hole. first give away is going to be trouble breathing. second you will have a tight chest on the side.... like a drum skin. also you can look at the side and it might not be raising normally with breaths
@TL this is not perfect for any "emergency kit" this is intended for trained individuals. Watching a video does not make you one, and I would highly stress not to put something like this in a regular emergency kit. If not done by a trained professional you could be doing A LOT more harm then good.
jojophoto My philosohpy is that having one is better than not having one, especially with the amount of vets, former medics, and EMTs that are in the civilian populace and trained in the procedure, even if you dont use it, they might be able to, but without one available, you'd better hope that the patient makes it until the EMTs arrive.
Who knows but it won’t hurt. The additional 15 seconds is worth it. I think at the end of the day you’re just going to have to use your own discretion. If they look like they are going to die any second skipping it might be worth it. Add in other factors like will this patient be seen in a hospital? A field hospital? A third world hospital? Will they be started on antibiotics, etc?
You can go to NARescue.com and sign up for an account (which is free), if you are a government agency or qualified buyer, you can get discounted pricing on a number of items, including the ARS. If you have any other questions, feel free to give us a call at 888.689.6277 or email us your question to info@narescue.com.
Some protocols call for the third intercostal space, but military protocols utilize the second intercostal space (between the second and third rib), which is why we chose to reference that location for the purpose of this video. Please refer to your local protocols when selecting the insertion site.
I have heard that it more preferred to insert the needle under the armpit, i.e. from the side of the body... 2nd Intercostal space... Is it correct? I have no medical education to clear this doubt...
@@aakashmohanan4276use. Vented chest seal and avoid the needle. Use the needle only if needed. And using it on the top of the chest cavity is probably best because the lung tissue collapses downward, and inflates upward.
Deployed Medicine won’t load but TH-cam will. Just discovered you now! In Donbas!!!! Thank you!!!🇺🇦❤️🇺🇦
Hey man, saw your videos and interviews. Good work.
Сподіваюся що з тобою та твоїми побратимами усе добре ❤️🇺🇦
Thanks for sharing this is awesome training, great visual presentation 👍
soo...i found one of these in my 1969 mustang im restoring and didn't know what it was
Nice
I get it@otterman
Um. They make these things called vented chest seals which render the needle obsolete unless there is no gunshot. .... Like impact trauma and broken ribs causing the punctured lung.
@@sasquatchrosefartschest seals don’t make needles obsolete.. chest seals are for sucking chest wounds which can develop into a tension pneumothorax where a needle would then be needed. However, a patient can have tension pneumothorax from non penetrating trauma and a chest seal won’t fix that
@@Joncfitness I literally said that.
This is just what I needed to see.
Thank you, dear author, all americans and USA government for it`s video in particular, for military and material assistance in general, from ukrainan military force and ukrainan national police.
So.....when in doubt if someone has a tension pnemothorax or not, hit them with the needle after sealing the chest wound?
it won't make them that much worse, but it could make them that much better...
Tregeta. Tension pneumothorax is a clinical diagnosis, meaning its a pneumothorax that alters vital signs. If they are hypotensive (low blood pressure) and have decreased breath sounds and struggling to breathe, for example, that’s a tension pneumothorax. A pneumothorax that is not “tension” is treated with thoracostomy i.e. chest tube only. But like this video says, if theres a penetrating chest injury from trauma and esp if the guy is unconscious or having trouble breathing or just looks “ill” then more than like its a tension pneumo and they need a needle ASAP
@@miancu3 You got to watch tf out though as there are arteries that run along the ribs, need to avoid hitting them.
could you use Halo chest seal, instead seeing as the side put on the entry wound has a vent to allow air to escape?
Not all cases have open chest wounds. Something as simple as a deep lung laceration from blunt force could be enough.
@@mountainpass4255. Ex: broken ribs often puncture lungs
No one buys chest seals bro. You use the sterile wrapper of the bandage when you open it and you tape an upside down U shape over it. Those vent seals, chest seals, hyphen vents, etc, are the biggest scam ever. $30 for the plastic you throw away from your bandage and a bit of surgical tape. Don't do it! Use your noggin! We have a century of soldiers teaching us this, the new 'vents' aren't essential, it's price gouging.
@@bashkillszombies we use to do that but we have been issued vented cheat seals for over 10 years now.
@@mountainpass4255yes but if there is already an opening (gsw) can’t you just burp the halo dressing at the gws site to allow air to escape ? Or is that not effective ?
Do these kits expire after a certain time? and if so how long is one good for before it does? thanks!
I'm not a medic but my medic friend told me it's just a needle. So take from that what you will
Please help more to the Mexican Army we need your products and your knowledge,at least put a store in Mexico city, a lot of soldiers could be saved if you help us
LOSEBTIMOS Is there a war going on?
Yeah. War on drugs.
So does this help when the person's lungs are filling with blood from being shot in the chest? Just curious as I had a friend die from being shot in the chest, I'll never forget the sound of him gurgling and drowning in his own blood, is that what this would help?
price point is a little high but more than willing to pay for a great product that I know and can depend on to work 120% of the time.
nice and concise, any info for the out process? Or essentially I feel that would fall into "seek greater care".
Is a flutter valve built in? Or are you finding the cath seals well enough on its own?
The ARS® was designed to meet the requirements and recommendations of the science and protocols of the PHTLS. In the 7th edition, page 302, it describes the requirements for needle chest decompression with the following information, "The relief of respiratory effort far outweighs the negative effect of the open pneumothorax. Because the diameter of the decompression catheter is significantly smaller than the patient's airway, it is unlikely that any air movement through the catheter will significantly compromise ventilatory effort. Thus, creation of a one-way valve (Heimlich valve) is probably unnecessary from a clinical standpoint." With that in mind, the ARS does not contain a flutter valve and functions effectively at releasing pressure from a tension pneumothorax without allowing air to be reintroduced to the plural space through the catheter.
North American Rescue Other bibliography references about this? . Thanks
1) I am confused as to how leaving the flash chamber cap in place caused this procedure to fail. Am I misunderstanding the statement, or what am I missing. FWIW, I am a PHTLS instructor and a former military medic and never had the cap get in the way.
2) I personally am familiar with most of the studies quoted, but it adds credibility to list the reference somewhere in the video so someone could do further investigation if desired.
if the cap is left in place the tube can remain sealed and can't vent the air
Do you need to be EMT certified to have this product in your trauma pack?
No, I have one in my kit and I’m not EMT certified. But I did get training while in the Army.
Even tho it could save a life, it's still a good idea to stay within your scope of practice. If you have the device in your trauma pack and someone was qualified to use it, then it would be ok
Just want you to know info from this video was mistakenly used on my serviced wide - I answered the question correctly from your info and but got the question wrong due to the test lol
How do you know, which side is affected?
It's going to be the side with a hole that's not supposed to be there...
lol dont listen to that guy...there might not be a hole. first give away is going to be trouble breathing. second you will have a tight chest on the side.... like a drum skin. also you can look at the side and it might not be raising normally with breaths
Being a paramedic i can appreciate the idea for this.
Where could i buy it at?
Got mine from elite first aid Inc for around $13 but after shipping almost $23, got it 4 days after ordering it
Stupid question How do you find the third rib? I can't feel it. I would have to guess.
if you can't find it chances are you don't need to be doing needle decompressions.
Can't you trace a line from the bottom of both armpits and up from the patients right nipple? If that makes sense. I can't find my ribs.
@TL this is not perfect for any "emergency kit" this is intended for trained individuals. Watching a video does not make you one, and I would highly stress not to put something like this in a regular emergency kit. If not done by a trained professional you could be doing A LOT more harm then good.
jojophoto My philosohpy is that having one is better than not having one, especially with the amount of vets, former medics, and EMTs that are in the civilian populace and trained in the procedure, even if you dont use it, they might be able to, but without one available, you'd better hope that the patient makes it until the EMTs arrive.
Just hold my beer, I got you
I think now in 2022 they have gone to a 4" 10 g needle.
Adjacent as in how close?
because of 3 kings. there more you know.
Amazing video. Thanks.
in a real life situation is it really that necessary for wipe off the insertion site?
I’m not a medical expert but I would definitely say yes, because you don’t want to cause an infection.
Who knows but it won’t hurt. The additional 15 seconds is worth it. I think at the end of the day you’re just going to have to use your own discretion. If they look like they are going to die any second skipping it might be worth it.
Add in other factors like will this patient be seen in a hospital? A field hospital? A third world hospital? Will they be started on antibiotics, etc?
Very cool info thank you
You can go to NARescue.com and sign up for an account (which is free), if you are a government agency or qualified buyer, you can get discounted pricing on a number of items, including the ARS. If you have any other questions, feel free to give us a call at 888.689.6277 or email us your question to info@narescue.com.
Hey @northamericanrescue. This is Doc. We need to spice up your videos guys
No no no. This video was crystal clear and perfect in every way. Great visuals.
*guitar solo* then find the 2nd intercostal *starwipe to next frame* and then *black and white filter* put the needle in.
Great idea
awesome!
"Presented in High Definition"... 360p
Nice!!!!
efficient...
In the most austere religious scholar conditions.
Can’t you just burp the GSW ?
Hakko
If you're going to shank me with that because it 'won't cause additional trauma' you're getting that through your eyeball son!
First 2 mins are useless garbage advertisement no one cares
🙏💪🪖🇺🇦