Master Percussion Technique For Respiratory Clinical Examination - Clinical SKills - Dr Gill
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- เผยแพร่เมื่อ 29 ก.ค. 2024
- Master Percussion Technique For Respiratory Clinical Examination - Clinical SKills - Dr Gill
Percussion of the respiratory system is one of the earliest techniques learnt at medical school, and without a doubt percussion of the chest is almost certainly going to cause issues for the medical student when this is first attempted
Percussion for the lungs is one of THE core clinical techniques, as will be a vital part of any respiratory clinical examination
Percussion will allow medical students to determine if there is consolidation, from a collapse, or infection due to a dull percussion note. A highly resonant percussion note may indicate a pneumothorax or trapping of air
We can combine this information with data from auscultation to be able to make the diagnosis of conditions such as a pleural effusion
#Percussion #RespiratoryExamination #DrGill #ClinicalSkills
You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - www.drfinlays.co.uk/services/...
I don’t study medicine, nor do I ever plan to. However, I always watch your videos - not only for the asmr, but for the satisfaction I receive in seeing you explain your craft in a passionate, detailed way. Best as always, Dr. Gill!!
Well thank you for joining us 😊
Same for me. Never done anything medicine related as I'm an industrial electricien. Strangely enough medical exams always kind of scared me. But watching Dr Gill explaining exams in details has put my mind more at ease. Keep up the good work doc!
Came here for learning the skills, stayed because of your lovely voice and dashing attire
Same. I have a feeling this is true for a lot of us.
As long as people are finding something useful here. Whether it’s the content, or the community, it’s all good 😊
Side effect of enjoying this channel for ASMR is the education you get along the way!
As long as everyone is learning, I’m happy 😊
Yessss
Dr. Gill and Ringo.
Well known British percussionists.
🤣🤣🤣🤣
I'll add Keith Moon to the list! :)
And Roger Taylor!
If every university professor where as good a teacher as you are, humanity would already be on Mars! Keep up the great work!
Or a civil war. I’m a bit like Marmite. There are students that don’t resonant with my style kf teaching.
But that is fine. We’re all different esp when it comes to our approach to learning g
I watch these just for ASMR, and the percussion is my favourite thing to watch and listen to. ❤
Well hopefully you’ve a better idea behind the what and the why’s of respiratory percussion now 😊
I was literally about to post the exact same comment as this one, so instead I’ll just upvote it 😸
Teacher: "Today we'll learn percussion"
Student: Proceeds to jam a drum groove at the patient
🤣🤣
We learned percussion in our respiratory exam and it's quite tough - excited to sit down and watch this. Thank you Dr. Gill for your work getting us these videos
I hope it helps 😊
When did you do the session?
@@DrJamesGill Our "OSCE" (we call them "standardized patients") was about two weeks ago. Which was only one week after we learned percussion as a concept. I didn't have enough practice for the patient, but this really helped me understand the technique better than what was explained to us
Ah yes. I understand. Hopefully the result will be good though.
Please drop us a comment when you know a😊
Your stuff is the best. I have a background in emergency medicine, as an EMT/firefighter and police officer, and your explanations are better than most of the instructors I’ve had over the years.
That’s very kind of you to say. But I’m sure that they will be excellent in their own areas, just clinical skills is where I’ve spent a lot of time now
my classmates think i'm smart, seems your channel is my secret weapon ! thank you :)
Thank you 😊
Thank you for your videos Dr Gill; specifically the deep dives of the systems/assessments. I’m a nurse currently doing my clinical assessment module and found your teaching approach easier to follow and retain. Helped me get that A1 in my OSCE 😊 very grateful for your videos.
That’s excellent. You must be so pleased!
Thank you for the feedback. What other areas would it help you for us to cover?
@@DrJamesGill thank you 😊 yes ecstatic! Have another one on Tuesday so will be rewatching the exams to revise.
I know this differs from some of the other videos but it was would be great to see how you would carry out medical interview and your approach to doing it concisely. Optimising consultation time while being patient centred as you demonstrated in the male/female pelvic exams.
That’s communication skills. We could look at that certainly 😊
@@DrJamesGill excellent thank you 👍🏻
Nothing better than learning and relaxing at The same time
👍
This is awesome! I always wondered exactly why percussing was done like that and what exactly it accomplished as a result, as a musician/pianist I totally appreciate it now that you’ve explained it in detail. Fascinating stuff!
I’m glad it helps.
Lying in bed...scrolling youtube not being able to sleep...
*Sees a Just uploaded video of the god of ASMR
Hellow sleep!
I think my students try to sleep when I’m talking anyway 🤣
@@DrJamesGill Most students fall asleep in class because of pure boredom, but im sure in your case its because your voice! Its the most relaxing voice ever 🥰 i love it
Dear Dr, you are an absolute gem!
So grateful for this explanation 🙏🏻 Thank you for what you do, Dr. Gill
У меня сейчас 4 часа утра, мне завтра рано вставать, а я смотрю это видео, все идет по плану.
Many thanks for this video Dr Gill, I found it very helpful for understanding different percussion notes and the clinical reasoning behind them. The cases were super helpful to consolidate the video content and I’d love to see more in future videos!
Thank you. That’s useful to know. I think I’ll start putting more clinical examples in the videos 😊
My younger brother plans on going into medicine so I'm going to send this to him so he can learn real good
Amazing
Love this, very useful and interesting to know. please make more :)
Greetings from Germany! ❤
👍
Thank you
why do i feel relaxed when listening to you
Стараюсь вас понять . Я из Белоруссии . Не говорю на английском языке . Спасибо вам за видео консультацию . Вы супер . Всего самого наилучшего вам
Thanks a looooot ❤️❤️❤️
This is so interesting, Ive always wondered why doctors do that. Thank you Dr Gill! Very informative
😊 knowledge is power 😊
Useful information. Really interesting. Thank you
Thanks. I found it challenging initially, so trying to help those who need the visual aid
I like that we got some cheeky cameos in at the start from some of our favourite characters from the Dr Gill Cinematic Universe...
Thank you soo much doctor. I have my osce in few days..... really helpful ..🙏💯
Best of luck!
I am from Pakistan , I am nursing student thanks for clearing my concepts
Glad it was helpful 😊
Omg, i just thought yesterday when watching abdomen examination how to do percussion like professional now you posted this😭. Thank you eventhought i will not used it that much😂
Finally, we get the technique explained!! Thank you Dr. Gill 😀 I always wondered about their difference, what are the healthy sounds and when the bad ones happen.
Hope it helps.
Genio!
love u doc!
The lovely sound of placing down cobblestone.
Great video as always! I watch for the ASMR but it’s rather interesting to learn about… makes me have more appreciation for my sister’s profession (don’t tell her I said that)
What does your sister do?
I have always wondered why medical professionals did this and now I know! And the answer is more interesting and complex than I would have expected. Thank you for this video. 😊
You are very welcome. Glad you found it interesting
You remember me Bob Ross. Teach how to do amazing things and gives peace of mind
Thank you.
I originally came up with the idea to help the students - as is really highlighted here, but once been amazed and surprised how many people say it has helped them as a student
Hi James, I’m an avid fan of your content and enjoy everything you produce. Is it possible for you to do a full head to toe examination in one long video. I watch lots of others like this but would love to see you do one. Thanks
Я из Белоруссии . Если честно то я не понимаю что вы говорите . Но я понимаю что вы делаете . Супер класс за видео . Спасибо вам большое за информацию . Очень мечтаю к вам попасть . Спасибо вам . Желаю вам хорошего творческого пути
No wonder I can't elicit sounds from my percussion, cause I was doing it wrong in the first place! As a nursing student, I thank you doctor, for this instructional guide for percussion. Finally, I can do it properly now.
That’s great to hear!! I’m glad this helped!
@@DrJamesGill I'd like to second that as a trainee Medical Assistant in the Royal Navy! Our instruction is very basic and I'd been doing it ok but this has helped me refine my technique
I don't remember any doctor using this technique while examining my daughter for pneumonia.
I find this technique very efficient.
Ideally it should be included, but it is additive
For pneumonia you’ll be getting the vast about of information from the stethoscope. Percussion would perhaps be a stronger clinical sign for something like a collapse / pneumothorax
For pneumonia,they will be listening for localised crackles with a stethescope.
That video ladies and gentlemans is a masterpiece
Thank you. I saw several people struggling to initially get the grips with the concept, so decided to try to cover it here 😊
Omg I have been wanting to learn how to do this tap even tho I’m not a doctor 😳
Yes, definitely more clinical skills please.
Ok. Maybe we should carry on with the percussion bit, and detail percussion of the abdomen ?
@@DrJamesGill yes please
We’ll try to get that done in the next few eels then
Helpful summary as always, thanks!
Hopefully it will help people with this skill 😊
Im not really interested about learning about doctor stuff but this looks really useful for me to use someday. Idk what it could be but it could be anything. And plus this is kinda interesting
Dr James I need quick advice based on your experience...was your university or medical school content hard to memorise for exams because I have problems with memorising so much Informattion
How many and which intercostal spaces should be percussed anteriorly an posteriorly?
Nice asmr
My nails hurt me little while percussion how to get over it?
Really useful thanks for making this simple
You are welcome 😊
Looking very early Michael Stipe here. Great stuff.
I can really determine if that’s a compliment or not - as I’m not sure they are until I’ve Googled them lol!
@@DrJamesGill It's a good look. Now just don't go singing about the end of the world.
🤣🤣🤣 yes I just took a look at him. Thankfully, I can’t sing!
Thank you for this video! Some of my teachers tap on the area between the MCP and PIP joint instead - is that an equally good technique? I find it easier to get a clear sound that way.
You get a better sound from striking the DIP as the joint can flex down increasing contact
4:13 A pneumothorax is air in the lungs plural space , not filled with fluid, that would be a hemothorax.
The pneumo is hard to differentiate from a normal lung with this test, the main reason its preformed is to detect wether its blood that needs a chest tube or air that can be deflated with a needle.
Im a combat medic, just wanted to clear up as i think that could confuse students, otherwise great video.
Yes I misspoke there. Thank you for clearing that up.
It’s been a while since I’d dealt with a pneumothorax clinically, but a large / tension would still have a positive test head wouldn’t it?
Please do a full video by taking a case of abdomen as an example in which there will be inspection,palpation, percussion and auscultation so that we can learn in a sequence
Here you go 😊
Abdominal Examination - Clinical Skills - Medical School Revision - Dr Gill
th-cam.com/video/Tl1g9IfDPo0/w-d-xo.html
This is so cool
👍
Dr gill thank you for making these videos they are very useful and informative
Glad they are useful
Good to know ma man
👍
я ничего не понял, мне просто приятно слушать
Serious question, when you are percussing a female patient's chest, does their breast size have any bearing on how the technique works? As in, would larger breasts affect the sound in any way? And is there a particular way to deal with having to work around a patient's breasts to examine their chest? I know in your breast examination video you were very clear about explaining sensitivities including language around examining the breast area.
With the chest, the larger majority of the detail is going to come from examining the back.
You’ll still percuss the tops of the lungs, and the sides from the front, whilst simply not examining the area directly covered by the breasts
If there is a need to move the breast to percuss under, I’d ask the patient to move them for me
never thought I'd hear something like "soggy slapping noise" in one of your videos :D
Every doctor I go to now just uses a stethoscope and tells me to take deep breaths. When I was younger doctors used to actually do this if/when I had any kind of chest or breathing issue.
In an ideal world I should be done. But I will hold my hands up to say that I will skip vocal resonance occasionally if everything else is fine
The Bob Ross of medicine
Dr Gill, are there any device invented to replace the manual percussion technique? Perhaps to produce a more consistent result
I percussed my liver once and actually found the borders but I haven't been able to do it since lol
Percussion: It Is good for your health and imrpoves any song imediatelly
Good evening Dr Gill, you stated that this is a significant skill, but in my 41 years I have not witnessed it or had it done to me, is this an outdated practice?
Not at all. It’s a core part of respiratory - inspection, palpation, PERCUSSION, auscultation
It easily takes up a quarter of the practical session when we teach respiratory
In reality it’s more often used as a secondary test if someone can’t get the diagnosis, but that shouldn’t be the case
@@DrJamesGill thanks for the in-depth response and time taken to do so.
The medical david attenborough
And here we see, the percussion of the hand - long pause - this ancient technique 🤣
Ive always found percussion relaxing but it wasnt so relaxing when my lung collapsed last year
Gosh no. That must have been worrying.
Do you know the cause?
Tip: Cut ur nails to do this, ur nails will hit ur finger…
Eh em, the ‘k’ in Skill is in uppercase… it’s written as ‘SKill’
Thx TH-cam for this weird recommendation
Trust the algorithm 😊
I am really curious of his voice when singing a song
Let’s just say it’s not pleasant!
My man can come up, drop a beat on my chest and diagnose my asthma.
Unintentional asmr
I thought this was for like band
It’s also for medical examination 😊
Do you absolutely hate that most of your views come from ASMR enthusiasts or you do your recognize they probably unintentionally learn things about your craft and get satisfaction from that?
Oh my lord, if I here percussion pronounced PRECUSSION ONE MORE TIME...!
In the title of the video, there's a capital 'K' in the word 'Skills'.
Rats. Unfortunately I can’t change that now
@@DrJamesGill That's the only thing wrong with the video :)
Xd