Although a stethoscope would be very handy, it is possible to ascertain if there is a Pneumothorax without one, either through palpating the thorax and watching chest rise during breathing, or by noticing tracheal deviation (which only occurs during the later stages of a Pneumothorax.)
two things are hilarious about this video: 1. can you breef? can you breef? 2. you need a stethoscope to listen to someone's lung sounds you cannot put your ear to their chest!!
Because the chest is a cavity. When you put the needle in above the 3rd rib you're avoinding all of the blood vessels that are at the bottom of each rib. when the needle is inside the chest there is nothing in there but air.
@Serenity113 There's no blood because they avoided hitting all major blood vessels and the catheter was left inside the chest cavity, with no blood in it. There might be a small amount of blood escaping the edges of the needle/cathether, but that'll be soaked up by the pad they put on and will clot by itself. Contrary to popular belief, penetrating the chest will NOT always result in a violent spray/disgusting ooze of blood.
mythanks to the Used CollegeCars for this clip. we will use it in our critical care nursing course in Seattle. BTW, did you catch that the air hissed when the stopcock handle was at 45 deg? Medic One used to put finger cots on 16 angios, and use that for the flutter valve.
I agree, w/wonkeyleggs, asherman chest seal. I would have thought sar'nt major King would have had one right there.
Still, for us critical care and ER types, GREAT post.
@leviathan: bacord is right, there a difference between a 'normal' pneumothorax and one in which the pressure builds up and shifts the heart and mediastinum to the other side. The latter is a more acute situation because the healthy side is also affected by this. So the emphasis is on 'tension' not on pneumothorax.
theres a simpler way to do this tape something sterile over the wound which is airproof i.e. air cant pass through, except leave one side untaped this way when he breathes in the untaped side will close stopping air gettin in an when he breathes out will open allow air out
what are you a retard? Thats how you SEAL a chest wound however the "flutter valve" effect will NOT help relieve the air pressure, especially if the parital plural seals itself/ you properly bandage the chest woud (You essentially seal the wound and the "flutter valve" has no effect...
@eischcream yes it does.if they left the flutter Valve closed the air would fill up the plural space again. when the pressure rises again they would have to open the valve to release the pressure.
Yeah, heheh maybe. I know if you do three sided "valve" bandage on a chest gunshot wound and you don't release the air every once in a while it can cause a tension to develop but all ya have to do is "burp" the valve haha. But yeah, it is a cool scene.
i guess the entrance wound and exit wound were clotted? lol.. should have been a sucking chest wound instead of tension pneumothorax.. but very interesting to watch..
I'm not sure you understand what you're saying. "Sucking chest wound" is a sign of a compromised pleural cavity, and of a pneumothorax. So I don't see how you can have a sucking chest wound INSTEAD of a pneumothorax?
I like this clip ALOT... you do see them preparing sealing material though (watch Mark Walburg(sp?) abdomen, they place the opened dressing wrapper as if to IMPLY that they will be sealing it....however, maybe they were totally oblivious to the real treatment... it is hollywood
Ha has no nipple, poor mark wahlberg
paleandro 2 months ago
Although a stethoscope would be very handy, it is possible to ascertain if there is a Pneumothorax without one, either through palpating the thorax and watching chest rise during breathing, or by noticing tracheal deviation (which only occurs during the later stages of a Pneumothorax.)
Wierdnessensues 5 months ago
two things are hilarious about this video: 1. can you breef? can you breef? 2. you need a stethoscope to listen to someone's lung sounds you cannot put your ear to their chest!!
UnclePeppi 5 months ago
@UnclePeppi You can tell if someone has a sucking chest wound or a pneumothorax without a stethoscope.
isthereasunthereisnt 5 months ago
@UnclePeppi yer an idiot
motrinmedic 5 months ago
so, he ends up dying at the end ? :(
1Adr1an6 9 months ago
@1Adr1an6 no i think that was the guy who was lying next to him
chihiroxmiyazaki 8 months ago
@chihiroxmiyazaki noo... I mean, his condition.. Is it something he can overcome ? Or will he eventually die from it ?
1Adr1an6 8 months ago
@1Adr1an6 oh idk. i think he would survive it.
chihiroxmiyazaki 8 months ago
That's a great example of how it's done.
papabear501st 10 months ago
still mark wahlbergs best performance to this day.
cruffrider5 11 months ago
Clooney applied some ER tircks in this movie :D.
santiagobignuts 11 months ago 3
mmm... George Clooney FTW :) <3
JavPro13 1 year ago
can you breef? can you breef? lol
frozenhell98 1 year ago
mark walberg is hot!!
9691ashley 1 year ago
1:19
Ive experienced that thing! What a relief! lol
gespi79 1 year ago
How come there's no blood?
Serenity113 2 years ago
Because the chest is a cavity. When you put the needle in above the 3rd rib you're avoinding all of the blood vessels that are at the bottom of each rib. when the needle is inside the chest there is nothing in there but air.
commandogunner 2 years ago 17
Ohh. I see. Thank you. :D
Serenity113 2 years ago
@Serenity113 There's no blood because they avoided hitting all major blood vessels and the catheter was left inside the chest cavity, with no blood in it. There might be a small amount of blood escaping the edges of the needle/cathether, but that'll be soaked up by the pad they put on and will clot by itself. Contrary to popular belief, penetrating the chest will NOT always result in a violent spray/disgusting ooze of blood.
Ech0Sierra 1 year ago
Can you breef?
18peacelove18 2 years ago 41
@18peacelove18 /watch?v=6WZ-yqEoEBg
maximilian333 1 year ago
@18peacelove18 Needle Thoracostomy /watch?v=Fyk-PBcmvHQ&feature=related
maximilian333 1 year ago
@maximilian333 man your dense. he was making fun of the black dude
joeratti 1 year ago
@joeratti I have no idea what that is in relation to. Perhaps you replied to the wrong person. Have a nice day.
maximilian333 1 year ago
@18peacelove18
does dat feal betta man? dat feal betta?
wangsta25 11 months ago
best scene in the whole movie
M5IAN 2 years ago 8
This comment has received too many negative votes show
Tat fell betta man?
Ice Cube is the man.
wangsta25 3 years ago
mythanks to the Used CollegeCars for this clip. we will use it in our critical care nursing course in Seattle. BTW, did you catch that the air hissed when the stopcock handle was at 45 deg? Medic One used to put finger cots on 16 angios, and use that for the flutter valve.
I agree, w/wonkeyleggs, asherman chest seal. I would have thought sar'nt major King would have had one right there.
Still, for us critical care and ER types, GREAT post.
z06king 3 years ago 4
asherman chest seal please
wonkeyleggs 3 years ago 2
hes adorable.
dannielllex 3 years ago 3
i completely agree with you..!
lamorena23 3 years ago 3
@leviathan: bacord is right, there a difference between a 'normal' pneumothorax and one in which the pressure builds up and shifts the heart and mediastinum to the other side. The latter is a more acute situation because the healthy side is also affected by this. So the emphasis is on 'tension' not on pneumothorax.
desertbloom77 3 years ago
theres a simpler way to do this tape something sterile over the wound which is airproof i.e. air cant pass through, except leave one side untaped this way when he breathes in the untaped side will close stopping air gettin in an when he breathes out will open allow air out
garyulster 3 years ago
why is this downvoted, its true.
griff323 2 years ago 3
what are you a retard? Thats how you SEAL a chest wound however the "flutter valve" effect will NOT help relieve the air pressure, especially if the parital plural seals itself/ you properly bandage the chest woud (You essentially seal the wound and the "flutter valve" has no effect...
eischcream 2 years ago
@eischcream yes it does.if they left the flutter Valve closed the air would fill up the plural space again. when the pressure rises again they would have to open the valve to release the pressure.
r151515 1 year ago
glad to see e picked up some skills after all those years in the ER
rooshba 3 years ago 5
Hehehehe, nice lol
Hahahafunniness2 3 years ago
He is ALWAYS playing a sweetheart or a sensitive person. Well except for Four Brothers and few otehrs but in this and in The Big Hit
Alyxwrites 3 years ago 2
this is my favorite part of the movie!!
hephaestion143 3 years ago
Anymore parts with Mark? He's so cute
Alyxwrites 4 years ago 2
He really is and he was in so much pain in this movie.
impalette 2 years ago
Yeah, heheh maybe. I know if you do three sided "valve" bandage on a chest gunshot wound and you don't release the air every once in a while it can cause a tension to develop but all ya have to do is "burp" the valve haha. But yeah, it is a cool scene.
MedicSkills911 4 years ago
tension pneumo from a gunshot wound?
MedicSkills911 4 years ago
i guess the entrance wound and exit wound were clotted? lol.. should have been a sucking chest wound instead of tension pneumothorax.. but very interesting to watch..
bacord18 4 years ago
I'm not sure you understand what you're saying. "Sucking chest wound" is a sign of a compromised pleural cavity, and of a pneumothorax. So I don't see how you can have a sucking chest wound INSTEAD of a pneumothorax?
leviathan85 3 years ago
I like this clip ALOT... you do see them preparing sealing material though (watch Mark Walburg(sp?) abdomen, they place the opened dressing wrapper as if to IMPLY that they will be sealing it....however, maybe they were totally oblivious to the real treatment... it is hollywood
eischcream 2 years ago