Surgical Cricothyrotomy

[vickiormindyb]

Our Chief Medical Director refuses to let paramedics do open cricothyrotomies in the field, even though you're getting more oxygen during an open cricothyrotomy.

But he's ultimately responsible if anything goes wrong so I guess it's up to him if he wants us to do it.

[louistov]

Oh seems easy enough.

[mccandless1]

Did he died.

[TheHabbo210]

I wish that everytime i performed this procedure, that it would be this tidy. Normally, there is blood every-where.

[mariesadler]

Omg. Are the people who need this done fully conscious and can feel that going on? I'd panic if I saw a parmedic coming at me with a scapel for my throat and out of terror fight it. O.O

[g4bandit]

@mariesadler its hard to fight it when your unconcious fromlack of oxygen

[vickiormindyb]

I had to have one of these but they never made the incision, they used a needle instead. The medicine they kept giving me-that made me shake like a leaf for days-finally started working, so they never made the incision.

I just don't understand how having a giant needle poked into my neck didn't instantly awaken me.

My throat was sore for 18 hours after they removed the failed intubation tube. It worked at first then the swelling sealed my throat closed.

[kevin462]

i wish it were this clean in the field. they failed to show the bloody mess that goes with it, that you have to continuously suction away.

[as0208]

THAT MUST HURT 1,000,00 PERCENT

[moviegoer07]

i think it would b a little less clean then that

[jsonfaust187]

ugcsred2011 What the difference between a Cricothyrotomy and a Tracheotomy?

Cricothyrotomy- for adults

Tracheotomy- for child

[kh2soraku]

I wish some day I could do that!!! Is amazing!! But on the other hand if I have to do, would mean my pacient is so serious :S! ^^ Incredible practice!

[usnavysss]

ahhhhhhhhhhhhhhhhh!

[MO4B]

cricothyroidotomy is done on the in the crycothyroid membrane between the cricoid cartliage and the thyroid cartliage whereas with a tracheotomy the incision is made btween the tracheal cartliages

[monokuruboo123]

hey i remember watching this operation on house :) lol it was so freaky

[RoxasX58]

does it hurt to have that in the throat?

[brnleague99]

@RoxasX58 Not so much as suffocating to death.

[ugcsred2011]

What the difference between a Cricothyrotomy and a Tracheotomy?

[asgbdhj]

nothin

[marlin187]

And all of thi swithout anesthetic .Wooohoooo !!!

[CINGLOU]

Great vídeo! Gois for teaching emergency surgical procedure. Tks.

[kundalini0]

the clinical pearl or whatever was priceless, i can only imagine... what the fuck

[HoneiiDiiva]

i wouldnt do it... fear i'll screw up :P

[Marcotopper]

did you use an Occlusion pass for this Animation.

[satinskyent]

instruments

[eduardo0908]

Actualy it is better to do a horizontal or perpendicular incision in the neck for better cicatrization and minimize the aspect of the scar. When the process of cicatrization is complete it will look like a line of the patient neck .

[bronco1971]

A cricothyrotomy is an emergency procedure for a failed airway. Cosmetics is of zero concern. Also, a veritical incision allows you to extend it either up or down should you be off the mark.  If you make a horizontal incision and are too cephalad or caudad, then you have make ANOTHER incision. Not good. S

[vickiormindyb]

@bronco1971 You don't have the same kind of patients we have. I've seen people come back and complain to us that we made a scar on their skin when we use the defibrillator to bring them back.

That leaves a scar too, but you can barely see it. I had to look really hard to find it.

[kundalini0]

hahahahaha

[loo85]

If not careful, this method will end up slicing our larynx, cause more trouble that reducing it...

[rgml1957]

@loo85 so you'd rather the patient die of hypoxia?? Or are you advocating a tracheostomy instead, be more specific. This is a life saving procedure, what is your preferred technique for a hypoxic patient who cannot be intubated or ventilated by conventional means?

[laurisa1988]

oh my good god! much respect to our doctors because i couldn't do that.

[mextor1212]

takes years of learning and practice.

[artc27]

they drill it on combat medics for a couple of weeks

[Cheersfreak]

Actually we only get drilled for 2 days.

[2100km]

Paramedics do it too. That's with one year of training. Can you say pucker-factor!

[Nilostein]

Great video!

[sucsmade]

oh my god,

[kaley3646]

Any surgical techs wanna give advice to someone thinking about entering the field?

[nomofica0]

school.

lots of it =P

[u2v2me2]

great annimation .....excellent video

[J999ACK]

This is an extremely good video

[ms15494]

thank you.

[bitterseamaj]

This is such an excellent vid!

[cushing86]

think you

[saidshewas18]

this is much easier to watch then the real version