Комментарии:
Isn’t hare traction contraindicated for an open femur, and definitely in an unstable pelvic fracture
ОтветитьGreat video. Hard to do these live on a video. Only correction: Abdominal binder has become standard (although I've used a sheet before). OGT is contraindicated until CT head to r/o basilar skull fracture, so OGT best. I would also prefer to see the trauma team (even at a small hospital) an ED tech, house supervisor (scribe?), lab, x-ray outside door.
ОтветитьLocalized to pain is a 4????
ОтветитьBetsy forgetting to put that IV in.. Would had pushed 1-2L in already with that BP and had that EMS give me his phone or wallet for POA.. smart putting the xray board down while he was rolled.
would had made copies of the xray scans myself and just tell the nurses to focus on NG and foley because thats too many orders at once. something will be forgotten.
helpful
ОтветитьMeeting with you you
Ответитьyeah GCS is 8 not 7 if I'm not mistaken.
ОтветитьVery nice work
ОтветитьReally great video. Stands the test of time. Thank you!
ОтветитьOnly 3 people and there is no other trauma team coming for help? thats must be difficult
ОтветитьChest tube before or just at the time of intubation in this case.
ОтветитьThanks you!!!
ОтветитьHow about we get some blood to give prior to intubation that can cause his hypotension to worsen and kill him...
ОтветитьThank you 🙏🏻
Ответитьoutstanding
ОтветитьThis doesn't look like ER or Chicago Med at all :)
ОтветитьVery good
ОтветитьLocalizes pain is M5, not M4... ;-) The GCS is not so easy to use in the ER...
ОтветитьNice sim but not perfect.
Beneficial to watch nonetheless.
I think the benefit from this video is to critically review the correctly and incorrectly performed elements
Criticism from my side:
-Incorrect Primary survey sequence: A,C,E,D (GCS is part of secondary survey; use AVPU for now)
- air transport plans: no note made for ETT cuff air to be replaced for sterile water
-foley cath can be done after secondary survey; also contrainidicated in pelvic fracture
Positive remarks
- always refer telephonically if transfer needed, clearly depicted
-great log roll technique and order
-good team dynamics at play
I wonder why E-FAST was NOT performed. Very simple and quick testing modality with a high sensitivity and specificity and non-invasive procedure
ОтветитьI’m waiting for the doctor to order FAST sono 😬
ОтветитьWho is documenting??!😅😅
Ответитьkeeeep Going dr💕
ОтветитьGreat video ,Thanks.
ОтветитьSo correct me if I'm wrong, but he seems to intubate this patient without giving any sedation or analgesia, and THEN assesses GCS and finds that the patient is localising to pain - is this scenario even possible?! I'm genuinely curious, because the only time I've seen a patient intubated without giving any sedation is when they are in cardiac arrest. Surely if this patient was localising to pain he would have pulled the tube out when the doc clearly lets go of the tube before it gets secured? I get that they are trying to emphasise simultaneous assessment and management, but I think it's worth arguing that unless the airway is about to be lost in the next minute then it would be better to complete the primary survey and begin optimising the patient's oxygenation / haemodynamics / positioning / etc prior to attempting intubation (the subject in this video has also has terrible positioning for laryngoscopy). Apart from those criticisms I think the video is quite good - he demonstrates good clear communication, closed loop handover etc.
Ответитьwhat part of primary survey does pushing on the belly belong in?
ОтветитьLove from er department
ОтветитьNo urethral or suprapubic catheter to monitor urine output?
ОтветитьAfter watching this for the umpteenth time; I just noticed the Rad Tech's photo is on page 12 Figure 1-5 of the 10th Ed ATLS Student Manual.
Ответитьlittle tense and erratic but I like it...
ОтветитьThanks
ОтветитьC spine collar with possible neurotrauma? And why would you fill even more with saline when there is an obvious bleeding? Filling the pt. would only raise blood pressure increasing the bleeding.
ОтветитьThank you for the video! Appreciate it.
Ответитьwhy not a FAST Sono?
ОтветитьI don't think you should log roll a patient that has an open femur # .
ОтветитьGood video of ATLS primary management
Ответитьpelvic fracture transurethral catheter no mention of high riding prostate on PR
ОтветитьByhuuju
Ответитьhe jumped from airway to circulation. what about b? wht about tension pneumo, hemo open pneumo
ОтветитьThank you. Very informative.
ОтветитьEMT"S didn't use a pelvic binder?
Ответитьnice Videos
ОтветитьWhat about the FAST-sonography. Point nr 2, if you think there could be a middleface fracture, you should use the nasopharyngeal access to intubate (I suppose this video follows the Secondary Survey ATLS).
ОтветитьNo more Cricoid people!
Ответитьvery different to 2015 atls moulage
ОтветитьLog roll on a pelvic fracture?
ОтветитьShouldn't saturation be over 98% in suspected brain injury?
ОтветитьThis is how you bring people back from death. God bless you sir, and I hope this unfortunate chap survived his unlucky accident.
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