Message from @Jaseace

Discord ID: 705292668283912252


2020-04-30 05:33:37 UTC  

Stethoscope?

2020-04-30 05:33:40 UTC  

Oh that shit.

2020-04-30 05:33:46 UTC  

<:blobhmmm:576731972257185793>

2020-04-30 05:34:00 UTC  

Reflex hammer?

2020-04-30 05:34:04 UTC  

Something like that.

2020-04-30 05:34:19 UTC  

I think they meant something else but thatā€™s what I got from their *vivid* illustration

2020-04-30 05:34:58 UTC  

Okay I was thinking you were talking about doing yaps on the abdomen to check for abnormalities

2020-04-30 05:36:30 UTC  

Collapsed lung had signs you donā€™t need to test for, most obviously of course respiratory distress (difficulty breathing) but also look for Jugular vein Distention.

2020-04-30 05:36:59 UTC  

Always feel and listen to the patient as the breathe, as taught in CLS or TC3-AC

2020-04-30 05:37:20 UTC  

Hands on both sides of the ribs, ear to the mouth.

2020-04-30 05:37:42 UTC  

Check for asymmetric rise of the chest

2020-04-30 05:37:55 UTC  

One palm, one back of hand on the breasts

2020-04-30 05:38:04 UTC  

You know what Iā€™m talking right?

2020-04-30 05:38:36 UTC  

Donā€™t do back of the hand. Thatā€™s a political call.

2020-04-30 05:38:52 UTC  

I think so. One side rising and falling more than the other or something.

2020-04-30 05:39:57 UTC  

Thatā€™s sign of a tension pneumothorax or hemothorax.

2020-04-30 05:40:32 UTC  

Yeah I know all of that

2020-04-30 05:40:33 UTC  

Bilateral rise and fall is the easiest visual indicator

2020-04-30 05:40:48 UTC  

Tracheal deviation is a late stage indicator

2020-04-30 05:41:00 UTC  

Use the palms. It was switched to backs of the hands over females being allowed in more roles to prevent false claims of sexual assault. The military is full of PC bullshit especially in training.

2020-04-30 05:41:15 UTC  

Tracheal deviation is really fuck bad.

2020-04-30 05:41:29 UTC  

At which point if there is suspected TPX, decompress at the designated sites. Iā€™m sure you all know them.

2020-04-30 05:41:45 UTC  

Theyā€™re dying. Donā€™t feel bad btw for being a zoomer, Iā€™m first year (or last year millennial) zoomer.

2020-04-30 05:41:46 UTC  

Seriously? Lmao

2020-04-30 05:41:57 UTC  

Yeah I was gonna say, if theyā€™re already at tracheal deviatiation youā€™re gonna need immediate evacuation and higher level interventions

2020-04-30 05:42:11 UTC  

Yeah lot of PC bullshit in the military.

2020-04-30 05:42:36 UTC  

Always push for immediate evacuation on any sort of airway or respiratory issue.

2020-04-30 05:43:24 UTC  

If they require a fucking chest tube, you better pray your medic was fortunate to be taught it, as not all are. I received training from a doctor during my NTC rotation.

2020-04-30 05:43:37 UTC  

Nasal trumpet and flare gun, got it

2020-04-30 05:44:18 UTC  

A hemothorax can end a life with a doctor watching, and it can be so difficult to see if your not trained 10000 percent for it.

2020-04-30 05:45:03 UTC  

I think we only had one PT that required a chest tube on my last deployment, and I think they did it before air casevac, but Iā€™m buzzed and chant remember exactly when they pushed that

2020-04-30 05:45:14 UTC  

They cover sticking them with the needle to remove the trapped air in the CLS course

2020-04-30 05:45:21 UTC  

Needle decompression to relieve tension pneumothorax, turns out it was a hemothorax and you didnā€™t chest tube, respiratory distress kills. Itā€™s terrifying.

2020-04-30 05:45:52 UTC  

OCD to NCD. Great start, the CLS basic. Youā€™re not wrong if thatā€™s all you know.

2020-04-30 05:46:13 UTC  

I'd recommend everyone look up videos of a CLS course, great info in there

2020-04-30 05:46:20 UTC  

Feel like I just learned a lot right now. Thanks šŸ™

2020-04-30 05:46:29 UTC  

Look for JVD with HTX

2020-04-30 05:47:25 UTC  

Respiratory distress is the first sign, rake the chest and back ASAP in search of wounds.

2020-04-30 05:48:00 UTC  

Donā€™t let it get further than respiratory distress is the optimal answer but unlikely for non-medical professionals.

2020-04-30 05:49:35 UTC  

Stop the bleeding if there is any. If the bleeding is from your entry and exit wounds you've got two birds with one stone. If they progress to TPX then you didn't seal off the wounds properly (adhesive tape is key) then redress.

2020-04-30 05:50:54 UTC  

MARCHH is the answer.