One palm, one back of hand on the breasts

You know what I’m talking right?

Don’t do back of the hand. That’s a political call.

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

That’s sign of a tension pneumothorax or hemothorax.

Yeah I know all of that

Bilateral rise and fall is the easiest visual indicator

Tracheal deviation is a late stage indicator

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.

Tracheal deviation is really fuck bad.

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

They’re dying. Don’t feel bad btw for being a zoomer, I’m first year (or last year millennial) zoomer.

Seriously? Lmao

Yeah I was gonna say, if they’re already at tracheal deviatiation you’re gonna need immediate evacuation and higher level interventions

Yeah lot of PC bullshit in the military.

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

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.

Nasal trumpet and flare gun, got it

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.

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 I’m buzzed and chant remember exactly when they pushed that

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

Needle decompression to relieve tension pneumothorax, turns out it was a hemothorax and you didn’t chest tube, respiratory distress kills. It’s terrifying.

OCD to NCD. Great start, the CLS basic. You’re not wrong if that’s all you know.

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

Feel like I just learned a lot right now. Thanks 🙏

Look for JVD with HTX

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

Don’t let it get further than respiratory distress is the optimal answer but unlikely for non-medical professionals.

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.

MARCHH is the answer.

Yes.

If it gets worse or is already bad from taking too long to treat, you'd need to use the needle to remove the trapped air in the chest cavity. Tell them to try to exhale, then stick them under the second rib from their collarbone. You'll start feeling/hearing air through the needle if successful.

Massive Hemorrhage, Airway, Respiration, Circulation, Hypothermia/Exposure

*intercostal space*

Once they can breath properly again, remove the needle and make sure they're sealed off

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http://www.naemt.org/education/naemt-tccc/tccc-ac-guidelines-and-curriculum

2nd intercostal space, mid clavicular line.

I’m a little drunk right now but I believe we once again decided to leave the needle in.

Lateral with the *nipple*

Or