Trauma management by Osh state university students

[00:00:08][music] >> The first step in emergency management is airway assessment.

[00:00:22]We are hearing [music] and strider breath sound in a patient, so there is an damaged airway.

[00:00:36]Upon jaw thrust maneuver, [music] the strider sound is reduced and sound is normal.

[00:00:51]We then we apply a cervical spine immobilization [music] to secure the airway.

[00:00:59]>> [music] >> As we have secured the airways, next we need to manage the breathing abnormalities in the patient.

[00:01:26]Let's have a closer look into the trachea.

[00:01:28]There seems to be a deviation of the trachea towards [music] the left side.

[00:01:33]Next, we're going to look into the chest region.

[00:01:36]Finding any symmetrical abnormalities or any paradoxical movement present in the patient.

[00:01:41]Since there is [music] no visible abnormalities in the patient, let's further look into the lungs through percussion and auscultation methods.

[00:01:53]>> [music] >> As we have heard, there is a hyper-resonant sound on the right side of a patient.

[00:01:58]It is due to uh trapping up of [music] air in the pleural cavity.

[00:02:03]And then further up, we are going to auscultate the patient.

[00:02:07]Upon auscultation, it seems [music] there is clearly a decreased breath sound in the right side.

[00:02:22]All the signs and symptoms [music] we seen above are all a classical signs for tension pneumothorax.

[00:02:29]For the management of the tension pneumothorax, we do a needle [music] decompression on lungs through the second intercostal space.

[00:02:37]We can reach the second [music] intercostal space with a help of angle of Louis, which is a bump present [music] on the sternum.

[00:02:44]And the insertion point of the needle is just above the third rib, so that we can avoid the neurovascular bundle present below the ribs.

[00:02:52]If failure, we can [music] directly decompress at the fifth intercostal space in the anterior axillary line.

[00:03:01]For a definitive management, we insert [music] an intercostal drainage tube in a triangle of safety.

[00:03:07]And the borders for this include superiorly [music] the base of axilla, anteriorly the lateral edge of pectoralis major muscle, inferiorly the fifth intercostal space, and laterally the anterior edge of latissimus [music] dorsi muscle.

[00:03:23]After managing the life-threatening condition and stabilizing the patient, we need to check [music] for external wound. But before checking, we apply a warm blanket over the patient to prevent a hypothermia.

[00:03:35]Then, with the help of a team of five, we further proceed into a log roll procedure, where we check the patient thoroughly for any external wound or bleeding present.

[00:03:53]Let's then check the level of consciousness of the patient by using GCS. [music] It's known as the Glasgow Coma Score.

[00:04:01]It's based upon the eyes, verbal, [music] and motor response of the patient.

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