Performing an Emergent Cricothyroidotomy - MEDZCOOL

The cricothyroidotomy is an emergency procedure that is performed to obtain an airway when you cannot obtain another means of a definitive airway. This video explains how to perform a cricothyroidotomy in easy to follow steps.
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Пікірлер: 116

  • @khallidmays7118
    @khallidmays71182 жыл бұрын

    I did one today for the first time ever as a medic in the field very insane experience

  • @D0llbabyAngel

    @D0llbabyAngel

    2 жыл бұрын

    Your a hero Khallid

  • @ayushkandoi2477

    @ayushkandoi2477

    2 жыл бұрын

    No body cares man

  • @D0llbabyAngel

    @D0llbabyAngel

    2 жыл бұрын

    @@ayushkandoi2477 I care

  • @user-bc3nr1hp8g

    @user-bc3nr1hp8g

    2 жыл бұрын

    Well done

  • @dr.mussabalrasheed-.6296

    @dr.mussabalrasheed-.6296

    2 жыл бұрын

    what was the indication?

  • @wosuibian1
    @wosuibian1 Жыл бұрын

    Bro this is the exact education we need. You taught us basically everything we are likely to get confused with

  • @SebastianIgnacioPizarroAlarcon
    @SebastianIgnacioPizarroAlarcon6 жыл бұрын

    The information is really great, the explanations are clear and the presentations are elegant! Great example of FOAMed!

  • @samwarren2850
    @samwarren28503 жыл бұрын

    you guys are seriously a hidden gem, loving all your videos so far!!

  • @l7sboa
    @l7sboa4 жыл бұрын

    Excelent explanation to expert doctors 👍🏽👍🏽 thanks a lot.

  • @roddenby
    @roddenby5 жыл бұрын

    Kick ass, best Cric demo I've seen on youtube.

  • @uncleroq
    @uncleroq3 жыл бұрын

    Scary but necessary. Respect to all the docs and parameds

  • @joellekabbabeh4420
    @joellekabbabeh44202 жыл бұрын

    You are literally the best youtube channel 👐 huge respect for your effort💎

  • @ArtiYadav-yj3qt
    @ArtiYadav-yj3qt3 жыл бұрын

    Amazing....glad found this channel. Subscribed immediately

  • @dodaporto
    @dodaporto6 жыл бұрын

    this chanel is amazing! Keep with your good work

  • @medzcool

    @medzcool

    6 жыл бұрын

    Eduardo! thanks for the kind words!

  • @nourz2454
    @nourz24546 жыл бұрын

    realy usefull video, keep up with your good work 👌👍

  • @rhcorr
    @rhcorr6 жыл бұрын

    Excellent video, glad I found it.

  • @user-ju8jj2mn3k
    @user-ju8jj2mn3k3 жыл бұрын

    According to Japanese guidelines, the cricothyroid ligament incision is a transverse incision. But there are cases when the neck swelling is so severe that even the thyroid cartilage cannot be located, in which case a transverse incision would be easily misplaced.

  • @user-ju8jj2mn3k

    @user-ju8jj2mn3k

    3 жыл бұрын

    Therefore, I personally feel that if the neck swelling is severe and dangerous, a vertical incision like the one in this video would be better.

  • @CushingsSx
    @CushingsSx5 жыл бұрын

    Awesome work guys 👌❤️

  • @B3bita1215
    @B3bita12156 жыл бұрын

    Wow!! Amazing. Thanks for sharing.

  • @samanmohamadzade5192
    @samanmohamadzade51922 ай бұрын

    Excellent demonstration.thak you 👍🏻👍🏻

  • @user-pl8kc2lo1r
    @user-pl8kc2lo1r3 жыл бұрын

    Thanks for the explanation

  • @jordanernst642
    @jordanernst6424 жыл бұрын

    Excellent video.

  • @TonyTarantula
    @TonyTarantula6 жыл бұрын

    Excellent vid!

  • @chrischen2256
    @chrischen22566 жыл бұрын

    Awesome video. Keep them coming!

  • @dohyunkim234
    @dohyunkim234 Жыл бұрын

    thank you so much for this vid!

  • @2aprecisionninja897
    @2aprecisionninja8973 жыл бұрын

    Great video. New follower.

  • @karthikravi1108
    @karthikravi11083 жыл бұрын

    Good explanation

  • @chetmorrison7542
    @chetmorrison75423 жыл бұрын

    I would like to use this for a lecture, appropriately credited

  • @peishiaw1518
    @peishiaw15184 жыл бұрын

    Thank you!

  • @daniaraed2180
    @daniaraed21804 жыл бұрын

    Thank You!!

  • @user-jt5hs8ur8q
    @user-jt5hs8ur8q4 жыл бұрын

    Thank you!!

  • @Sexydela2011
    @Sexydela2011 Жыл бұрын

    Well explained

  • @marcoantonioomajimenez2796
    @marcoantonioomajimenez27965 жыл бұрын

    Excellent explanation. Thanks!

  • @user-wj7hf9cr7w
    @user-wj7hf9cr7w7 ай бұрын

    Nice video 👍

  • @yasminsaeed6201
    @yasminsaeed6201 Жыл бұрын

    thank you

  • @adnanjan11
    @adnanjan118 ай бұрын

    Thanks❤

  • @nuhafathima2729
    @nuhafathima27293 жыл бұрын

    Amazing

  • @oliviagirvin2200
    @oliviagirvin22003 жыл бұрын

    So wait , what is the difference in this and a tracheostomy?

  • @dr.asheralbert9446
    @dr.asheralbert94463 жыл бұрын

    Wow cool!

  • @wholeNwon
    @wholeNwon6 жыл бұрын

    Surprisingly to some, many patients can be maintained with nothing more than an oral airway and bag. Others require endotracheal intubation. Personally, I have never failed to intubate successfully and atraumatically. This is the result of having done very large numbers as an intern and resident. The only times I have had to do surgical intubations with the technique shown here or with formal tracheostomy were when others had started the procedure and were encountering difficulties requiring assistance. Moral: Learn to intubate correctly even under difficult conditions.

  • @medzcool

    @medzcool

    6 жыл бұрын

    Well said! I could not agree more. I will say there maybe one time were an emergent cric would be necessary, which is the one time I’ve done this. And it was in a patient with severe tongue swelling/angioedema. In this case events happened so rapidly, we tried video, we tried fiber optic, but airway was too swollen and patient became very agitated. We then quickly decided to do the cric. The patient did great and walked about of the hospital a few weeks later!

  • @wholeNwon

    @wholeNwon

    6 жыл бұрын

    Of the 2 that I can recall, one was similar to yours and the other was a retropharyngeal abscess pt. in resp. distress for whom I had the extra couple of minutes to do a tracheostomy. Both enjoyed good outcomes.

  • @kurtvonfricken6829

    @kurtvonfricken6829

    5 жыл бұрын

    If you haven't had a problem doing a routine procedure, you haven't done enough of them. It has nothing to do with skill or technique, it’s all about odds and probability. The key is to know what to do when something totally unexpected happens when you least expect it.

  • @medictactical6417

    @medictactical6417

    5 жыл бұрын

    Emergency Cric's save many lives on the battlefield. They are fast and we don't have to waste time intubating to get the same if not better result. In a controlled setting like a comfy hospital it would seem to think this is a very last resort procedure but It's great on a bloody messy battlefield where the person is most likely going to suffer heavy facial trauma.

  • @annsavinski4500

    @annsavinski4500

    5 жыл бұрын

    ever run across a situation like mine? refer to my description of botched cesarean delivery - prior to being wheeled back into or - ob had given me 10 bag of platelets, 9 bags of whole blood and 11 bags of (shoot, can't remember, lol - 23 years ago) - but I was so swollen by the time I got back to the or, they couldn't intubate - doctor told me I had 30 seconds to live - he saved my life.

  • @dr.gustavo-vocemaisleve227
    @dr.gustavo-vocemaisleve2274 жыл бұрын

    awesome

  • @saileebniss1782
    @saileebniss17822 жыл бұрын

    Life is so presious

  • @7126797
    @71267974 жыл бұрын

    Nice demonstration however my seniors have taught me that a vertical skin incision is not a part of cricothyroidotomy it should be one horizontal incision down to the cricothyroid membrane if anyone has any suggestions regarding this?

  • @jaredourieff7742

    @jaredourieff7742

    3 жыл бұрын

    The vertical incision for cric, horizontal for trach.

  • @tuberoses..

    @tuberoses..

    3 жыл бұрын

    Vertical skin incision is for emergency procedure as it is with rapid access and minimal bleeding and tissue dissection

  • @ShaileshPanthee
    @ShaileshPanthee5 жыл бұрын

    How do you decide when to do cricothyrodotomy vs tracheostomy?

  • @sharadmohip6536

    @sharadmohip6536

    4 жыл бұрын

    when there is a need for an immediate surgical airway when someone can't intubate, there is no time to play around... Emergency staff is better off doing the easy procedure such a CRICthyroidotomy as a temporary airway to keep the patient alive ...however, if an ent surgeon is there he can do a tracheostomy immediately which is way more technical.

  • @sportstours24

    @sportstours24

    4 ай бұрын

    ​@@sharadmohip6536no, surgical tracheostomy won't be as fast as required in an emergency.

  • @sideupsun
    @sideupsun6 жыл бұрын

    Nice

  • @applewhite6544
    @applewhite65444 ай бұрын

    🙏🙏🙏

  • @manafro2714
    @manafro27145 жыл бұрын

    how do you do this properly with just a pen? i know there was a study where only 1 out of 10 people could push a pen through a 2 day old human cadaver's throat, and it took the person 5 minutes, so chances are slim. but it still may be a life saved, especially if done properly. so how is that done properly? (assuming you have only a pen, no knife or any other sharp object around)

  • @manafro2714

    @manafro2714

    4 жыл бұрын

    @Aaron Turner Hi. Why though? The alternative is dying. If you do it (the emergency crico-thing with a pen), you may end up dying, but if you don't do it, you will for sure die. So you're actually not risking anything.

  • @thomasb.581

    @thomasb.581

    Жыл бұрын

    This procedure is only for medical professionals and people specifically trained in this procedure. A first aid lecture and first aid in general provides better ways to help someone who is not breathing, than to do something this invasive with a knife or a scalpel with which you could easily injure the patient additionally or kill him if not done correctly. Performing chest compressions or the Heimlich Maneuver can be a better idea depending on the scenario. I hope you'll have a nice day.

  • @vivekrathi2941
    @vivekrathi29412 жыл бұрын

    wow

  • @charlesgray3810

    @charlesgray3810

    2 жыл бұрын

    Yep the guy with his head tilted back has a sweet adams apple nice and big.

  • @chinjuvalentina2771
    @chinjuvalentina27713 жыл бұрын

    My neck feels weird 😩

  • @xenne.
    @xenne.3 жыл бұрын

    great video ... but who walks in the middle of the road

  • @richardbautista503
    @richardbautista5033 жыл бұрын

    his cords are swollen shut...... effffff

  • @drnaazneenmohammed1094
    @drnaazneenmohammed10944 жыл бұрын

    2 : 25

  • @whard9961
    @whard99613 жыл бұрын

    please EQ your audio

  • @annsavinski4500
    @annsavinski45005 жыл бұрын

    I had one done in 1996 - after severe blood loss after botched cesarean section (baby was ok) - I wasn't though - when you lose 2/3 of your blood volume, your bp is 28/19 - and you have ARDS and DIC plus complete white out of the lungs - then you better hope there is an experienced trauma surgeon around - one that can save your life.

  • @annsavinski4500

    @annsavinski4500

    5 жыл бұрын

    btw botched = severing uterine artery and not repairing it

  • @hoeelandotorrez7891
    @hoeelandotorrez78915 жыл бұрын

    This is why they pay so much in every way.

  • @ilajoie3
    @ilajoie34 жыл бұрын

    1:03 it's Trump!

  • @artistrymindsstudios2531

    @artistrymindsstudios2531

    4 жыл бұрын

    That's you're take away from this video?

  • @vukken99
    @vukken994 жыл бұрын

    Again you looking at the most ideal scenario: 1- doc knows anatomy 2-he can locate Cricothyroid membrane....those are only the best scenarios...

  • @brunonkowalski
    @brunonkowalski5 жыл бұрын

    Show instructions how to do it at home without any special medical tools.

  • @akanksha2273

    @akanksha2273

    3 жыл бұрын

    This should be done only by a doctor because a person not familiar with anatomy can damage major vessels or nerves or even puncture trachea. Don't try it at home under any situation

  • @brunonkowalski

    @brunonkowalski

    3 жыл бұрын

    @@akanksha2273 OMFG Are you serious? Wchich part of "is performed to obtain an airway when you cannot obtain another means of a definitive airway." didn't you understand excacly? "Don't try it at home under any situation" - sure, let the man die, it's better than puncturing trachea.

  • @akanksha2273

    @akanksha2273

    3 жыл бұрын

    @@brunonkowalski are you a medical professional? I don't think so. Because if you were you would know how to obtain an airway at home. Do you even know where your carotid is located and how important it is,or your vagus nerve or your thyroid???do you even know how to intubate? So i am sorry that no one wants to teach you how to stab a man in his throat. If any such situation arises you are free to call 911 or any health facility and then ask them for directions. You may just kill the person or damage the vocal cords of a person who may just need to be intubated.

  • @brunonkowalski

    @brunonkowalski

    3 жыл бұрын

    @@akanksha2273 Do you know how important oxygen is? I will explain to you. Human being cannot live more than a few minutes without it, so if someone choked with something and can't breathe and back blows and chest thrusts don't work feel free to let the man die.

  • @akanksha2273

    @akanksha2273

    3 жыл бұрын

    @@brunonkowalski dude no one starts to do cricothyroidotomy in a patient straightaway. Your job ends by calling 911and repeating thrust and blows for that patient. If that patient becomes unconscious then you are authorised to administer cpr. Unlike your medical drama no one jumps to slit a patient's throat open. Do you even know the basic anatomy of neck? Blood vessels that run in your neck? Or even cpr? 90% of the patients are managed with endotracheal tube and dont need to get this procedure done. God forbid where you have to perform the procedure..take a pen containing a refill and insert it across cricothyroid membrane. After that remove the refill. A temporary airway will be established which will be good for 10-15 minutes. This is a very risky procedure and you can do more harm than good. So first always call 911 and perform cpr.

  • @babarabaraha
    @babarabaraha3 жыл бұрын

    The difficult anatomy looked like trump.

  • @LonelyDev71
    @LonelyDev713 жыл бұрын

    loool Sure. People are normally, carrying these tools with them.

  • @thomasb.581

    @thomasb.581

    Жыл бұрын

    This procedure is only for medical professionals and people specifically trained in this procedure. A first aid lecture and first aid in general provides better ways to help someone who is not breathing, than to do something this invasive with a knife or a scalpel with which you could easily injure the patient additionally or kill him if not done correctly. Performing chest compressions or the Heimlich Maneuver can be a better idea depending on the scenario.

  • @cedchar2049
    @cedchar20494 жыл бұрын

    Ok, half of the video is black screen... no effort putting there...

  • @sandeepkhurmi3871
    @sandeepkhurmi3871 Жыл бұрын

    Lovely

  • @sandeepkhurmi3871
    @sandeepkhurmi3871 Жыл бұрын

    ❤️❤️