this was developed by the good people at The Centre for Emergency Health Sciences in Spring Branch TX. They do awesome cadaver labs and anyone in the area should look them up. Absolutely awesome training

If the whistle works really well, guarantee some medic somewhere is going to be giggling at the cutest little sound.

This makes so much sense over just burying a needle to the hilt. The whistle... whatever... but the measured insertion technique just makes so much sense.

I really found this interesting. I really like how u present the information in the videos. I’ve watched others. You don’t stutter or go too fast. U keep it simple yet professional. I haven’t subscribed yet until today. I keep coming back to your content. Thanks and keep the videos coming. 😁👍👍

@PrepMedic

5 жыл бұрын

Thank you sir!

I like the concept. If you have a large pneumothorax the larger needle is going to work very well for for a larger pneumothorax as it will allow for more air to be released quicker thereby giving more protection to cardiac function.

Got to play around with a SPEAR on a cadaver at a conference before it hit the market!! Awesome tool, also got to speak with the inventor! Great device!

@jakepotter3868

5 жыл бұрын

PrepMedic great stuff man! Keep it up!!

That whistle is cool I really like that valve

I’m pretty curious to see how well that whistle works, since the air escaping from the pleural cavity won’t come out with nearly as much pressure as you blowing on that whistle. If you ever happen to decompress a chest with the SPEAR, could you update us with how well the whistle worked?

@CookiemanHS

5 жыл бұрын

Hello from Sweden. In TCCC they said that you an take a prefilled salin and take the plunger out then stick it to the luer (where the whistle would be), if there is bubbles in the saline you know you got air coming out. As you say it is almost impossible to hear in a noisy ambulance. I use to feel for air with the back of my hand (although very seldom we do needle decompression). Great channel and content by the way!

@Christian_Prepper

4 жыл бұрын

*Apparently at **4:01** he said it whistles with the **_"initial woosh of air"_** (air decompression) when the air initially evacuates. That makes sense seeing as how it is at that moment that the pleural cavity will have the greatest amount of air & pressure to be released. So if we were to ever have a chance at hearing the whistle verifying the success of penetration we need to have an ear close to the top the moment we detach & it'd probably help to do it as quickly as possible so as not to slow down the escaping air. Regardless, I also look forward to hearing from someone that has experienced success with that whistle.* *(**7:33** I recognize he later assumes the whistle will continue to work after the procedure is over but it may not be necessary as long as you confirm initial evacuation.)*

@Mockturtlesoup1

2 жыл бұрын

@@Christian_Prepper the only problem with having your ear/head close to the needle, especially when the air/pressure is first released, is that you've now got a biohazard concern, i.e. air, blood, other liquids, etc. getting into your ear, eyes, nose, mouth, what have you.

I usually use a 3 way stopcock (esp with cardiac tamponade), but I really like both the 10 Ga LONG needle and the one way valve. I’ll get one for my SWAT IFAK. In my ER, I’ll drop a big (36-40 Fr.) chest tube for a PTX and will decompress a Tension PTX with a scalpel/Kelly while nursing sets up the pleurevac for the chest tube(s). I’ll probably get a couple for my SWAT med bag as well.

Again PrepMedic doesn't disappoint. Dude can you be my medic lead instructor lol?

Have always used a 10mL flush syringe onto of the valve so instead of trying to listen for something in the back of a rig running code three I can visually see/confirm that there is air movement AEB bubbles coming up into the flush syringe... works pretty well, have never had a issue...yet (knock on wood)

Eager to see the update on how this works in the field. Keep us posted!

Hi. Interesting concept; however, I believe most providers will actually use it the "old' way and I suspect we will have a lot of damage and mortality from it...just like we used to with blind trocar based chest tubes insertion. I would strongly encourage staying away from the lateral insertion method as the liver is just too easy a target there with something that long. Good to see innovation though and a great training video!

Note to self: don’t watch prepmedic for entertainment while eating. Appetite ceases to exist

Great video!! Can't wait for next week!

since this video is a bit dated, im curious if you have had a chance to experience the audible function of the one way valve in the field? im really curious if the amount of air would be forceful enough to make the "whistle" audible. and if it would actually work, and if it would be loud enough to hear in a chaotic environment.

LOVE THIS VID. Thanks man

Love the video. Pretty similar to the ARS but definitely cool. Would like to see a different variation of videos if possible.

@JamesHaste

5 жыл бұрын

@@PrepMedic Maybe how to auscultate lung sounds? Maybe too boring Not sure....

Hey can you make a video showing how to do first aid, because i bet theirs kids watching your videos, btw love you vids

@iversnbaldos6604

5 жыл бұрын

@@PrepMedic YES

@skepticmoderate5790

5 жыл бұрын

@@benoitdastous5293 No he was clearly replying to a (probably deleted) comment made by @PrepMedic.

I love the new intro. Keep up the good work!

Great video,

Good information. Thanks

Excellent video sir!

GREAT , but dude, can u make a second part , where u make a lateral insersion , or may be a compared SPEAR insersion with needle decompresion insersion to see real diferent u have material do it :) very thx for ur work

Great video as always. Question: when you rotate the needle 60ish degrees with a sharp end inside the chest cavite at 6:42 , is it dangerous to cause alot of internal damage? just curious.

@monk3yBon3

2 жыл бұрын

I am completely ignorant on these topics but curious and seeking information. Serious damage was my first thought as well .... how does that process work inside the lung?

@brynawilson9680

2 жыл бұрын

@@monk3yBon3It is likely that an untreated tension pneumothorax will cause more damage than a trained responder inserting a needle. Since the lung is collapsed, the needle will probably not penetrate it. The goal of this procedure is to remove the air trapped between the collapsed lung ang the chest wall. If the air is not removed, pressure will continue to build in the chest, potentially damaging the heart and other organs, and the patient will not be adequately oxygenated due to the collapsed lung. Very interesting pathophysiology here!

@monk3yBon3

2 жыл бұрын

@Bryna Wilson thank you for clearing that up. When I read your reply, I thought to myself "duh, makes perfect sense". 😁👍

@Mockturtlesoup1

2 жыл бұрын

@@monk3yBon3 The needle doesn't(or at least isn't supposed to) go into the lung. It goes into the pleural space, which is the(nomally) thin space formed between the visceral(inner) pleura-which covers the outside of the lung, and the parietal(outer) pleura-which is attached to the chest wall. This is the area the fills up with air(pneumothorax), which can put pressure on the lung(causing a collapsed lung), and even the heart(particularly in a tension pneumothorax, which is when the pressure in the pleural space is greater than atmospheric pressure, generally due to air being released from the lung and/or an opening/wound in the chest/pleural space.) And yes, the needle can cause injuries to the lung(and blood vessels, muscles, nerves, even other organs like the heart or liver if you're not where you're supposed to be), but treating the pneumothorax is more important than potentially citting/scraping/damaging the lung. Also(and I don't know if this is part of why you asked the question or not), remember that the lung is not just a big balloon filled with air. It is a dense organ containing branching structures like a tree or a river delta called bronchi, which break down into smaller and smaller branchi/branchioles(which greatly increases the surface area of the lungs) that are lined with alveoli(which absorb the oxygen/air that we breath in.) So it's not like poking a balloon or a sports ball and having it deflate(or at least it's unlikely with a decompression needle, especially because if you have a tension pneumo the lung is likely already somewhat "deflated"/smaller, leaving you even more room for error. But yes, needle decompression most definitely has its risks(and sorry for the rambling. Lol.)

This seems like a really bad idea - the insertion procedure more than the device. Why try to move the needle to face the apex after insertion? Rotating the needle to face the apex of the lung after puncturing the pleura is likely to lacerate lung tissue. This type of thing is a big no-no in all needle based procedures - thoracentesis, paracentesis, LP - you name it. The reason is that the sharp end of a needle (especially large needles) can act like a knife blade to cut when moved laterally. To change direction you always come out to the skin and redirect in a straight line. You could argue that there will not be any lung close to the pleura because these is a huge tension pneumothorax, but the reality is that this is a clinical diagnosis and decompression should be done at mere suspicion of it, so in the end the device should be expected to be put into many normal lungs.

The patient will sound like a squeaky ball and boy does my dog LOVE squeaky balls, so look out!

I was waiting for this video!

I dont get it. You go through the rib? The tip was resting on the rib than you went 3 cm straight down, only than you pointed it to the clavicle. Am I missing something ?

@RiggadonDan

4 жыл бұрын

You go around the rib obviously, you'll have to angle away from the rib towards the clavicle.

You know what the Bible says about needles? It is better to give than to receive! And this needle CERTAINLY lives up to this!

i feel like its a bit too long and will go up into the shoulder lol

@SaladDressing69

3 жыл бұрын

It made my artery feel sad :'(

Have you ever used/seen/played with a turkel? Can be pricey but a very nice piece of kit to use. Good visual cues for insertion when entering the pleural space. Somewhat “dummy proof”. Check it out.

@Brad-R

5 жыл бұрын

PrepMedic here’s a link to a PDF. There’s quite a few YT videos out there’s as well www.covidien.eu/imageServer.aspx/doc299118.pdf?contentID=46796&contenttype=application/pdf m.kzread.info/dash/bejne/g4SNtbZxpdXHY7Q.html

Could you do a review of the H&H Enhanced Pneumodart to see how it compares to the SPEAR? Im interested in what you think about leaving the metal needle in and tissue damage. Thanks!

Nice.

For being a TAC medic, would you recommend going to a police academy and if so, should I do it anytime or should I wait till after my 2 year paramedic experience?

@jhevgainz2307

5 жыл бұрын

@@PrepMedic thanks

Does it come with a diaper? I needed one after my 25 years as a paramedic and doing my first cric.

I know this video is der but I enjoyed this video

In previous training, I was taught the needle insertion was 90 degrees to the Chest Wall, without the turn up to the Clavical, is that just for this device or has the accepted procedure changed?

@WanderingBobAK

3 жыл бұрын

He as another vid on how to insert A.R.S.

FF/PM here. There are a couple of products that are similar to this. The Turkel being one example. Why is the insertion technique changed to advance the catheter into the superior portion of the plural space in this specific device?

Can we get a update on how you think the product preforms.

I don’t know if you read comments, especially on old videos. But really curious if you ever got the opportunity to use this live and if so did the whistle work?

Doesnt air usually come out through the mouth? Whats the point of this? Quackery.

Thanks a lot!

Man you Americans sure love gun imagery ..maybe tension pneumothorax treatment isnt quite as Hollywood here in New Zealand but still a good presentation

I’d really be interested in a video where you disclose policy-change suggestions that you have for your department. Through watching your great videos, it seems as though there are a number of times when you say that you “unfortunately” have to go about a treatment one way or use a certain piece of equipment that you may not want to... as if there are better ways to do something but for whatever reason aren’t allowed to do.

Does it matter which side of the sternum you insert the needle on?

@hunterharrell5701

2 жыл бұрын

Used to treat a tension tension pneumothorax so it should be used on the side the tension pneumothorax is on. DO NOT do this procedure unless you have hands on training on how to.

whats the price ?

What if needed in the heart side of somebody ???

@hunterharrell5701

2 жыл бұрын

You do the same but the other side. lol if your at the correct site you shouldn't be hitting their heart

the one way valve that makes sounds makes me think it would need force to come out, will that hinder a proper decompression?

@Alpha_Donk

5 жыл бұрын

PrepMedic I like the form factor of the ARS space means a lot to me. I wouldn’t mind throwing that spear in my truck kit, it seems quite capable but I would love to get my hands on this needle “ buyhandh.com/products/enhanced-pneumothorax-needle “ it’s a bit pricey tho and for me to be confident using it, I would want a few to test. What’s your thoughts on the advanced needle?

Under stressful situations doesn't the noise of the one way valve get irritating or distracting or frustrating?

@frroossst4267

5 жыл бұрын

@@PrepMedic Great vids btw keep it up!

Looks like an angio cath

Please,how can I buy this...I would like to buy today or tomorrow. I am a Medical Doctor and an Entrepreneur...I deal on Emergency Medical Equipment.

Good video, however I don't see the need for such a really long needle. There's too much here to do in a very hurried stressful situation. What is wrong with keeping it simple and reliable? Just my opinion. Don't get me wrong the needle width is ideal but that length tho 😳😒

@hzwanepol6947

5 жыл бұрын

Ours are 4" because of reported cases of insufficient length. The spear is a 1/4 shorter.

@joestevenson5568

2 жыл бұрын

You’ll need that length in some patients

Fun fact this is now part of PHi’s new hire education

Did you have the chance to use it in the field so far?

@PrepMedic

5 жыл бұрын

Not yet! Just got a new job and we don't carry SPEARS

*Modified Bezel Tip* 2:11

I want to learn how to use one of these.

@videosuperhighway7655

4 жыл бұрын

Go to school.

Any updated data on this one yet?

Can a civilian get a certification to use this ? I am a foreigner volunteer firefighter from Europe and I'm willing to learn how to use those techniques, are there any classes in US to get a certification for using and buying those ? I'll be very greatful if you would answer to me, or anyone who has knowledge about the subject.

@bigd2829

2 жыл бұрын

I’m wondering the same thing, ever find out?

@alexpirvuloiu742

2 жыл бұрын

@@bigd2829 no, but you can buy them from distributors

I know this seems like a very benign topic, but would you consider making a brief video on gloves? I'd appreciate your perspective and professional take on Super Ultra Tactical gloves versus whatever knockoff dynarex your employer gives you, why black gloves aren't the hottest idea, and more specifically storage and staging of gloves. I'm experimenting myself but can't find much other material written as to the efficacy of shoving gloves loosely into a pocket or pouch or buying those re-rolled little bundles or having a belt/molle "dispenser" type of deal.

Woah, isn't the SPEAR Needle Decompression is too long?

@nateanderson2637

3 жыл бұрын

Not for robust American bodies!

Why are you measuring 3cm and then later inserting the whole needle?

@StormEagle5

4 жыл бұрын

Not a medic, but if I had to guess, the 3cm is the straight down depth to read the chest cavity. He then angled it upwards before inserting the length of it so that there is less risk of it coming out or irritating the tissue of the lung with the tip.

@JOgershok

4 жыл бұрын

@@StormEagle5 It is the length of the catheter that is inserted not the needle, which is extracted after the catheter is inserted to the hub.

Why the insane needle given the aim is just to pierce the lining? I cannot fathom the need to catheter the lung cavity with something longer than a giraffes neck.

@hunterharrell5701

2 жыл бұрын

insane needle because fat people, and it should never enter the lung. It's to vent air trapped in the chest that is putting pressure on the lung and heart.

Ouch

I still prefer the turkel

Looks painful.

So even though I'm not trained in these (EMT basic level training) I was thinking of putting in my edc carry anyway but in like plain sight so if it was ever needed like in an active shooter event or something like that. Thoughts?

@brendanhauch338

3 жыл бұрын

I would be careful with this, I would use it to save a family member or close friend. I know here in Canada if you don't have proper credentials the person or their family can legally come after you if you did this and they feel like you caused them harm or death. I would be cautious with this

What is it for?

@2011gamefreak

4 жыл бұрын

Tension pneumothorax

Доброго дня.як знайти 2-3 міжреберьє?

longer catheter : We are an ever-larger population. might help get to the lung through the far.

@mikejones6711

4 жыл бұрын

You're not trying to reach the lung. Ffs

@davidwarren719

4 жыл бұрын

Please stay away from these devices

First keep it up brother

I don't think is simple is more steps

What is the best full size tactical backpack in your opinion?

Can you do a video on chest IOs

I'm looking to buy a first aid kit for my family as we have a lot of typhoons and earthquakes what kit would you recommend

This is the new 18G for IV access🤣

Put subtitle not understand u r speech for tamil people.....

I wanna take some courses so I really know how to use this shit, anyone got any suggestions?

So basically a simple for stupid decompression needle

Too bad the whistle thing doesn't play Stairway to Heaven.

First

What is this ambulance driver doing with a doctor's tool?

@JOgershok

4 жыл бұрын

Sounds like a troll comment.

Do they have anything like that with Epi-Pen? You know, the thing that I can't live without but whose CEO raised the price of it by 6 gd times what it USED TO cost? I stopped carrying one after that. I'll just take the risk of possibly dying if I ever get stung by another wasp. I don't have that much money per yr (and since they made me have 2 instead of one it's over $1000 to have it. For something a person's body made NATURALLY before her greed-infested caboose came along and multiplied the price by 6.

@VickiBee

5 жыл бұрын

So it didn't make enough epinephrine for me but they didn't have it outside the body before the 60's and I'm really tired of people trying to make millions off my potential death.

@pl5861

5 жыл бұрын

@@VickiBee Primitine Mist (Inhaer) is coming back on the market. Just approved by the FDA. I don't know that I would recommend it, but it is Epinephrine.

@jamespurks1694

5 жыл бұрын

P L Sounds good, but I would want a consult with an MD or DO before trusting my life with that. Maybe a couple of syringes with smaller gauge needles and a small vial of epinephrine would be a better option.

That is gimmicky Bull crap, Just so someone can make money!