Tension Pneumothorax - Emergency Medicine | Lecturio

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This video “Tension Pneumothorax” is part of the Lecturio course “Emergency Medicine” ► WATCH the complete course on lectur.io/tensionpneumothorax
► LEARN ABOUT:
- Tension Pneumothorax Physiology
- Physical Diagnosis of Tension Pneumothorax
- Pulmonary life treats
- Radiologic Diagnosis vs. Tension PTX
- What is the treatment of Tension Pneumothorax?
- Needle Decompression & Procedure
- Tension vs. Simple Pneumothorax
► THE PROF:
As an assistant professor of emergency medicine at the Johns Hopkins University School of Medicine, Julianna Jung, M.D. is an expert in teaching students. She has been the director of medical student education in the Emergency Medicine department since 2006 and was appointed the associate director of the Johns Hopkins Medicine Simulation Center in 2011. She is also a national leader in education, holding a position on the Executive Committee of Clerkship Directors in Emergency Medicine.
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Thoracic Trauma: Management of Tension Pneumothorax, Rib Fracture, Pulmonary Contusion
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0:00 Introduction
0:38 Tension Pneumothorax Physiology
3:12 Tension Pneumothorax - Physical Diagnosis
3:32 Pulmonary Life Threats
4:23 Radiologic Diagnosis?
7:25 Needle Decompression - Procedure
9:38 Tension Pneumothorax Treatment
10:43 Tension vs. Simple Pneumothorax

Пікірлер: 156

  • @lecturiomedical
    @lecturiomedical Жыл бұрын

    Learn more about Emergency Medicine on Lecturio: ► lectur.io/yourmedicalpremium

  • @OmarAbdulMalikDHEdMPASPACPAPro
    @OmarAbdulMalikDHEdMPASPACPAPro2 жыл бұрын

    This person is an amazing teacher! This was a GREAT review! Thanks.👋🧑🏾‍⚕️

  • @nigebemand7124
    @nigebemand71243 жыл бұрын

    Absolutely fantastic video. very clear, very well presented, not over complicated and covered everything . Top marks from me.

  • @Kalyanivrao

    @Kalyanivrao

    2 жыл бұрын

    Wonderful explanation

  • @jaypandya9661
    @jaypandya9661 Жыл бұрын

    Such clarity and brivity - Totally awestruck

  • @Mu_sh3bn
    @Mu_sh3bn5 жыл бұрын

    Outstanding , absolutely beneficial vid. Thank you ma'am 😃

  • @stephenf6691
    @stephenf66914 ай бұрын

    I'm studying to play a role of a Dr. who does this procedure, outstanding teaching, you make it exceedingly clear. Thank you.

  • @75noki
    @75noki4 жыл бұрын

    excellent teacher and excellent presentation. thanx!

  • @ladedk
    @ladedk4 жыл бұрын

    Super informative! She's a great presenter.

  • @vinceolson2473
    @vinceolson24733 жыл бұрын

    Thank you so much ! Easy to follow and understand !

  • @finngrant234
    @finngrant2344 жыл бұрын

    Outstanding video, clear throughout

  • @cupidstunt1975
    @cupidstunt19755 жыл бұрын

    An excellent presentation on TP. Very impressive.

  • @foreveryoung782
    @foreveryoung7825 жыл бұрын

    Really helpful for my tomorrow exam 👍😊🇮🇩

  • @stanleyopara8732
    @stanleyopara87323 жыл бұрын

    Detailed teaching with good illustrations.

  • @jdt1221a
    @jdt1221a2 жыл бұрын

    You’re wording is wonderful. Thank you

  • @ANYAkina
    @ANYAkina3 жыл бұрын

    Really good, clear and easy to understand

  • @MrMusiq2
    @MrMusiq23 жыл бұрын

    oh my! She is an awesome teacher!!

  • @justamedico1945
    @justamedico19454 жыл бұрын

    she is becoming my new fav tacher outstanding elaboration

  • @ChrissChoreo
    @ChrissChoreo4 жыл бұрын

    Excellent presentation

  • @ecwest923
    @ecwest9234 жыл бұрын

    Thank you! I understand this much better now!!

  • @BCareyUSAF
    @BCareyUSAF Жыл бұрын

    Very informative video! Studying for my CEN and this really puts it all together for me. Thanks!

  • @amineahsengeldi3071
    @amineahsengeldi3071 Жыл бұрын

    This video is so informative and helpful to understand!! Thanks.

  • @briancannon4607
    @briancannon46072 жыл бұрын

    This channel is a great resource

  • @swaminathanveerasamy9131
    @swaminathanveerasamy91313 жыл бұрын

    Wonder who would unlike such a beautiful and easily understandable video ... thanks for the great video

  • @bobbylow175
    @bobbylow1753 жыл бұрын

    Thank you very much for the great explanation!

  • @JGPRAISINGOD
    @JGPRAISINGOD4 жыл бұрын

    excellent video! thank you

  • @abdullahmon6008
    @abdullahmon60083 жыл бұрын

    Amazing lect on pneumothorax ...

  • @medsonboti1984
    @medsonboti19842 жыл бұрын

    Very educative, thank you so much.

  • @Mititialice
    @Mititialice2 жыл бұрын

    Thank you! You made it easier

  • @DrKrishna2105
    @DrKrishna21055 жыл бұрын

    Thank you🙏🏼

  • @bpina2182
    @bpina21824 жыл бұрын

    Great video, concise and straight to the point. Muffled heart sounds?

  • @medschoolstudybuddy5746
    @medschoolstudybuddy57464 жыл бұрын

    Awesome content! Study with me and review med school topics!

  • @raveenakandera3699
    @raveenakandera3699 Жыл бұрын

    Superb explanation

  • @munirabdullatif2022
    @munirabdullatif20224 жыл бұрын

    Very nice presentation... thank you a lot

  • @dr.rxconsult
    @dr.rxconsult Жыл бұрын

    Lovely presentation

  • @elliea595
    @elliea5954 жыл бұрын

    Thank you!

  • @brandonglosson1628
    @brandonglosson16284 жыл бұрын

    Good information. Thanks!

  • @roland.j.ruttledge
    @roland.j.ruttledge2 жыл бұрын

    Fantastic, many thanks.

  • @doctorwaqasawan4475
    @doctorwaqasawan44754 жыл бұрын

    Very well explained

  • @aktivitas_ku1087
    @aktivitas_ku10874 жыл бұрын

    Thanks for knowledge

  • @kasraakbari5591
    @kasraakbari55914 жыл бұрын

    fantastic, pretty expert

  • @sadeeprajapaksha7278
    @sadeeprajapaksha72782 жыл бұрын

    It was really helpful.

  • @deleguesm8172
    @deleguesm81724 жыл бұрын

    thanks doc.

  • @mariocesarbenitez5552
    @mariocesarbenitez55524 ай бұрын

    Thanks

  • @bainosisugua7136
    @bainosisugua7136 Жыл бұрын

    well resumed.many thanks

  • @nicolecoyle4750
    @nicolecoyle47502 ай бұрын

    Thanks for a very informative and excellent description of this material!!

  • @lecturiomedical

    @lecturiomedical

    Ай бұрын

    Thank you very much! If you'd like more videos like this, but also downloadable study materials, quizzes, learning path, access to 3D Model and much more, register and start your FREE trial today: lectur.io/freecontentyt

  • @samsonsimbeyeptpg
    @samsonsimbeyeptpg5 жыл бұрын

    Useful video

  • @noellundstrom7447
    @noellundstrom7447 Жыл бұрын

    very good and informative video thank you

  • @nats3958
    @nats39583 жыл бұрын

    Great,Thank you very much!

  • @alinaborowik714
    @alinaborowik7142 жыл бұрын

    Wow...I love it...

  • @nizammostafa399
    @nizammostafa3992 жыл бұрын

    Thank goodness

  • @yousifsaleh7464
    @yousifsaleh74642 жыл бұрын

    Good explain thank you a lot doctor

  • @mdolstein
    @mdolstein Жыл бұрын

    Great informative video thank you. Wondering if tension pneumo is a possibility in a pt that begins as simple pneumothorax? I work the inpatient setting, had a recent ptx from misplaced gastric tube pt was in distress very hypoxic but no hemodynamic instability. Could this have eventually become tension pneumothorax? Thank you!

  • @rubaalamri4964
    @rubaalamri49643 жыл бұрын

    Very helpful

  • @sunithkumarapperuma3952
    @sunithkumarapperuma39522 жыл бұрын

    Thanks madam, short and nice explanation.

  • @RattlerSnake
    @RattlerSnake3 жыл бұрын

    Thank you.

  • @SS-fd8kh
    @SS-fd8kh4 жыл бұрын

    great thanks

  • @nagaratnamsuthakaran3639
    @nagaratnamsuthakaran36392 жыл бұрын

    Thank you very much Madam

  • @soloneduga5118
    @soloneduga51184 жыл бұрын

    very clear lecture, Thank you ma'am!

  • @edited1022

    @edited1022

    4 жыл бұрын

    wham bam

  • @preacher1776
    @preacher1776 Жыл бұрын

    Very good video. I'm curious, at 5:00 the X-ray shows depression on the traumatic side. I'd think that the pressure in the chest cavity would balance and the diaphram would equalize? Therefore the depression on the patients left side would also be shown on the right side? I'm really curious why it doesn't present this way.

  • @mikehawkswollen5819
    @mikehawkswollen58192 жыл бұрын

    Awesome video 👍

  • @kavishasathmi5959
    @kavishasathmi59593 жыл бұрын

    Thank you 😊

  • @hossammagdy7975
    @hossammagdy79752 жыл бұрын

    great presentation thanks :)

  • @clairenyangu2006
    @clairenyangu200610 ай бұрын

    This was such a good video. Thank you

  • @lecturiomedical

    @lecturiomedical

    4 ай бұрын

    Thank you for your comment! If you enjoyed the video, don't forget to subscribe and turn on notifications to stay updated with all our KZread videos. 🤗 Additionally, for more learning opportunities, we invite you to sign up here and explore even more of our free content, along with all the study features that can help you ace your exams: lectur.io/freecontentyt

  • @alizafar2289
    @alizafar22895 жыл бұрын

    really awsum tqu fr dis vedio

  • @itzMeWilly
    @itzMeWilly2 жыл бұрын

    Wow what a great video

  • @Jimmy_in_Mexico
    @Jimmy_in_Mexico4 ай бұрын

    Thank you for this video

  • @lecturiomedical

    @lecturiomedical

    4 ай бұрын

    Thank you for your comment! If you enjoyed the video, don't forget to subscribe and turn on notifications to stay updated with all our KZread videos. 🤗 Additionally, for more learning opportunities, we invite you to sign up here and explore even more of our free content, along with all the study features that can help you ace your exams: lectur.io/freecontentyt

  • @Lionpolo
    @Lionpolo2 жыл бұрын

    Clear cut

  • @Ilovehobiii
    @Ilovehobiii2 жыл бұрын

    thank u so much it was reallyyy helpfull

  • @carinadaifu
    @carinadaifu Жыл бұрын

    She is good !

  • @wisdomebong
    @wisdomebong2 жыл бұрын

    Love it!!!!!!

  • @yokeshkk3007
    @yokeshkk30072 ай бұрын

    Thank you so much.

  • @lecturiomedical

    @lecturiomedical

    Ай бұрын

    Thank you very much! If you'd like more videos like this, but also downloadable study materials, quizzes, learning path, access to 3D Model and much more, register and start your FREE trial today: lectur.io/freecontentyt

  • @anilk9376
    @anilk93764 жыл бұрын

    Thks

  • @HafizahHoshni
    @HafizahHoshni2 жыл бұрын

    Thank you so much! 23/12/2021

  • @amalsingha1894
    @amalsingha18942 жыл бұрын

    best lecture

  • @mattbooysen5392
    @mattbooysen53924 жыл бұрын

    Am I right in saying that at the start of the video she is explaining an open pneumothorax that has lead to a tension pneumothorax? I was under the impression that simple,spontanious and open pneumothorax could lead to a tension pneumothorax but only in the later stages for example you could get an open pneumothorax without it being a tension pneumothorax unless left untreated? Please correct me if i am wrong

  • @GroundZeroTactical
    @GroundZeroTacticalАй бұрын

    I love this video.😍

  • @lecturiomedical

    @lecturiomedical

    Ай бұрын

    Thank you very much, we do too 😉 If you'd like more videos like this, but also downloadable study materials, quizzes, learning path, access to 3D Model and much more, register and start your FREE trial today: lectur.io/freecontentyt

  • @DrStrange5194
    @DrStrange51945 жыл бұрын

    very nice

  • @vinodynwagohiwar7428
    @vinodynwagohiwar74282 жыл бұрын

    Thanks mam...

  • @karamtsh7341
    @karamtsh734111 ай бұрын

    Please what the difference between Needle decompression and pleural drain?

  • @KamrulHasan-zx8xd
    @KamrulHasan-zx8xd Жыл бұрын

    Is 2 nd intercostal space related to Costco mediastinal recesses??

  • @Karim-st6ei
    @Karim-st6ei10 ай бұрын

    Should we cover the wound before inserting the decompression needle?

  • @RodneyCarolan
    @RodneyCarolan Жыл бұрын

    Once the chest has been decompressed, do you leave the cap off or on the end of the cannula?

  • @kenennaohiaeri5458
    @kenennaohiaeri54584 жыл бұрын

    I dont understand why giving C PAP can worsen tension pneumothorax but supplemental O2 can't? Please can you explain. Thanks

  • @dr.rxconsult
    @dr.rxconsult Жыл бұрын

    Does treatment still remain, when tension pneumothorax occurs in a patient during a flight, since atmospheric pressure is likely to differ

  • @brightrevera
    @brightrevera4 жыл бұрын

    Bravooooooooo👏🏻👏🏻👏🏻👏🏻👏🏻

  • @erajatta3086
    @erajatta30869 ай бұрын

    This lady is gem

  • @lecturiomedical

    @lecturiomedical

    4 ай бұрын

    Thank you for your comment! If you enjoyed the video, don't forget to subscribe and turn on notifications to stay updated with all our KZread videos. 🤗 Additionally, for more learning opportunities, we invite you to sign up here and explore even more of our free content, along with all the study features that can help you ace your exams: lectur.io/freecontentyt

  • @jorgeacastroespinoza3219
    @jorgeacastroespinoza32194 жыл бұрын

    In the last ATLS they recommended to place the needle in the 5th intercostal space in Mid axilar line. The success rate is much better

  • @MiiNGzt

    @MiiNGzt

    4 жыл бұрын

    Jorge A Castro Espinoza **slightly anterior to mid axillary line

  • @cozygamingandvideos3914

    @cozygamingandvideos3914

    3 жыл бұрын

    In the Army, the medics told us Third intercostal space.

  • @ANYAkina

    @ANYAkina

    3 жыл бұрын

    It states 2nd to 5th ics, whatever works at the moment

  • @thatawuahguy

    @thatawuahguy

    2 жыл бұрын

    It is stated in the slide.

  • @silverflame6624

    @silverflame6624

    Жыл бұрын

    I had it working many times in the anterior position at the midclavc line. It's nice to have as many possibilities as possible

  • @sophiad.5159
    @sophiad.5159 Жыл бұрын

    I’m writing a book where my character suffers from a tension pneumo after she gets shot. Are there any other ways to treat one if the characters do not have a needle handy, and she is about 10-15 minutes away from a hospital? I read somewhere that they would need to “burp” the wound, and let the air leave it in order for her to breathe, but I worry that makes her vulnerable to bleeding out.

  • @whoarerohingya2970
    @whoarerohingya29703 жыл бұрын

    Thank you so much

  • @lecturiomedical

    @lecturiomedical

    3 жыл бұрын

    Welcome!

  • @LynzuAnderson
    @LynzuAnderson5 жыл бұрын

    So I had a tension pneumothorax in December right before Christmas due to pulmonary blebs. I was on vacation out of state. They did an ekg first then insisted on an xray. I could not stand up as every time I moved my entire right side cracked and it was like a tire iron smacking my entire side. Forget that I was gray with purple spots, couldn't talk, move, and my deepest breath was like taking a mouthful at a time. Nope need to stand for an xray. Over 2 hrs in the er I fell in and out consciousness multiple times, the pain finally built to the point that I thrashed to the floor and forced myself to stand. Xray showed a complete collapse (obviously) and trachea was way over and left lung was about 20% collapse. No decompression, jist a 32 French tube and a wall vacuum AFTER the doctor drove in. So with time to get to the hospital about 4 hrs of that shit) was about 2am now. 5pm next day I was at in laws and drove 5 hrs home the following day. Lung was still about * 0% collapsed and no I didn't sign an ama. Got it back up finally right before new years. Again on January 12, had surgery January 14 (wedge resection and non talc pleurodesis) go home January 17, collapsed again January 24 (follow up xray showed I had no idea, 20%) was also hemothorax. I'm fine now, aside from sometimes my nipple is kinda sensitive I can run, work, do everything as normal as if it never happened. So... It is a medical emergency but get to hospital and you'll be fine.

  • @aminaschmiat6476

    @aminaschmiat6476

    3 жыл бұрын

    I had an episode in the shops where I rushed to get something nearly collapsed couldn't breathe for a bit & felt like I broke ribs but after a while I could breathe but haven't felt good since that day I was wondering why I was sniffing felt like I wasn't getting enough air so how would I know it's bad enough to get checked

  • @marciaturley

    @marciaturley

    2 жыл бұрын

    Thats crazy! So glad you are all good now. Any idea what the heck why this happened?

  • @leylakarimova8963
    @leylakarimova89639 ай бұрын

    Do lecturio have quizes in tge app version after each video?

  • @lecturiomedical

    @lecturiomedical

    4 ай бұрын

    Sure, actually there are many quiz after each lectures, along with many more study features that can help you ace your exams. Sign up for free: lectur.io/freecontentyt

  • @bellehpham7742
    @bellehpham77424 жыл бұрын

    How long do patients usually stay in the hospital for tension pneumothorax?

  • @tiktoklovers2631

    @tiktoklovers2631

    2 жыл бұрын

    Apne ki Bangla bujhe. Tahole kicu kotha bolta??

  • @tiktoklovers2631

    @tiktoklovers2631

    2 жыл бұрын

    Life every time addmited hospital...other site patient will be died

  • @jassiramed3092
    @jassiramed30925 жыл бұрын

    I had pneumothorax and hemothorax cause i was stabbed numerous times on my upper back it has been 6 months already and i feel pretty good .... one question , can i hold my breath?

  • @kcampbell1208

    @kcampbell1208

    3 жыл бұрын

    Thank God for saving you. Give Him your life. He has preserved you for a reason. Ecclesiastes 12:13,14.

  • @adorablexsiempre3642
    @adorablexsiempre3642 Жыл бұрын

    Is the patient awake for the whole experience, or are they put on anesticia?

  • @therootandvein
    @therootandvein2 жыл бұрын

    I had a pneumothorax due to blebs. When they inserted the tube, all of my air was immediately taken away and I couldn't breath for a minute. I freaked out but my aunt telling me to calm down was what allowed me to start breathing again. Any idea what happened?

  • @thatawuahguy

    @thatawuahguy

    2 жыл бұрын

    Re-expansion pulmonary oedema perhaps.

  • @nichts-xf8kx
    @nichts-xf8kx4 жыл бұрын

    Hi I had a pneumothorax 6 months ago my question would be can I smoke a cigarette now?

  • @adrienneedwards3810

    @adrienneedwards3810

    4 жыл бұрын

    There's never a good time for a cigarette. (Thoughts from a former smoker)

  • @004ad
    @004ad4 жыл бұрын

    you forgot to discribe about - hamman crunch sign (sound)

  • @bellehpham7742

    @bellehpham7742

    4 жыл бұрын

    What is the hamman crunch sign sound?

  • @coldnorthAK
    @coldnorthAK Жыл бұрын

    “Insert the needle as far as it goes”. I always thought it was until you get air release out of the plural space, then advance the catheter only.

  • @mdomarfaruk2659
    @mdomarfaruk26594 жыл бұрын

    ❤❤

  • @MrLalramchhana
    @MrLalramchhana5 жыл бұрын

    Tension pneumothorax can be there not only because of trauma.. TB can also cause tension pneumothorax

  • @rafeeali8307

    @rafeeali8307

    5 жыл бұрын

    Treatment for TB was to inject air into the pleura space which causes iatrogenic pneumothorax this now commonly called artificial pneumothorax to identicate TB treatment.

  • @rafeeali8307

    @rafeeali8307

    5 жыл бұрын

    TB doesn't actually cause it but to treat it traumatic secondary pneumothorax is the result