Basic Abdominal Trauma Care

A basic overview of abdominal trauma care in the pre-hospital setting. For more first aid videos see my "First Aid" playlist on my home page.
For first aid supplies and to support my channel go to: medicalgearout...

[@johnbyfield5776]

I live in Jamaica. A LOT of knife, and machete wounds. Gunshot wounds are VERY rare. Here, ninety seven percent of gunshots result in death. I watch your videos to make sure I'm able to do more than just being a bystander, if I'm ever in the right place at the right time. Jesus said to "Love thy neighbor as thyself." Love is faith in action. I appreciate the videos.

[@samuelmcgarvey9530]

God bless! Way to be a difference maker!

[@smullins17]

well done.

[@mattd8411]

Very good attitude to have.

[@emoore7476]

That sounds like London

[@GospelOutside]

John knife wounds are increasing exponentially here in the states. I think predators are seeing that it is easier to obtain, conceal and use knives over guns.

[@williamk1452]

Yup, when seconds count LE/EMS are only minutes away.. I am amazed at the number of people who are not even remotely trained in first aid. Thanks brother for your part in fixing that.

[@GospelOutside]

I am working on it and have a few trauma bags I’ve made. One for home, car and carry.

[@Sapphire-by2rq]

you should write this out as a transcript i would very much like to read this a few times to get it into my head.

[@benjaminhall5848]

Hi Sam! I have been watching your videos for a while, I'm going for my EMT soon! You inspired me to go into this field!!!!!

[@fireemscraftsman2016]

Ben Hall buy some puke resistant boots

[@RonBudLlamaDrama]

And get some super thick skin as well. Some of these patients/coworkers will be brutal. Best of luck

[@PrepMedic]

Hey Ben! Super stoked you are starting your EMT program. Like both of the above said, thick skin and thick boots. EMS likes to eat it's young so don't be discouraged by a coworker or patient that chews you out or gives you shit. You would not believe the crap I get from my coworkers about having this channel😂.

[@fireemscraftsman2016]

PrepMedic the channel is very well put together and presented so take the crap and don’t quit.

[@chrishugs6173]

Also look out for mothers who know how to treat their children more than you because they know everything.

[@geocaching63]

Been an EMT since "1973" ........... still am!! Kid you are Great, keep the videos coming and ...... thanks for your service!!

[@rebeccabaldwin7056]

Great job. I am a retired RN who has gone back into the work force as a Substitute School Nurse. One can never be too prepared or know too much. Thank you from me, old Grandma.

[@markplane5994]

Thank you for this. I am in England and we have a knife crime epidemic going on, especially in our cities (London, etc) as guns (sidearms, etc) are illegal, and knives are easier to purchase and dispose of. I carry an EDC backpack with some basic first aid kit including an Israeli field dressing in it. My number 1 thing was treating a knife wound on me or telling someone how to do it to me OR me treating someone else to keep them stable before the Paramedics arrived and took over. I have subbed and will be watching all your videos as I am a visual learner, so can pretty much memorise them.

[@michaelkirk7908]

Very nice review. You mentioned all the important points, and I've been an ER doctor for 38 years. - M. Kirk, MD, MPH, FACEP

[@ghost101049]

This is fantastic info. I wish there was more we could do as first responders, but it basically comes down to airway, stop the bleed, isolate injury, prevent heat-loss, and get the person to surgery as soon as possible.

[@kaitlynpeterson796]

These videos help me so much! Just finished anatomy section in my EMT-B/AEMT course. We are starting to get more into skills now ! This is so helpful!

[@ordinary_american]

Love these easy to remember High Yield videos. You're a rising star and a real asset for the KZbin firearms/gear/medical community! You're doing a lot of good for the world.

[@mekhianderson5159]

Love your videos sam! So Educational! Future Paramedic!

[@mattd8411]

Awesome video buddy. Been in the marines for 6 yrs firefighter aemt for a few years. Awesome simple refresher. Love getting hem stable and to the pros. Not sure why so many people want set on scene for 30 minutes when we are 5 minutes from a trauma emergency room.

[@SaMaNtHa.2023]

We got taught that if you have a knife impaled or anything in impaled in your abdominal. you can turn a gauze into a doughnut and use that around the impaled object. Love watching were the first aid ones brings back so much memories studying 2 maybe one day be a paramedic. Love the job I find it fantastic passion because it's never boring it's always something new and it's challenging. So I'm still happy with my first aid certificates I make my way up there one day.

[@ryet3768]

That's one way, I was taught they're more preferable for the eye. But take time into consideration, look at how quickly he stabilized the knife compared to rolling gauze into a doughnut. Hope this helps

[@PrepMedic]

Like Ryet said, doughnuts are great for eye injuries but they are a waste of time in an abdominal injury and they don't conform to the object very well so they are not alway the best option.

[@SaMaNtHa.2023]

@@PrepMedic ok thanks for that 😊

[@evangagnon4571]

EMT basic. Great video never fails to keep me sharp on my knowledge. Nice to watch a video to take a break from the books. Maybe a video for civilians being able to triage who to treat first and what a civilian can do durning a car accident. Addressing the bystander effect and so on. Keep up the great work love the videos!

[@Grannn]

I used to be a volunteer EMT (not in the US) and our approach to road accidents was: 1. Check the area, independent of any other LEO or EMR team already on the scene. 2. Perform a quick visual scan of the victim(s). 3. Asses the victims consciousness level (verbal and non invasive physical prompt). 3. Perform the ABC check. 4. Extract the victim while keeping the victims head and neck in line with the torso as to avoid cervical spine injury. 5. Deal with major bleeding before resuscitating ( if the case applies). 6. Monitor the vital signs of the non critically injured ( this can be performed by bystanders/the non-injured in order to manage the crowd) The above can be "easily" done by a civilian (minus the extraction, which is doable... but tricky when alone). Nr. 4 and 5 can be inverted if you don't want to (risk) harm the victim.

[@jhutch1470]

So you are "plunging" into the videos to keep your knowledge "sharp." Got it. I'm doing the same.

[@myHuge249]

Could you do a video on what to do in case of an overdose. Unfortunately ODs are becoming increasingly common (especially im america) and I think its something everyone should know how to treat

[@FPSacramento]

Are you in the medical field? It depends on what you are, and your scope of practice. Generally for an OD patient you would obviously check for a pulse and respiratory rate. Secure the airway because they might vomit and they could choke on it. That being said, you always want a suction device on standby. Last but not least you would administer narcan "Naloxone ". That will stop the opioids from attaching to the neuro system receptors. Opioids are known to cause respiratory distress which which is a main killer in Overdoses. Hope that helps for now..

[@scottshoe842]

You can hold the government and big pharma accountable.

[@JoshuaJacobs83]

Not a medic but a writer and this is really helpful. Thank you

[@mellohik]

real

[@michaelhall7764]

I’ve been studying trauma for the last 6 hrs and figured I’d take a break and hop on KZbin. I’ve ended up watching all your trauma videos over the last hour even though I was sick of studying it in the first place. Good job, everything you’ve said was exactly in the AAOS Emergency book. I love your videos. Keep on keepin on.

[@muqdadmsadek1304]

Found this channel today can’t stop watching it

[@tapicz1857]

still watchin'?

[@OrganicMachoCapitalist]

thank you from a normal citizen. may be very useful one day. especially the extra anatomy lessons make it very clear.

[@andypbj267]

Very awesome video. It's your 1st one that I've seen. I will be watching more. Very informative, especially the part about not putting a pressure bandage on an abdominal wound.

[@VickiBee]

I DON'T have a gallbladder anymore. They removed it via laparoscopic procedure. It was the worst thing that's ever happened to me, besides being shot and clinically dying twice, but nobody told me dying would be "no big deal." Almost EVERYone I met before this gall bladder removal told me it "was nothing," "doesn't hurt that much," "no big deal to concern yourself with" and I actually started beLIEVING them--then I got the operation and it felt like hell on earth. I don't think I would've lived through the operation the way they used to do them before the laparoscopic way was discovered. My brother had it the old way but he's a soldier by profession,

[@heavyhorse7506]

Another excellent video thanks so much! I am learning so much from you, thank you for being such a good human and helping others help themselves and others too! I also really like that you explain the honest and serious side of this kind of trauma-you can only do whats possible in the field with what you know and what you have-a hospital is the ultimate fix. BUT actively helping to do what we can to help buy some time, its worth more than I can say. It might be the difference in saving a loved one. I do find lots of blood and gore to be scary but I want to be prepared! Please make more videos like this, : ) Thanks!!

[@LOPGOH]

This is so helpful. I needed a refresher. I haven't looked at an AP Book in a while. I was going for my M.A. back in 2009 and had to stop school 6 months from graduating. My Dean was pissed (Dean's List, Perfect attendance). Thanks for your hard work in the video. Still imbibing information and have to go back and finish. Single parents life is crazy. This stuff carries over to SAR. Sam is a rifle away from a combat medic. It's a different area mentally when you could possibly have to shoot someone and then apply abdominal trauma care. But it happens.

[@llgrazes]

Absolutely loved your video and will be showing it to my Emt Student thank you so much for this have a great day

[@YourTravelWithOlivia]

Great detailed explanation to help in case of an emergency. I would make one recommendation and that is to use simpler (layman terms) in your explanations. "Necrosis" - might not be a term many people would understand. Thanks for sharing your expertise and knowledge.

[@lfakerson7703]

Necrosis is the dying of an organ and tissue, caused by lack of blood supply or other injury.

[@ShermanArms]

almost 400 likes and no dislike brother. proud for you

[@PrepMedic]

I am always super curious about the dislikes.

[@ShermanArms]

@@PrepMedic at least you don't have to be curious at this point, cuz it still remains no dislike at all lol

[@VickiBee]

Where I worked it was more like 'Get them to a trauma center & wait 20 mins for a Trauma Surgeon to arrive, or wait for an operating room to become available.' It was like that so often, it alarmed me. I worked at a trauma center. I had 2 jobs.

[@mondavou9408]

I think these videos are helpful. One bite at a time - nothing wrong with that.

[@evanchristman4396]

Love these videos! Ill be taking my EMT midterm next week.

[@PrepMedic]

Good luck!

[@Tha_Monsta88]

Do you have a trauma assessment/treatment playlist? I would binge watch all of it and probably comment if any concerns or questions I have.

[@PrepMedic]

I need to get on that.

[@apothecarymaybe3402]

Just a thought, unsure if you have done this on future videos. But as you are going through and describing the parts of the body, these areas could be highlighted as you mention each one, or a arrow points to the part of the body you are describing.

[@jannejarvela6945]

Greetings from Finland. This is very good information.Thank you so much Sir!

[@lindawuorio5466]

Sisu

[@zoo2you]

Great video. Like to get your take when it's WROL and treating injuries. What to stock up on etc.

[@valetv2208]

I love these videos, please continue them. I'm going to get my EMT this summer and hopefully get employment with my county EMS next year!

[@leopoldarkham7017]

Thank you for the video as always. A question for you or whoever is knowledgeable on this: In case of an evisceration, if you don't have access to sterile water, is it better to use non-sterile water, or not moisten the dressing at all? The only sterile water I have in my trauma kit is two vials of phisyological serum, which wouldn't amount to much.

[@PrepMedic]

A bottle of water should be ok but I am honestly not sure what the official recommendation is.

[@memoali5798]

Thank you so much your videos are amazing the are so useful and content important note Im military dentist and it help my so much

[@ericthered1140]

Im in Chicago.....Im watching intensely....

[@Hypnotized81]

Great, great videos. To the point, easy to follow, well organized in playlists. Well done!

[@ItsLuceee]

Really informative video! Been focusing on GI assessments at university recently so this was very helpful!

[@PrepMedic]

Glad it was helpful! Hope school is going well for you.

[@cmcer1995]

So primarily assessment and supportive care and ER ASAP!

[@whyme8068]

Great stuff! Had to watch a couple of times but it all made sense!

[@rhoonah5849]

Hey Sam... quick question. You mentioned placing a bulky dressing on a puncture would but what about an occlusive dressing like a chest seal, etc.? We were trained to use an occlusive dressing on all puncture wounds from "neck to nuts". Great videos by the way!!

[@ethanschannel]

I watched the anime "Oshi no Ko" and saw how Ai Hoshino d!ed, which is through a deep frontal abdominal stabbing. She was stabbed in a major artery (descending aorta or inferior vena cava), which caused her profuse bleeding. Although the scene was very emotional, I just couldn't help but feel like something could've been done to save her🤔. I'm very glad I found this video👍. It's very helpful in case a situation like hers actually happen in real life🙏 Things I noticed: • She was stabbed once but very deep in the upper left or right quadrant • The knife had a lot of blood and gore • She was bleeding rapidly (a pool of blood formed almost instantly)

[@majkajak39]

Excellent all important info in short transmission..!very educative!

[@nickreid9242]

Hey man Ive been a sub for a long time I start my EMT cert on the 26 and I couldn’t be more stoked!!

[@PrepMedic]

Good luck brother!

[@frazzle657]

Hey Nick how it going? Do you enjoy it or was it not for you?

[@lfakerson7703]

Another awesome video, these videos help keep me up to date on my training thanks

[@wyattoller624]

Damn. Here to learn about how to treat standard blunt/penetrating trauma for roleplaying/writing purposes. Didn't expect to see intestines but, yeah. Here we is.

[@gamingmedic7377]

being that you are based out of a hospital what do you do when you are not on call, like do they have you help out in the ED or something. Love your videos are great knowledge and refreshers

[@PrepMedic]

We usually do our own work. Most of us have things we are in charge of such as education, special event planning, etc... We are not required to help in the ER but if they are super busy or have a cool case we will go over and help out. We all get a lot of tubes in the ER because the docs are awesome about letting us in on critical patients to help us practice.

[@AyanAwan472]

Super outclass... much informatic

[@mariac7394]

Great video, Very informative. Thank you.

[@viktorkuznetsov6620]

Hi Sam. Could you please attached english subtitles to your videos, because i know english little bit and not quite understand at the hearing. Thanks a lot for your work.

[@ThePreparedNorseman]

Great stuff, thank you for doing these videos!

[@DylWolf]

Awesome video man! Learned some new stuff, refreshed on the old!

[@DannyYoungII]

I'm reference to you saying "if it was a stab wound. You want to see how long the knife is and if there is any gore on the knife." I was always thought that you don't want to remove the object that is in the persons wound due to it could cause internal bleeding as well as possible shock due to blood loss due to removing object, such as a knife. As well as a question how would the person administering Aid to the victim know the size of object and if there is any gore on the object without removing the object? Thus causing internal bleeding and possible shock due to blood loss?

[@floridaman8136]

When it comes to eviscerations, would you have to wrap them before moving the PT into the ambulance? Also what priority does stabilizing an impaled object take? Again would you do so before moving the PT? It doesn't fall under CABC or MARCH, but if moved, depending on the site, it could cause massive bleeding.

[@kweldulf2]

thank you for the knowledge you share with us for free

[@marcoromomoreno5628]

Oh my goodness, love all these videos from a grrrrreat paramedic!!

[@roland.j.ruttledge]

Excellent, as ever, many thanks.

[@CharlieOneHundred]

Omg they gotta do something about the name tape over the right pocket, looks like your name is Mary Greeley.

[@magnetar2524]

It reminds me of that scene out of shaun of the dead where shaun is like “seriously uh, uh,(looks at name tag) Mary”

[@PrepMedic]

Ha! We use our name badges for our name and the name tape for our service. The logistics of getting custom name tapes was..... difficult in our area.

[@CharlieOneHundred]

Still handsome

[@backtoeden853]

Use synthetic graft arteries to controll arterial vascular bleeds, use a sedative serum

[@Daniel-cm1dv]

Great video! Could you do a Paramedic Vlog?

[@LoveLikeaHurricane]

I read a diagram where they said to use chest seal all the way from chest down to the belly button (meaning includes abdomen)

[@Tyrvana]

6:49 answered the few questions i had.

[@Thatdudejones1]

Great video brother thank you

[@monirayusuf30]

i'm glad i found this channel , its very helpful . thanks

[@user-he8qc4mr4i]

Priceless!

[@carrieadamsemt88]

Also trauma and medical assessments, anaphylaxis, stroke, and mi tx.

[@carrieadamsemt88]

Sam, loved the vid. Could you do treatment for burns? Telfla? Something like that?

[@growupjohnny9374]

Thank you brother

[@seanie9624]

Hey Sam wondering if you'd be able to do a video on EtOH poisoning and various recreational drug presentations/complications. I feel like some of us can become complacent in how serious these patients can be just due to burnout or bad practice

[@PrepMedic]

Yes I think that will be one of my future videos.

[@valisjan95]

Hi, thank you for another nice video. What is your take on the use of hemostatic granules (e.g. Celox) on abdominal haemorrhage? Is it worth trying the hemoscatic agent without the possibility of effective pressure, or could it be even harmful in any way?

[@PrepMedic]

It wouldn't do anything for you so It would honestly just be a waste of supplies.

[@valisjan95]

PrepMedic Thank you for your answer.

[@marksoliman569]

PrepMedic: *Releases a fantastic and educational video* Comments: “That’s a cool uniform”

[@PrepMedic]

😂

[@federicodeanguloulloa9774]

Cool video! Thank you so much! Can you say me where can I buy all these products in the USA please?

[@mcdonaldsonfire5849]

Can I wrap an abdominal wound softy and loosely with no pressure, using an Israeli bandage to delicately keep the gauze in place?

[@koonelos]

Very educational, thank you!

[@urbanedcltd]

Wow Sam, more content like this bro

[@PrepMedic]

Thanks! I try to intersperse these but I need to do more of them.

[@jimmyleeanderson6623]

thank you for the help

[@Quentyn73]

A question: how you stabilize after rupturing the spleen, with blunt force trauma, say from car accident, and from stabbing, or other form of perforation? This is the most critical trauma of all, that's why I'm asking

[@PrepMedic]

It’s not the most critical trauma call of all times but it is serious. If you are a layperson there is not a lot you can do. Keep them warm and keep them calm then get them to the nearest OR as fast as you can.

[@MrEms333]

Very Nice Explain

[@userequaltoNull]

Been waiting for this kind of video!

[@PrepMedic]

Have you seen my other videos in my first aid playlist?

[@alphabears6342]

In my TCCC courses, I was thought that any trauma above the belly button required a chest seal as any wound to the upper quadrants could cause pneumothorax and tension pneumothorax.

[@maduguobadiah]

Very educative. ❤

[@T0PD0WN91]

Hi Sam! I hace a question about your video. If you have a patient, with a knife sticking from the abdomen, how fast do you need to get them into the OR? Do you treat the wound, assess if other wounds are visiable oder do you treat the wound and go directly into transport (other life threatening wound are already treated). Thanks.

[@ar007r]

What is your opinion on having a Disposable Nasopharyngeal Airway in your kit? I have a set since it seems like one of the major areas of concern for life threatening injuries. Does anyone know what to do for young children/infants? what size would a 1 or 2 year old need? If im going to have items I want to make sure my whole family can be covered.

[@sullz926]

Beautiful uni man!

[@JAKELOVESCHRIST]

If you hit your belly over a iron bar, could this damage organs? I tripped and hit my belly over a exercise machine. There is no open wound. But it hurt

[@massarobravofox]

THANKS, BRAZILIAN HERE

[@MrWake1084]

Would it be bad to try and pack a puncture of a dominal wound say a gunshot wound. ??

[@topherus4747]

thanks

[@robloxer6808]

remember guys in we pack junctions and extremities only. Also, Sam, you didn't go over chest seals for abdominal punctures...overall great vid loves the work and the evidence-based medicine....I think it's important that you stated at the end not to pack abdominal wounds.. Lots of people buy IFAKs and think they can just do whatever.

[@ryanbrown4053]

So don't pack abdominal or thoracic? And I'm guessing a junction is like shoulder/armpit or pelvis/groin?

[@Chris_Baker]

@@ryanbrown4053 ye thats right, also the neck can be packed too, pack junction wounds, tourniquet arms and legs and cover/chest seal abdo and thoracic wounds.

[@ryanbrown4053]

@@Chris_Baker ok thanks. I've been trying to study using all the free online material I can. I'm looking into becoming a paramedic at some point and want to get a really good head start before I look for any kind of schooling. Also just good to have the knowledge for personal use in emergencies anyways.

[@Chris_Baker]

@@ryanbrown4053 absolutely, that's great, as long as the sources are valid and correct pre learning and having confidence in stuff will only aid you in the future, best of luck to you mate! Great career choice.

[@emtffzartman666]

Great video!

[@dakotatarbert5563]

Question so I pick up medical waste at the hospital and when I was there yesterday I was cutting something n slipped with the knife n it got turned around by an accident and I stabbed my self right below the center of my chest thankfully staff saw and went n got someone from the ER but they were moving so quickly cause they were swamp and they had me in and out of there pretty fast the doctor said the knife went in 1 to 2 inches but he did not want to stitch me up because I work with medical waste and was sure if bacteria got inside or not. They told me to not take a shower and I can take a bath but to not get it wet so my question is how do I clean it and should I be cleaning it? I’m just kinda nervous of it getting infected it doesn’t hurt at all intact didn’t even hurt when I accidentally stabbed my self which I thought was odd lol

[@claudioburgos4764]

Good videos budy!!

[@abstractt8463]

now i kinda want to go into the medical field but idk if it’s right for me

[@scdave100]

Such good information.

[@benturkiailyes1007]

Hi sam ! what's your opinion about bending legs ???????

[@AsifKhanhr93]

Hi sam .your are good paramedic

[@PrepMedic]

this wouldn't happen to be the Asif I know in real life would it?

[@AsifKhanhr93]

@@PrepMedic oh ok

[@AsifKhanhr93]

@@PrepMedic actually i m student of paramedics 2 nd year (Bsc.ETCT) so that i like your video i need you and your video

[@aarphi1984]

Curious if it would be beneficial to apply a cheat seal to an abdominal penetrating wound.

[@PrepMedic]

I suppose it could be but if it is bleeding at all at least a pad will absorb the blood.

[@papermind4010]

If you get shot in the appendix is it cool to just take it out?