Medical Every Civilian Should Know

[@PrepareProtectPray]

Drew needs an Oscar for that performance haha. Medical is something that a lot of people don’t prioritize.

[@dirty-civilian]

😆

[@no-barknoonan8798]

Medical and comms. Your boofwang isn't going to be enough.

[@RyanG-ij8xq]

It’s the most important topic to me. Chances are high that someone will be shot ya know and I don’t want to stand there panicing while my woman is dying. So that’s where I stand

[@no-barknoonan8798]

@@RyanG-ij8xq that's why it's better to avoid a fight and do your dirty deeds in the dark.

[@keneng3682]

Agreed! That was LAUGH OUT LOUD FUNNY!😂😅🤣

[@visamedic]

As a medic and a parent I’ve found that when encountering an unresponsive child, you first, threaten to take their phone away. That usually clears that right up. If not, then check to see if they’re breathing, and then assess from there

[@muratakbulut3597]

😂😂😂

[@dthundergunb3115]

Lmao pretty much my method except for the being a medic thing...but as a parent that initial test is more often than not what works for me 😂😂😂😂

[@nicks9541]

Drew can’t catch a break in these intros 😂

[@dirty-civilian]

Unintentionally, it's become a thing. Haha.

[@whiterabit09]

I think you missed the quality care he received....

[@decideswell6699]

No joke , about a week ago, a hit and run happened. Came across the body. Guy was covered in blood head to toe, pants halfway down his legs, arms broken , legs broken, shoes off across thw street. Seeing him struggling to breathe i couldnt do anything like a deer in headlights. I called the cops and could barley tell tge address i was at WITH GPS (Sadly). The phone operator said she would transfer me to ems so they could advise me on what to do if i was willing, i said yes. BUT AT THAT MOMENT, THANK GOD, A STATE TROOPER PULLED UP. APPARENTLY the guy couldnt breathe because after the state trooper rolled him onto his side the guy started screaming/moaning. Later on the news it said he wqs rushed to the hospital (not far away) with Serious injuries but expected to make it. Call it pride but the shame i felt not bein able to do anything made me feel useless! ( i felt like those on lookers who just pull their phones out to record but dont ever help) So its like Gods speaking to me coming across this video

[@FukGoogle-kg7un]

Dont beat yourself up over it. (Ik its hard not to) Even stopping and calling for help is alot more than alot of people would do. You tried and helped instead of being a phone zombie like everyone els so you did better than more than half the people these days. We can watch videos and take training courses all day long but nothing is gonna prepare us for the ass kicking adrenaline dump thats bound to happen when discovering something like that. You definitely helped and likely save a life. It may not be what you imagined but you helped him more than you could imagine. just being there could be the difference between them giving up and them pushing though the situation and surviving.

[@DoctorPrepperMD]

Good topic. As an ER MD and previously EMT-I I notice how much people love to focus on trauma and choking and extreme events. All important but something I think gets missed are the “slow killers” like dehydration, infection, electrolytes etc . . . I think that in a SHTF situation knowing to treat basic stuff so it does not progress is super important. In a SHTF existence functioning at 100% will be necessary and illness/injury that drops you to 60% could be deadly. It is not as sexy as darting a chest, but keeping an extremity wound clean or treated to avoid sepsis or stabilizing a fracture/sprain so you can still function effectively and heal also super important. Definitely get this training and learn which basic emergencies you can abort with treatment but also think about talking to your doctor about getting prepper meds for infection, allergy and pain control and the education to know how and when to use them.

[@BuckF0eJiden]

Yes sir. The #1 killer of soldiers in the Civil War was infections. Antibiotics and antibiotic ointment will be worth its weight in gold if anything SHTF happens. Same with multivitamins, and salt. I've got 5 gallon buckets packed with dried beans and rice, multivitamins, salt, powdered Gatorade and protein powder. Sealed air tight with Oxygen absorbers. Everything is packed in mylar bags. Same process. Sealed with O2 absorbers. For every bucket like that I have, I've got a 5 gallon bucket of distilled water that goes with it. Now if I only had that many buckets full of ammo 🤣

[@Nurse_Xochitl]

I agree. Especially with getting meds for infection, pain, etc. and learning when and how to use them. When SHTF, there might not be a "hospital".

[@robertdole5391]

Disease Non-Battle Injuries (DNBI) kill more on the battlefield that weapons ever did.

[@whereswaldo5740]

True facts. Way more during WWI.

[@HopeisAnger]

Bleeding is the most preventable death in the US today. We need this training today. Not just for a shtf scenario.

[@Joker-DarkKnight]

All this from a raspberry💀

[@jasondolan7181]

Medic for 15 years. The hysteria at the beginning was accurate by “trained” professionals. Excellent work guys, great knowledge in the video. Feel free to AMA.

[@ashallen2835]

I'm so glad I found this channel! There are so many things covered by you guys that I've wanted to get better at or learn, and now I have a reliable source!

[@dirty-civilian]

Awesome to hear. Thanks!

[@dthundergunb3115]

1000% agree I learned some basics from when I was a scout, it came in handy as a teenager when I fell nt backwards when climbing a cliff and snapped my femur. My back and majority of my body luckily landed between two boulders, my leg and arm weren't as lucky, and it sounded like a 2x4 getting instantly snapped. My first response was to try to move, but I instantly knew I was in some horrifying pain. The #1 thing I remembered was keep calm, because I could go into shock and that may be fatal, so I told my Little brother I wasn't able to move I broke my leg, and that he needed to get help. My dad had to carry me two miles down a mountain to get to the truck. I had a lot of luck and some divine intervention that day. I told my dad my leg is snapped and that I was in serious trouble. He had to stop halfway down the mountian because he was ghost white and smoked a pack of cigarettes a day. He told me he has to put me down despite me begging him not to because it was agonizing, but until that point i was the most calm out of eceryone there. He put me down and my leg fell over dead weight, but it felt like it wasn't on the ground. That was my dads realization of how serious it was. I just said pick me up pick me upand was trying not to lose my cool, but that freaked me out a bit. We got to the truck and i felt every pebble on the road on the way to the doctors office in bfe tiny town. Looking back on that day I could have easily broke my back or neck or punctured my femoral artery and bled out right there. God had his hand on me. The doc had me put on morphine and had me rushed to the trama 1 hospital to get me taken care of. So even if in the moment you don't remember everything...try to keep whoever is in trouble as calm as possible to prevent them slipping into shock. Sorry for the long story. Its got two valuable lessons though, lol 1.remain calm 2.a splint is a good thing to practice making on the fly, and a good reason to keep paracord or a couple bandannas in a pack. That was one thing I knew, but the adrenaline was on full blast and I completely forgot in the heat of the moment. People like to do the run n gun aspect, but i love these guys bring the rest of the information that's vital to staying alive

[@SpeculativeDust]

Jesus that went from *"oh choking on a raspberry"* to *"omg did his esophagus just explode"?* 😂

[@dirty-civilian]

Hahaha.

[@othername1000]

My grandfather had something like this. I wasn't there to see it though.

[@JSterling812]

Y'all are probably the most underrated channel ever. Everything you cover should be taught to adult civilians.

[@deangullberry5148]

Recently found your channel, quickly becoming one of my favorites. Your content and production value are top tier. First thought was "OMG, he's gonna TQ his neck"

[@dirty-civilian]

Haha, thank you!

[@BuckF0eJiden]

This is an OUTSTANDING video. Without a doubt, the best expedient medical care demo I've seen in KZbin.

[@dirty-civilian]

Thank you! =

[@BuckF0eJiden]

@@dirty-civilian thank you for the content. I've picked up a ton of good stuff from you guys.

[@maximiliantomasoski4032]

To the camera operator(s), putting josh in the foreground of the shot with paul and all of his equipment being the focus, like at 10:53. Absolutely fantastic! It gives depth to the shot and makes it feel like you are standing there. 👏👏

[@NicholasJonesCreative]

😎

[@dirty-civilian]

That's exactly what @nicholasjonesvideography was going for. We try to position the camera as a student for better immersion for the viewer. Thank you for noticing!

[@maximiliantomasoski4032]

@@NicholasJonesCreative you are the goat

[@dococ2690]

Also: Train to drop an emergency call early on. You can easily stay on the line while applying CPR etc.

[@wesjohnston8286]

If it works for your schedule, emt school through a community college is cheaper than just a few medical classes from gun people. And you’re mentally engaged and taught from the very basics of anatomy to the ABCs. I think all in my school was $1500? Just something to consider.

[@BuckF0eJiden]

On CPR compressions, to get your rythm down for the first 2-3 compressions, say the number thirty-three, quickly, on each compression and then start counting. If you're doing compression only CPR, just keep reciting the number thirty-three. Had an old head who'd been a Combat Life Saver instructior for years give me that tip. There's a lot of songs that run that 100-120 BPM range, too. The number is the easiest to remember in the moment, though.

[@azure6392]

Staying Alive and Another One Bites the Dust, but I wouldn't be singing or humming the latter. From watching medical dramas people have a higher expectation of CPR saving a life than is reality. Breathing and compressions survival rate is 5%. Compressions only is 4x higher at 20% but still not good. Plus CPR is almost guaranteed to break ribs. You might be able to get over that in time.

[@BuckF0eJiden]

@@azure6392 you're exactly right. And it's a weird feeling when those ribs crack... 20% is better than 0%, but you're exactly right on that as well.

[@bkm65659]

I appreciate you guys. I paid a lot of money for training for the fantastic info that you guys are putting out for general consumption. I’m glad to see the availability of the information.

[@dirty-civilian]

Much appreciated!

[@JTimberB.45]

Josh was really channeling his inner Michael Scott in that intro😂😂 your production quality has always surprised me, such good information coming from you guys. Thanks for all you do

[@chrishaugh1655]

One thing I NEVER see mentioned in any of these videos when practicing with a tourniquet, is making sure you have a single tourniquet used for practice ONLY, with additional tourniquets that are never used for practice. Each use of a tourniquet increases it's chances of failure.

[@melodybales2038]

I like how straightforward he described it. The human body is complex, but often treatment is simple and you add complexity as needed.

[@RobotPanda15]

That beginning was outstanding. I took an Advanced Care course that was basically a "CLS enhanced" - teaching you what to do after the massive hemorrhage and bleeding control steps, and our exercise was mostly just understanding that the person in need was just diabetic and needed insulin. We went through every other alternative - heat exhaustion, dehydration, etc until we eventually went through her bag, saw the insulin, and inquired that thats what the major problem was. Really cool cause it still had us using what we learned - identifying key problems outside of MARCH to deduce issues - but in a more plausible scenario.

[@johnlew5972]

We were recently taught not to do breaths. Stopping chest compressions would do more harm. Blood is supposed to have plenty of oxygen to last a while. Could you give your opinion on that.

[@LAbeauty316]

regarding the back slaps for a choking kid: it definitely works for a wide range of ages. i don't remember exactly how old i was, but it was probably when i was between 7 and 9 years old, i began choking on a grape while watching a movie with my family. my mom realized because i was leaning forward awkwardly in my chair (and probably looking scared shitless). she gave me two swift and hard hits to my back and was able to dislodge the grape. for parents in particular, i will say this: i would have taken any pain from my mom at that moment in order to be able to breathe again. i am 24 years old now, and i don't remember if her hits were actually painful. what i do remember is the panic at not being able to breathe and then not being able to call for help, followed by the immediate relief when my mom noticed and dislodged the grape. i remember crying after because it was very scary, and i remember my mom hugging me and making sure i was okay. i know it's unnatural to hurt your kids (or anyone you love, really) in these situations, but it's better for them to be bruised and battered than dead. they won't remember the pain, but they will remember you saving their life. anyway, back slaps and momma g ftw!

[@LandonWest]

I can’t tell you how much I appreciate a med video like this- especially the infant-related stuff as I’m a father with young kids.

[@dirty-civilian]

Glad to hear it helps. Tomorrow we drop another medical one... ;)

[@flyboy8752]

24:50 - Glad to see him teach deconstructing the TQ for leg application! I see so many body cams and other videos of them pulling TQ loop up over shoes and the entire leg, but on a messed up leg, that could really be bad (snag hazard).

[@turnercamacho5879]

Wow Drew is an amazing actor. That gave flashbacks (I have never seen someone bleed out but the acting was so good it surpassed that)

[@dirty-civilian]

😉

[@whereswaldo5740]

He wasn’t acting. JK

[@SmokeNSlidelock]

A tip I learned during chest compressions is to do them to the Staying Alive rhythm. Ah, Ah, Ah, Ah, Stayin Alive, Stayin Alive! Lock the arms, keep the upper body firm, jump at the hips.

[@heidi22209]

Funny.. but dark. Lol

[@allcapsboy9139]

the t-swizzy cameo at 50:47 is perfect content

[@singlefatherchronicles1775]

Back in summer of 2000 I was getting my start staying with friends. The couples infant daughter came across a stick-on-nail and was choking. The mom was panicking. Fortunately I got trained in BLS while in high school. Was able to assess and address the situation calmly. The importance of that training isn't apparent until it's needed. Either prepared or not, no in between. Great video showing great demonstration and applications of the skills.

[@danielstephengilbert]

Paul is such a humble dude! What a great guy! Thanks Dirty Civilian for hosting. I'm still watching the video, and am learning a ton already!

[@dirty-civilian]

Right on!

[@robertdean7778]

Daily reminder that a TQ can save lives. For those of us who aren’t medics or trauma specialists, put that thing on as high as you an, as tight as you can, as fast as you can. If you suspect someone is bleeding out from an extremity, just do it. Absolute worst case scenario if left untreated for hours is loss of limb. I’d rather lose a leg or arm than die. So would you. Tourniquets are very safe in general though.

[@soundwavenk]

It is usually unlikely you don't have access to 911. When you dial 911 you get the closest tower regardless of the service provider and distance. I've personally answered calls 100+ miles from the tower (quality sucked, but still there). Wholeheartedly second the know where you are. The dispatcher will guide you so you don't have to prepare grid coordinates or pop a flare ahead of time, so don't stress too much on it. Best advice I can give if you can't give a specific location with any confidence: from a point you do know that you were at some point, tell them the steps to get to you.

[@FukGoogle-kg7un]

Unlikely for city people sure. Living in the country, going camping and some other instances are alot different though. (Especially with it currently being hunting season) In the sticks Some day's calls go though but generally speaking people out in the country have a better chance of getting a message out fast (or even within 5-10 min) through a text because you only need a second of signal. Honestly its would take me longer to get signal than it would for me to hop in a truck and drive a person to town to get them help.

[@joshdeal1622]

Josh brought up a good point when doing compressions about the level of oxygen in your blood. By doing just compressions you are causing the patient to breath slightly. Every time you compress is expelling a little bit of air and then when you relax they will inhale. This is why compressions only is taught more than the stop and give 2 Breaths method.

[@qwrtyforse6174]

More of this please! I like how you guys are covering aspects of being a more useful person beyond just firearms training.

[@dirty-civilian]

Thats the goal!

[@NARANJO1980CR]

Saludos desde Costa Rica 🇨🇷, Instructor de TCCC/TECC capacitado en Colombia 🇨🇴 por la fundación ENFERMEROS MILITARES, Enfermero Registrado de Profesión.Excelente video 🙌 gracias

[@jamesanderson8367]

As a former instructor a way to get the rhythm is to sing the song staying alive or have someone else do it while you're counting to your self

[@Doc_Vega]

Wow that’s one of the best videos here on KZbin. Fun but very professional. The infant part was very serious, you can tell he’s got experience with this topic and not every case gets a Happy End. Thank you guys 👍

[@heidi22209]

Absolutely

[@jmomrodgers2888]

Can you start a playlist for civilians on different medical issues? Or refer me to different places? I've taken red cross first aid but I like how indepth you are

[@MaxDickings]

Infant CPR over here it's taught that for the breaths you want to give a "puff" literally just say the letter "P" phonetically. Alternatively just fill your cheeks and let it go with no added breath behind it.

[@kennedyfinancialsolutions]

Thanks you guys, great up-to-date TCCC material from some down-to-earth dudes. I even learned a couple of new things from this one. Keep up the awesome work boys!!!

[@dirty-civilian]

Great to hear!

[@KarKarlee]

Great video as usual, I learned some stuff, and I think my kids did also. My 4 year old son thought the intro was real. I told him the guy was eating raspberries and choked, and he started asking why he was spitting up blood if he was just choking. I told him it was just a skit, but he knew something else would be wrong if you start spitting out blood. He asked if he swallowed a piece of glass with the raspberries. 😂

[@RavenRunFoxRoam]

The opening with the berries was so insanely ridiculous I actually LOLed Well done fellas

[@danielsaxon2206]

For exceptional training can I suggest Refuge Medical? Those guys are absolutely professional and you get a kit out of the course that if you use on someone and let them know they’ll refill the contents for as long as you have the kit. Not cheap but worth every penny.

[@DeclanHiggins__]

In Australia, the CPR/First Aid course is mandatory for a lot of professionals and has to renew every 12 months. Courses are about $60USD for a day and they're pretty good

[@melnieves2467]

Dude that beginning had me in stitches!

[@elterga6224]

The most important things to know; how to stop bleeding, how to clear airways, and how to resuscitate. That being said, you can and should always learn more.

[@1lottoticket]

Dont forget, ~2inches above and below what you consider the joint is still the joint when applying a TQ

[@Mr.Pickles519]

This might actually help me save someone's life, one day. Thank you. And thanks to Paul and Baer Solutions for being cool enough to do all this. Dude, what a great school.

[@LarsBars17]

I think one of the things I heard about compression-only CPR is that the act of the chest compressions actually passively move a small amount of air in to the lungs. Better than nothing

[@corporealexistence9467]

Last time I took a class it was 15/2 for everything, this is very good information!

[@Bigfishboi7]

Great info, thanks for sharing, points for infant cpr, remember to cover the mouth and nose while providing breaths.

[@t72moderna65]

Being a boy scout and having taken a stop the bleed course, i respect the hell out of people who decide to learn medical. As average people normally dont have medical skills that could be life saving.

[@Nurse_Xochitl]

As a nurse, thank you for taking the course. :)

[@seancallaway5204]

24 year Army Combat Medic here. Love this video. Only thing I would have taught differently is regarding tourniquets. When I first enlisted in 1999, the thought was to place them as a last LAST resort and 2-3 inches above the wound cuz you're gonna lose that limb from that point down. Later, we realized that people have TQs on their limbs for MUCH longer than a few minutes during certain surgeries. High and tight is the way to go these days, at least during the initial emplacement. Later, once you're no longer under fire (or, in the case of civilians, once EMTs show up), the exact extent of the wound can be more closely examined and the TQ can be converted to a pressure dressing if a TQ is found to be excessive.

[@RunningWithSauce]

Interesting on the not high and tight. I work in Minneapolis as an EMT/FF and we are taught by medical direction always go and high and tight because of single bone structure with arterial flow. We were taught that past the knee downward is a double bone zone and below the elbow also a double bone and the arteries can escape impingement. Things are always changing!

[@PrepperMan2013]

I remember being told about arterial retraction as being why they told every lay person to go high and tight. You hear Doc talk about a few inches above the site for that reason, but it's hard to gauge accurately, whereas the high and tight accounts for everything. Including like you said, dual bones very single bone.

[@RunningWithSauce]

@@PrepperMan2013 Agreed. Ill put a TQ up high and tight every single femur break on an extrication because I have zero idea what it looks like internally. I think thats the point of high and tight as you mentioned. We dont know what the injury looks like without an xray and near the wound entry/exit is guessing wildly. I"m gonna keep doing what medical direction says as its based on what they see coming into the ER (which is North Memorial and sees gunshots a lot more often than most)

[@Dero_milsurp]

High and tight was taught for care under fire in a tactical setting where a uniform prevents rapid assessment of location along with the need to TQ and go. Civilian TQ use should be 2" above the wound if at all possible. Civilian EMS is typically behind the curve on these topics. It was only within the last 5 years that many EMS agencies still taught that a TQ was a "last resort"

[@RunningWithSauce]

I disagree, we are not behind the curve in Minneapolis as we treat a lot of gunshots here and have one of the highest survival rates in the country for level 1 trauma centers at north memorial. High and tight on single bone is MORE effective at cutting off blood flow faster on scene and getting them stable. You want to F around with 2 inches above a wound not have an xray to find internal damage to know if you're even effective, have at it. We havent taught last resort here for 10 years. The main EMT, Paramedic instructor for North, Gabe is a fuggin combat medic in the Army. @@Dero_milsurp

[@thomastorrey26]

Top tier content as per usual. Train train train, the resources you guys bring in for these videos is again, top tier. Keep up the good work and god bless. Signed -dirty civilian

[@dirty-civilian]

Thanks man!

[@mc-nm6ml]

While you may not need or use all that medical gear, carrying more than you know how to use isn’t always a bad thing. You never know when there might be a nurse, doctor, emt, firefighter/police officer ect… around that has the skills but not the equipment. I carry a pretty good size medical kit in my truck, I don’t know how to use everything yet, but better to have it and not need it than need it and not have it.

[@perspicacity89]

Man, you guys make the absolute best videos, thank you.

[@levigruffydh6913]

That intro is awesome! I'm definitely gonna stick around for the whole video, this is a subject I have been wanting to learn more about. Thanks DC!

[@dirty-civilian]

Absolutely. Thank you!

[@AgentOrangeeeee]

i finished EMT school about a month ago and the stuff this guy mentions is basically what i was taught and its all pretty accurate.

[@FUBAR09]

Drew looks like how you would walk into your moms room late at night saying I threw up

[@dirty-civilian]

"I had an accident."

[@EliteDiesel]

Always good to cap of the work week with these dudes!

[@dirty-civilian]

Thanks!

[@semperparatus678]

LMFAO, that intro was insane!!!!!! Good day and all hell breaks loose. Subscribed due to the intro!!!! And am a volunteer firefighter going on 7 years. So all this helps.

[@trailertrashtactics]

Don’t worry about nerves. Honestly long term tourniquet application poses a higher risk of pulmonary embolism or DVT. But even then, if you need a tourniquet, just use it. Civilian side studies for years have shown nerve healing after tourniquets being on for hours. Plus if they have more than one issue and you’re applying pressure. That’s all you’re doing. If you have an airway to manage, another bleeding limb, or any other trouble at all. Tourniquet it. Just a thought from a crusty medic

[@z14sniperzps43]

That intro 😂 “BSI!!!! SCENE IS SAFE!!!!!”

[@matthewearp3642]

Any EMT knows what’s up

[@dirty-civilian]

LOL

[@alaskanman825]

They need to teach classes like this in every high school. I had to give CPR to a heart attack victim and I had no training but I had seen some training videos. I wish I had basic training before needing it. He had been unresponsive for 10 minutes before I showed up and yet he somehow made it and is alive today. I think we got lucky.

[@robertdole5391]

10:00 Tourniquets can be placed on a limb for up to 6 hours without permanent injury. They can be easily converted down to a large bandage within 2 hours by a combat medic if it turns out that the wound is not a serious life threatening bleeding.

[@robmilne67]

Out of all the medical videos I have watched over the years to pick up some pointers, this video ranks at the top. Great job loved it.

[@madammim694]

this stresses me out terribly. thanks for showing us a little of what we may experience and what to do.

[@heidi22209]

This was so well done. Opinion based on experience and knowledge. Evidence based medicine. Paul you're a Boss. New sub. And sharing.

[@TheFireMaker117]

As someone who has gone hypothermic in a 70 fahrenheit degree room I can agree with how little blood loss it takes to make someone go hypothermic. It takes about 2 minutes of bleeding until your shivering and your ears are ringing and you feel drunk

[@jackgreenstalk777]

Red cross etc does a great job. A lot of my first aid and cpr basics are good intro to higher level trauma treatment technique

[@stacy3065]

I actually was a Firefighter/EMT, and the beginning of this made me laugh!! Thank you!! “Checking for a fetal pulse…” 🤣🤣🤣

[@brianwade5964]

The one thing that most will not understand or actually get to experience during any training is just how slippery actual tissue and blood is. Also, just how sharp bone fragments are or even bullet fragments. My Stop the Bleed class trainers used a few pork shoulders they shot with actual hollow point bullets and pumped fake blood mixed with pork fat to create as close to how it is to actual pack or even grab an artery to clamp. Which actual arteries will retract, and you'll have to plung a finger in to dig out to clamp.

[@TacticoolVIKINGBeard]

This is a PHENOMENAL video! Thank you guys for bringing this to light ive been really want8ng to see something like this ever since ive had to stop a co-worker from a full blockage choking situation. I learned it in boyscouts but that was 20 years ago so i feel thats crazy outdated and nobody knew what to do and i just reacted and thankfully all is well and she is here to see another day and thats all i care about but this video is amazing and thank you guys for getting together and sharing this info with us!

[@lyfandeth]

Way more businesslike, concise, informative than the usual refresher/repeat courses I've taken. Bravo zulu!

[@dillanmccullough2697]

I will say for infant airway obstruction, LifeVacs are a literal (backed by data) life saver and are in expensive.

[@RunningWithSauce]

Every unconscious patient should get an airway adjunct whether NPA or OPA depending on access. Also the patient's own blood is lube for the NPA if you can't find it. iGels are god mode for airway management.

[@TheWhiteBandaid]

Not every patient. If they can maintain their own airway on their own regardless if they are unconcious or conscious then you dont need an airway device. If you plan on carrying an NPA you better plan on carrying lube of some kind ideally lidocane jelly so it numbs the nasal passages and becomes more tolerable if they are concious, but if you use blood you are opening up to the risk of clogging the NPA.

[@RunningWithSauce]

Our protocols here in the Minneapolis metro is every single uncon patient gets an airway if possible. We use igels. I do what medical direction tells me.

[@TheWhiteBandaid]

@@RunningWithSauce you should have a discussion with your medical directors to develop protocols that allow for that decision making and starting with basic airway management with either head tilt chin lifts or sniffing position. I can understand it if you do not have the ability to monitor waveform capnography with nasal cannulas, but if you do then there’s not really an excuse for your medical directors to have that in place unless they have doubt in their providers to recognize who needs airway management. Try sending an email to them about it and asking why they have it specifically that way.

[@RunningWithSauce]

Because when someone is unconscious they are not always in control of their airway and placing an airway like an igel is a harmless easy procedure that can help ensure the airway remains patent. Not sure why youre flexin on a Medical Director with 50 years on the job, but you do you boo. lol. You can call Dr Lilja at North Memorial and tell him you know more than a doctor in one of the busiest Level 1 trauma centers in the US and that you need to correct his systemwide EMS protocols. I'll do what he says to do since its pretty sound advice.

[@TheWhiteBandaid]

@@RunningWithSauce not always is the key word, I have had countless septic and diabetic patients who were unconscious on arrival and they had good waveform capnography and spo2, and did not require an airway adjunct to manage their airway nor BVM to manage their airway. I’ve also had other who absolutely needed adjuncts from NPAs to intubation, but I’m not gonna sit there and drop an NPA in every unconscious patient or RSI them cause they are unconscious cause that’s bad medicine. You should be able to use your assessment skills and think “does this patient need an adjunct or not”. I’m also not sitting here trying to flex on a medical director but if you are too defensive to try and provide yourself better protocols and have conversations with them then that’s on you. I’ve had multiple conversations with all 3 of my medical directors about countless topics and most specifically the removal of rigid c collars and move to soft collars, as well as better trauma protocols with resuscitation and end goals, however protocols are written for the “least skilled provider” and most systems are limited by what they can do based on the MDs concern of their personnel. It’s not my job to have these conversations with YOUR medical director.

[@user-zm6yh3ux7l]

Great video but I'm surprised the guy running the channel doesn't know a lot of that stuff specially if he was an EMT. My EMT class was 16 weeks and we covered all that stuff in depth. Granted, I'm an EMT in Kentucky and we have a bigger scope of practice than some states.

[@williammann6859]

We’ll done! Perhaps the best first aid video I’ve seen. Thank you!

[@mrjackdaniels0309]

😂😂😂 Amazing entry, amazing video, guys! Keep it up!

[@user-im6fy4qp6m]

i really like the S addition to MARCH. if youve got a pedestrian in the middle of the road who has just been hit, you are going to want to do something to mitigate them or you being hit by another car coming along. either pull them off the road to start treatment or mitigate the risk somehow by making yourself more visible, signaling to oncoming traffic with a bright light, having a passerby go up the road and warn traffic, throw down road flares or cones or move another vehicle with flashing hazard lights to block the casualty and the response persons. its not always about gunfights!

[@bigdestiny1752]

corpsman for 6 years, 3 years with greenside, can confirm all of this, good work guys. Much appreciation and love. only question from me is, when you apply your TQ, if they are tensed (and their muscles have soon relaxed) due to whatever traumatic injury, you've previously applied TQ may be useless, and you've applied two TQs, do you tighten them more? or apply a 3rd, might be something some people may need to know about

[@alexbarnes3912]

Awesome stuff guys, great production...

[@TheV0ic3]

The "set dressed " Shelf in the cabin got me as someone who works in film XD

[@jackgreenstalk777]

Some really great info. Was tough to watch thru intro, but once the back of the car talk starts there is a ton of worthwhile stuff. I put this off for a while but its important to stay up to date on this stuff

[@user-yq7xf2ss6e]

This is my new favorite channel

[@threat2demoracy5454]

Always keep Naloxone. I have lost my Aunt, Cousin, and long life friend all this year from accidental OD. My Aunt thought she was taking a legit painkiller. What she didn't know is it was laced with fytenal. Keeping Naloxone is just as important as EpiPens. Even heard of first responders OD'n from accidentally touching the stuff. Stay safe out there! 🤙🏼

[@Defined_bylife]

Love these videos. Very helpful especially when you haven't gotten to do a refresher. I'm still trying to remember how to do the decompression needle. I remember its like the third intercostal space in the ribs on the side where the thorax is taking place. Can you give us a video on bandaging faces, arm pits, and other tough areas?

[@antonrehling1966]

Yeah, I learned FA will develop into an auto zone if done often enough. US Army Trained, Civilian EMT, ER and OR experienced and trained. I always have my EMT back pack 24/7 along with my EDC.

[@MrDustinclement]

Man this was absolutely fantastic. Awesome questions on the kids stuff too man. Much needed! Thanks so much!

[@dirty-civilian]

Glad it was helpful!

[@FreelancerAlpha1-1]

This is exactly the kind of info I’m looking for as a teacher and wanting to be able to respond in a crisis situation. Where can I find classroom courses for this kind of training in Florida?

[@robertdole5391]

12:18 the ONLY quick clot you should use is the “combat gauze” DO NOT use the old version of the granules of quick clot. It created a LOT of heat and was not very effective. The gauze version is much much more effective and without the exothermic reaction.

[@Joe-po9xn]

To measure the appropriate size of an OPA (oral airway), go from the corner of their mouth to the tip of their earlobe. Almost like you’re holding a phone up to their ear. Whichever one reaches is the size you want. Likewise for an NPA (nasal airway), go from the tip of their nostril to the corner of their earlobe. Have your bevel facing towards the center of their nose. In other words, the pointy bit is not going towards the center of their nose, but the big hole is. If you have any lube at all (and carry that if you’re going to carry an NPA) then by god use it.

[@phenixphire7]

Got my second sustainment bike this past weekend got me a Honda 450r to add to my Honda 250l. The acting quality here is lightyears ahead of nick c a g e! keep them coming great performance guys. Love your tenacity boys.

[@grimreaperparanormal]

Bahahahaha the intro was so funny!!! I would love to see the bloopers

[@swamprat9018]

Good Job guys.

[@mikehawkswollen5819]

You are doing awesome work, guys! I, for one, definitely appreciate what you guys are doing for us.

[@patriciau6277]

Oh please make this opening a short!

[@TheSturgoenfish]

New quickclot doesn’t burn anymore but if your patient isn’t screaming in agony, you’re not packing it hard enough or they have basketball sized nuts.

[@VanVeenTraining]

Super helpful! Love the intro and questions. ❤