Master Percussion Technique For Respiratory Clinical Examination - Clinical SKills - Dr Gill

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Dr James Gill

Dr James Gill

Күн бұрын

Пікірлер: 152
@oliviahappel9637
@oliviahappel9637 2 жыл бұрын
I don’t study medicine, nor do I ever plan to. However, I always watch your videos - not only for the asmr, but for the satisfaction I receive in seeing you explain your craft in a passionate, detailed way. Best as always, Dr. Gill!!
@DrJamesGill
@DrJamesGill 2 жыл бұрын
Well thank you for joining us 😊
@bayakuganz
@bayakuganz 2 жыл бұрын
Same for me. Never done anything medicine related as I'm an industrial electricien. Strangely enough medical exams always kind of scared me. But watching Dr Gill explaining exams in details has put my mind more at ease. Keep up the good work doc!
@Xanderviceory
@Xanderviceory 2 жыл бұрын
Came here for learning the skills, stayed because of your lovely voice and dashing attire
@thelearicist
@thelearicist 2 жыл бұрын
Same. I have a feeling this is true for a lot of us.
@DrJamesGill
@DrJamesGill 2 жыл бұрын
As long as people are finding something useful here. Whether it’s the content, or the community, it’s all good 😊
@ProperSauce
@ProperSauce 2 жыл бұрын
Side effect of enjoying this channel for ASMR is the education you get along the way!
@DrJamesGill
@DrJamesGill 2 жыл бұрын
As long as everyone is learning, I’m happy 😊
@laisarodrigues4982
@laisarodrigues4982 2 жыл бұрын
Yessss
@chuckoneill2023
@chuckoneill2023 2 жыл бұрын
Dr. Gill and Ringo. Well known British percussionists.
@DrJamesGill
@DrJamesGill 2 жыл бұрын
🤣🤣🤣🤣
@louisbaker4362
@louisbaker4362 2 жыл бұрын
I'll add Keith Moon to the list! :)
@a.an.6689
@a.an.6689 Жыл бұрын
And Roger Taylor!
@Sawrattan
@Sawrattan 2 жыл бұрын
I watch these just for ASMR, and the percussion is my favourite thing to watch and listen to. ❤
@DrJamesGill
@DrJamesGill 2 жыл бұрын
Well hopefully you’ve a better idea behind the what and the why’s of respiratory percussion now 😊
@balaam_7087
@balaam_7087 2 жыл бұрын
I was literally about to post the exact same comment as this one, so instead I’ll just upvote it 😸
@yanngrego
@yanngrego 2 жыл бұрын
If every university professor where as good a teacher as you are, humanity would already be on Mars! Keep up the great work!
@DrJamesGill
@DrJamesGill 2 жыл бұрын
Or a civil war. I’m a bit like Marmite. There are students that don’t resonant with my style kf teaching. But that is fine. We’re all different esp when it comes to our approach to learning g
@jorgecardoso5863
@jorgecardoso5863 2 жыл бұрын
Teacher: "Today we'll learn percussion" Student: Proceeds to jam a drum groove at the patient
@DrJamesGill
@DrJamesGill 2 жыл бұрын
🤣🤣
@NickzAndMikz
@NickzAndMikz 2 жыл бұрын
We learned percussion in our respiratory exam and it's quite tough - excited to sit down and watch this. Thank you Dr. Gill for your work getting us these videos
@DrJamesGill
@DrJamesGill 2 жыл бұрын
I hope it helps 😊 When did you do the session?
@NickzAndMikz
@NickzAndMikz 2 жыл бұрын
@@DrJamesGill Our "OSCE" (we call them "standardized patients") was about two weeks ago. Which was only one week after we learned percussion as a concept. I didn't have enough practice for the patient, but this really helped me understand the technique better than what was explained to us
@DrJamesGill
@DrJamesGill 2 жыл бұрын
Ah yes. I understand. Hopefully the result will be good though. Please drop us a comment when you know a😊
@guilhermenunes4275
@guilhermenunes4275 2 жыл бұрын
my classmates think i'm smart, seems your channel is my secret weapon ! thank you :)
@DrJamesGill
@DrJamesGill 2 жыл бұрын
Thank you 😊
@RoRo-mj1dg
@RoRo-mj1dg 2 жыл бұрын
Thank you for your videos Dr Gill; specifically the deep dives of the systems/assessments. I’m a nurse currently doing my clinical assessment module and found your teaching approach easier to follow and retain. Helped me get that A1 in my OSCE 😊 very grateful for your videos.
@DrJamesGill
@DrJamesGill 2 жыл бұрын
That’s excellent. You must be so pleased! Thank you for the feedback. What other areas would it help you for us to cover?
@RoRo-mj1dg
@RoRo-mj1dg 2 жыл бұрын
@@DrJamesGill thank you 😊 yes ecstatic! Have another one on Tuesday so will be rewatching the exams to revise. I know this differs from some of the other videos but it was would be great to see how you would carry out medical interview and your approach to doing it concisely. Optimising consultation time while being patient centred as you demonstrated in the male/female pelvic exams.
@DrJamesGill
@DrJamesGill 2 жыл бұрын
That’s communication skills. We could look at that certainly 😊
@RoRo-mj1dg
@RoRo-mj1dg 2 жыл бұрын
@@DrJamesGill excellent thank you 👍🏻
@tanksoldier
@tanksoldier 2 жыл бұрын
Your stuff is the best. I have a background in emergency medicine, as an EMT/firefighter and police officer, and your explanations are better than most of the instructors I’ve had over the years.
@DrJamesGill
@DrJamesGill 2 жыл бұрын
That’s very kind of you to say. But I’m sure that they will be excellent in their own areas, just clinical skills is where I’ve spent a lot of time now
@starfishgurl1984
@starfishgurl1984 2 жыл бұрын
This is awesome! I always wondered exactly why percussing was done like that and what exactly it accomplished as a result, as a musician/pianist I totally appreciate it now that you’ve explained it in detail. Fascinating stuff!
@DrJamesGill
@DrJamesGill 2 жыл бұрын
I’m glad it helps.
@samyjoseph4798
@samyjoseph4798 2 жыл бұрын
Nothing better than learning and relaxing at The same time
@DrJamesGill
@DrJamesGill 2 жыл бұрын
👍
@peterneilen7441
@peterneilen7441 2 жыл бұрын
Lying in bed...scrolling youtube not being able to sleep... *Sees a Just uploaded video of the god of ASMR Hellow sleep!
@DrJamesGill
@DrJamesGill 2 жыл бұрын
I think my students try to sleep when I’m talking anyway 🤣
@AlonsitisDuff
@AlonsitisDuff 2 жыл бұрын
@@DrJamesGill Most students fall asleep in class because of pure boredom, but im sure in your case its because your voice! Its the most relaxing voice ever 🥰 i love it
@leah8613
@leah8613 2 жыл бұрын
Many thanks for this video Dr Gill, I found it very helpful for understanding different percussion notes and the clinical reasoning behind them. The cases were super helpful to consolidate the video content and I’d love to see more in future videos!
@DrJamesGill
@DrJamesGill 2 жыл бұрын
Thank you. That’s useful to know. I think I’ll start putting more clinical examples in the videos 😊
@kittybala7951
@kittybala7951 2 жыл бұрын
Useful information. Really interesting. Thank you
@DrJamesGill
@DrJamesGill 2 жыл бұрын
Thanks. I found it challenging initially, so trying to help those who need the visual aid
@marinitsag
@marinitsag 2 жыл бұрын
Finally, we get the technique explained!! Thank you Dr. Gill 😀 I always wondered about their difference, what are the healthy sounds and when the bad ones happen.
@DrJamesGill
@DrJamesGill 2 жыл бұрын
Hope it helps.
@tabbishabbas
@tabbishabbas Жыл бұрын
I am from Pakistan , I am nursing student thanks for clearing my concepts
@DrJamesGill
@DrJamesGill Жыл бұрын
Glad it was helpful 😊
@Zippohead
@Zippohead 2 жыл бұрын
Greetings from Germany! ❤
@DrJamesGill
@DrJamesGill 2 жыл бұрын
👍
@redneck2994
@redneck2994 2 жыл бұрын
Yes, definitely more clinical skills please.
@DrJamesGill
@DrJamesGill 2 жыл бұрын
Ok. Maybe we should carry on with the percussion bit, and detail percussion of the abdomen ?
@redneck2994
@redneck2994 2 жыл бұрын
@@DrJamesGill yes please
@DrJamesGill
@DrJamesGill 2 жыл бұрын
We’ll try to get that done in the next few eels then
@crazy_old_bat
@crazy_old_bat 2 жыл бұрын
I have always wondered why medical professionals did this and now I know! And the answer is more interesting and complex than I would have expected. Thank you for this video. 😊
@DrJamesGill
@DrJamesGill 2 жыл бұрын
You are very welcome. Glad you found it interesting
@laeb08
@laeb08 2 жыл бұрын
No wonder I can't elicit sounds from my percussion, cause I was doing it wrong in the first place! As a nursing student, I thank you doctor, for this instructional guide for percussion. Finally, I can do it properly now.
@DrJamesGill
@DrJamesGill 2 жыл бұрын
That’s great to hear!! I’m glad this helped!
@Peoples_Republic_of_Devonshire
@Peoples_Republic_of_Devonshire 2 жыл бұрын
@@DrJamesGill I'd like to second that as a trainee Medical Assistant in the Royal Navy! Our instruction is very basic and I'd been doing it ok but this has helped me refine my technique
@ИринаИлиева-р8п
@ИринаИлиева-р8п 2 жыл бұрын
This is so interesting, Ive always wondered why doctors do that. Thank you Dr Gill! Very informative
@DrJamesGill
@DrJamesGill 2 жыл бұрын
😊 knowledge is power 😊
@brunv4100
@brunv4100 2 жыл бұрын
Great video as always! I watch for the ASMR but it’s rather interesting to learn about… makes me have more appreciation for my sister’s profession (don’t tell her I said that)
@DrJamesGill
@DrJamesGill 2 жыл бұрын
What does your sister do?
@zahras1492
@zahras1492 2 жыл бұрын
I don't remember any doctor using this technique while examining my daughter for pneumonia. I find this technique very efficient.
@DrJamesGill
@DrJamesGill 2 жыл бұрын
Ideally it should be included, but it is additive For pneumonia you’ll be getting the vast about of information from the stethoscope. Percussion would perhaps be a stronger clinical sign for something like a collapse / pneumothorax
@scarred10
@scarred10 10 ай бұрын
For pneumonia,they will be listening for localised crackles with a stethescope.
@TOMCLARKE08
@TOMCLARKE08 7 ай бұрын
Thank you soo much doctor. I have my osce in few days..... really helpful ..🙏💯
@DrJamesGill
@DrJamesGill 7 ай бұрын
Best of luck!
@ravleenpannu1573
@ravleenpannu1573 7 ай бұрын
So grateful for this explanation 🙏🏻 Thank you for what you do, Dr. Gill
@mustafaaksakal6629
@mustafaaksakal6629 2 жыл бұрын
That video ladies and gentlemans is a masterpiece
@DrJamesGill
@DrJamesGill 2 жыл бұрын
Thank you. I saw several people struggling to initially get the grips with the concept, so decided to try to cover it here 😊
@ЛюдмилаКураш-н2б
@ЛюдмилаКураш-н2б 2 жыл бұрын
Стараюсь вас понять . Я из Белоруссии . Не говорю на английском языке . Спасибо вам за видео консультацию . Вы супер . Всего самого наилучшего вам
@krybogs
@krybogs 2 жыл бұрын
У меня сейчас 4 часа утра, мне завтра рано вставать, а я смотрю это видео, все идет по плану.
@tavitafish
@tavitafish 2 жыл бұрын
My younger brother plans on going into medicine so I'm going to send this to him so he can learn real good
@MantuxLTr
@MantuxLTr 2 жыл бұрын
You remember me Bob Ross. Teach how to do amazing things and gives peace of mind
@DrJamesGill
@DrJamesGill 2 жыл бұрын
Thank you. I originally came up with the idea to help the students - as is really highlighted here, but once been amazed and surprised how many people say it has helped them as a student
@faizanahmed5368
@faizanahmed5368 Жыл бұрын
Dear Dr, you are an absolute gem!
@drama3034
@drama3034 2 жыл бұрын
Omg, i just thought yesterday when watching abdomen examination how to do percussion like professional now you posted this😭. Thank you eventhought i will not used it that much😂
@richc8413
@richc8413 2 жыл бұрын
Hi James, I’m an avid fan of your content and enjoy everything you produce. Is it possible for you to do a full head to toe examination in one long video. I watch lots of others like this but would love to see you do one. Thanks
@swaruparani2450
@swaruparani2450 Жыл бұрын
Please do a full video by taking a case of abdomen as an example in which there will be inspection,palpation, percussion and auscultation so that we can learn in a sequence
@DrJamesGill
@DrJamesGill Жыл бұрын
Here you go 😊 Abdominal Examination - Clinical Skills - Medical School Revision - Dr Gill kzbin.info/www/bejne/ip2UmGx_m6mDpZI
@littlelaur94
@littlelaur94 2 жыл бұрын
Serious question, when you are percussing a female patient's chest, does their breast size have any bearing on how the technique works? As in, would larger breasts affect the sound in any way? And is there a particular way to deal with having to work around a patient's breasts to examine their chest? I know in your breast examination video you were very clear about explaining sensitivities including language around examining the breast area.
@DrJamesGill
@DrJamesGill 2 жыл бұрын
With the chest, the larger majority of the detail is going to come from examining the back. You’ll still percuss the tops of the lungs, and the sides from the front, whilst simply not examining the area directly covered by the breasts If there is a need to move the breast to percuss under, I’d ask the patient to move them for me
@ethanglenn7299
@ethanglenn7299 2 жыл бұрын
The lovely sound of placing down cobblestone.
@ЛюдмилаКураш-н2б
@ЛюдмилаКураш-н2б 2 жыл бұрын
Я из Белоруссии . Если честно то я не понимаю что вы говорите . Но я понимаю что вы делаете . Супер класс за видео . Спасибо вам большое за информацию . Очень мечтаю к вам попасть . Спасибо вам . Желаю вам хорошего творческого пути
@thebassmaster1364
@thebassmaster1364 2 жыл бұрын
4:13 A pneumothorax is air in the lungs plural space , not filled with fluid, that would be a hemothorax. The pneumo is hard to differentiate from a normal lung with this test, the main reason its preformed is to detect wether its blood that needs a chest tube or air that can be deflated with a needle. Im a combat medic, just wanted to clear up as i think that could confuse students, otherwise great video.
@DrJamesGill
@DrJamesGill 2 жыл бұрын
Yes I misspoke there. Thank you for clearing that up. It’s been a while since I’d dealt with a pneumothorax clinically, but a large / tension would still have a positive test head wouldn’t it?
@chrish8903
@chrish8903 2 жыл бұрын
Looking very early Michael Stipe here. Great stuff.
@DrJamesGill
@DrJamesGill 2 жыл бұрын
I can really determine if that’s a compliment or not - as I’m not sure they are until I’ve Googled them lol!
@chrish8903
@chrish8903 2 жыл бұрын
@@DrJamesGill It's a good look. Now just don't go singing about the end of the world.
@DrJamesGill
@DrJamesGill 2 жыл бұрын
🤣🤣🤣 yes I just took a look at him. Thankfully, I can’t sing!
@MOO0SE
@MOO0SE Жыл бұрын
why do i feel relaxed when listening to you
@hunterdowds777
@hunterdowds777 2 жыл бұрын
Helpful summary as always, thanks!
@DrJamesGill
@DrJamesGill 2 жыл бұрын
Hopefully it will help people with this skill 😊
@littlelaur94
@littlelaur94 2 жыл бұрын
I like that we got some cheeky cameos in at the start from some of our favourite characters from the Dr Gill Cinematic Universe...
@janeholden6244
@janeholden6244 2 жыл бұрын
Really useful thanks for making this simple
@DrJamesGill
@DrJamesGill 2 жыл бұрын
You are welcome 😊
@diosteama2719
@diosteama2719 Ай бұрын
Thank you very much for this ❤
@andreafranne
@andreafranne Жыл бұрын
Thank you for this video! Some of my teachers tap on the area between the MCP and PIP joint instead - is that an equally good technique? I find it easier to get a clear sound that way.
@DrJamesGill
@DrJamesGill Жыл бұрын
You get a better sound from striking the DIP as the joint can flex down increasing contact
@Draedaja
@Draedaja 2 жыл бұрын
never thought I'd hear something like "soggy slapping noise" in one of your videos :D
@Loonyrabbit-tv
@Loonyrabbit-tv 2 жыл бұрын
Dr gill thank you for making these videos they are very useful and informative
@DrJamesGill
@DrJamesGill 2 жыл бұрын
Glad they are useful
@n1smq791
@n1smq791 2 жыл бұрын
Im not really interested about learning about doctor stuff but this looks really useful for me to use someday. Idk what it could be but it could be anything. And plus this is kinda interesting
@yaroslavflegentov3427
@yaroslavflegentov3427 2 жыл бұрын
я ничего не понял, мне просто приятно слушать
@olliemeadows6164
@olliemeadows6164 10 күн бұрын
We love you James
@shadeslinger
@shadeslinger 2 жыл бұрын
Love this, very useful and interesting to know. please make more :)
@forgettablelisa
@forgettablelisa 2 жыл бұрын
Every doctor I go to now just uses a stethoscope and tells me to take deep breaths. When I was younger doctors used to actually do this if/when I had any kind of chest or breathing issue.
@DrJamesGill
@DrJamesGill 2 жыл бұрын
In an ideal world I should be done. But I will hold my hands up to say that I will skip vocal resonance occasionally if everything else is fine
@DanielRodriguez-es6fz
@DanielRodriguez-es6fz 2 жыл бұрын
Genio!
@robertclarke5750
@robertclarke5750 2 жыл бұрын
Good evening Dr Gill, you stated that this is a significant skill, but in my 41 years I have not witnessed it or had it done to me, is this an outdated practice?
@DrJamesGill
@DrJamesGill 2 жыл бұрын
Not at all. It’s a core part of respiratory - inspection, palpation, PERCUSSION, auscultation It easily takes up a quarter of the practical session when we teach respiratory In reality it’s more often used as a secondary test if someone can’t get the diagnosis, but that shouldn’t be the case
@robertclarke5750
@robertclarke5750 2 жыл бұрын
@@DrJamesGill thanks for the in-depth response and time taken to do so.
@LeKnightStudios13419
@LeKnightStudios13419 2 жыл бұрын
Omg I have been wanting to learn how to do this tap even tho I’m not a doctor 😳
@lamecasuelas2
@lamecasuelas2 2 жыл бұрын
Percussion: It Is good for your health and imrpoves any song imediatelly
@dr.alaaelhag8619
@dr.alaaelhag8619 4 ай бұрын
Amazing
@JohnnyInJapan
@JohnnyInJapan 2 жыл бұрын
Do you absolutely hate that most of your views come from ASMR enthusiasts or you do your recognize they probably unintentionally learn things about your craft and get satisfaction from that?
@souha1438
@souha1438 10 ай бұрын
Thanks a looooot ❤️❤️❤️
@Celticshade
@Celticshade 2 жыл бұрын
The medical david attenborough
@DrJamesGill
@DrJamesGill 2 жыл бұрын
And here we see, the percussion of the hand - long pause - this ancient technique 🤣
@craiggoods9856
@craiggoods9856 2 жыл бұрын
Ive always found percussion relaxing but it wasnt so relaxing when my lung collapsed last year
@DrJamesGill
@DrJamesGill 2 жыл бұрын
Gosh no. That must have been worrying. Do you know the cause?
@pauliewalnuts4632
@pauliewalnuts4632 2 жыл бұрын
How many and which intercostal spaces should be percussed anteriorly an posteriorly?
@enzozuniga2587
@enzozuniga2587 2 жыл бұрын
Thx KZbin for this weird recommendation
@DrJamesGill
@DrJamesGill 2 жыл бұрын
Trust the algorithm 😊
@steckihnrainhard698
@steckihnrainhard698 2 жыл бұрын
Good to know ma man
@DrJamesGill
@DrJamesGill 2 жыл бұрын
👍
@LeKnightStudios13419
@LeKnightStudios13419 2 жыл бұрын
Tip: Cut ur nails to do this, ur nails will hit ur finger…
@drshroub
@drshroub 4 ай бұрын
My nails hurt me little while percussion how to get over it?
@hatusnee
@hatusnee 2 жыл бұрын
I percussed my liver once and actually found the borders but I haven't been able to do it since lol
@rezamiri100
@rezamiri100 2 жыл бұрын
Thank you
@knuckie8056
@knuckie8056 2 жыл бұрын
This is so cool
@DrJamesGill
@DrJamesGill 2 жыл бұрын
👍
@aesthxtictrxckshot6701
@aesthxtictrxckshot6701 2 жыл бұрын
Dr James I need quick advice based on your experience...was your university or medical school content hard to memorise for exams because I have problems with memorising so much Informattion
@LeKnightStudios13419
@LeKnightStudios13419 2 жыл бұрын
Eh em, the ‘k’ in Skill is in uppercase… it’s written as ‘SKill’
@gangnamstyle
@gangnamstyle 2 жыл бұрын
I am really curious of his voice when singing a song
@DrJamesGill
@DrJamesGill 2 жыл бұрын
Let’s just say it’s not pleasant!
@joaquinsnake
@joaquinsnake 2 жыл бұрын
The Bob Ross of medicine
@ChutneyCity
@ChutneyCity 2 жыл бұрын
Dr Gill, are there any device invented to replace the manual percussion technique? Perhaps to produce a more consistent result
@cheerry4679
@cheerry4679 2 жыл бұрын
love u doc!
@apiocosmico833
@apiocosmico833 2 жыл бұрын
Nice asmr
@Edgeworthscravat
@Edgeworthscravat 2 жыл бұрын
My man can come up, drop a beat on my chest and diagnose my asthma.
@FinePowderDumpling
@FinePowderDumpling 2 жыл бұрын
I thought this was for like band
@DrJamesGill
@DrJamesGill 2 жыл бұрын
It’s also for medical examination 😊
@TalkieTalkie
@TalkieTalkie 2 жыл бұрын
In the title of the video, there's a capital 'K' in the word 'Skills'.
@DrJamesGill
@DrJamesGill 2 жыл бұрын
Rats. Unfortunately I can’t change that now
@TalkieTalkie
@TalkieTalkie 2 жыл бұрын
@@DrJamesGill That's the only thing wrong with the video :)
@gregw7684
@gregw7684 2 жыл бұрын
Oh my lord, if I here percussion pronounced PRECUSSION ONE MORE TIME...!
@delphinus5850
@delphinus5850 2 жыл бұрын
Unintentional asmr
@el.caballero
@el.caballero 2 жыл бұрын
Xd
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