CHEST DRAINS

 

TENSION DECOMPRESSION: FINGER THORACOSTOMY

  • The way forward with Tension PTX Decompression

Sydney HEMS

 

PLACING CHEST DRAINS

 

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OPEN CHEST DRAINS

Demonstration of the Insertion of an Open Chest Drain (HEFT EMCAST)

BIGGER IS NOT BETTER, 28 FR FOR TRAUMA IS AMPLE

 

SELDINGER CHEST DRAINS

Demonstration of the Insertion of a Seldinger Chest Drain (HEFT EMCAST)

SECURING THE DRAIN:

ALL DRAINS SHOULD HAVE A HOLDING SUTURE PLACED

THE 'DOUBLE D' TECHNIQUE IS AN EASY EXAMPLE

 

THE ADHESIVE FIXATION DEVICES WE'RE USING FOR THE NEXT STEP IN SECURING THE DRAIN

SECURING A CHEST DRAIN (KEVIN HENSHALL)

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"THE DOUBLE HALF HITCH / double d" TIE

SUTURE TECHNIQUE (BETWEEN 5.20 - 6.25 MINS)

 

CHEST DRAIN PLACEMENT (VIDEO VIA EM IN 5)

 

OTHER DRAIN INSERTION TIPS

HAVE A LOOK AT THE BOOGIE ASSISTED CHEST DRAIN FROM:

TAMING THE SRU

 

Scott Weingart's Take on Things

NEEDLE VS KNIFE (EMCRIT)

 

SMALLER IS BETTER!