Tag Archives: video

Tension Pneumothorax From Inside The Chest: The Video

This video shows what it looks like from the inside when a needle thoracostomy is inserted into the chest. Note that it takes about a minute for the lung to expand, so be patient when you insert the needle. You can also get an idea of why the needle is only a temporary measure as the inflating lung begins to kink the catheter.

Don’t ask why there was a thoracoscope in the chest with a tension pneumo in the first place, though!

Opioids In Trauma Care: Food For Thought

Here’s something I ran across during my reading last week. In the “old days”, I used to encourage my trainees to be generous with pain medicine prescriptions for patients being discharged from the hospital. I would routinely send people home with 60, 75, or more pills. I got a hint of the folly of this just a few years ago when I underwent an outpatient procedure (biceps tendon repair).

The orthopedic surgeon prescribed 15 narcotic pain pills for me to take home. I scoffed at the low number, although I didn’t tell him that. But once I got home and the regional block wore off, how many do you think I took? Exactly one. I (safely) disposed of the rest. This prompted me to start rethinking our role in the opioid problem here in the US.

Tomorrow, I’ll write about a recently published paper and guideline for discharge opioid prescriptions. But today, watch the TED talk embedded below. It reveals the inadequacies within our health care system for those who, one way or another, have developed a dependence on these medications. It was an eye-opener for me.