00:00The kid's sternum, did it take the brunt of the blow?
00:03Yeah, there's a pretty big bruise on his left side.
00:06And his heart rate?
00:07It's fast. It's probably about 140 or so. He's basically hyperventilating.
00:12And how are his breath sounds?
00:14His left side is pretty weak.
00:17And if you percuss him, does it sound solid or more like air?
00:21It's more like air.
00:23Okay, so from what you're describing, it sounds like a pneumothorax.
00:26So you're going to need to aspirate his chest and let that air out.
00:31Can you find a needle or something sharp?
00:33Anybody have anything sharp?
00:35A knife, a needle, some scissors, anything?
00:38I have a knife.
00:41I'm an electrician.
00:43Thanks.
00:45I keep an Ivy Star kit, just in case.
00:53Okay, Doc, we got something to aspirate with.
00:55All right, good.
00:57Now, you're going to need to find the gap between the second and third rib beneath the center of his clavicle.
01:03That's where you'll stick the needle.
01:05Okay.
01:06Puncture the skin at a 90-degree angle until, hopefully, you get a gush of air.
01:15Okay?
01:16Okay.
01:17Remove the needle, but leave the catheter in place.
01:19Okay.
01:19Okay, Doc.
01:25Yeah, I think we're good.
01:27That was so much cooler than biolab.
01:29Okay.
01:30Good work down there, Lieutenant.
01:32Good work down there, Lieutenant.
01:32Good work down there, Lieutenant.
01:33Good work down there, Lieutenant.
01:33Good work down there, Lieutenant.
01:33Good work down there, Lieutenant.
01:34Good work down there, Lieutenant.
01:34Good work down there, Lieutenant.
01:35Good work down there, Lieutenant.
01:35Good work down there, Lieutenant.
01:36Good work down there, Lieutenant.
01:37Good work down there, Lieutenant.
01:38Good work down there, Lieutenant.
01:39Good work down there, Lieutenant.
01:40Good work down there, Lieutenant.
01:41Good work down there, Lieutenant.
01:42Good work down there, Lieutenant.
01:43Good work down there, Lieutenant.
01:44Good work down there, Lieutenant.
01:45Good work down there, Lieutenant.
01:46Good work down there, Lieutenant.
01:47Good work down there, Lieutenant.
01:48Good work down there, Lieutenant.
01:49Good work down there, Lieutenant.
01:50Good work down there, Lieutenant.
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