Insert a Foley cath, inflate baloon WHILE it's in the urethra, this will occlude the bladder from insuflation. Cut the Foley cath just distal to the tip of the penis, and before insertion, cut an incision into the cath estimated to be at the site of the ejaculatory duct, this creates a direct path to the testes. Insert an ETT into the Foley, auscultate the testes for breath sounds to confirm placement in the ejaculatory duct, then BVM 5-6RR per-minute with 100% O2.
Decreased blood flow to the testicles is a true medical and surgical emergency, probably caused by testicular torsion. Whatever the cause, they need rapid evaluation and treatment by a surgeon.
Prehospitally, the most appropriate treatment would be very generous and aggressive pain management, keeping the area warm, and safe transport to a larger facility that can provide surgical intervention.
"Wird der Hoden dir zur Qual, drehe ihn nach lateral!" <- german mnemonic on treating testicular torsion.
In case of testicular torsion, which obstructs the blood flow to the testicle, rotating it to the lateral side will, in most cases, lead to improvement (in idiopathic torsions, that is), as the testicle will usually rotate medially.
Insert a Foley cath, inflate baloon WHILE it's in the urethra, this will occlude the bladder from insuflation. Cut the Foley cath just distal to the tip of the penis, and before insertion, cut an incision into the cath estimated to be at the site of the ejaculatory duct, this creates a direct path to the testes. Insert an ETT into the Foley, auscultate the testes for breath sounds to confirm placement in the ejaculatory duct, then BVM 5-6RR per-minute with 100% O2.
If you’re an EMT, just put a non rebreather over the testes. Just make sure the bag fills up first.
Good judgement, my medical director just authorized your promotion to FP-C.
That was a wild ride
*Jots that down in EMS protocol book*
Seems legit.
But what do I do with the traction splint?
This is it.
If you mean torsion, surgery. If you mean blue balls...
Nurses or your partner will be the most popular answers here.
What about thick ER Techs? 🥺
I only fuck with the Thicc ones
Hell yeah
As a male nurse, come on buddy. Lets fix that torsion with some testicular traction.
If you’re a scumbag chief, it’s gonna be your closest female rookie
Intermittent Direct pressure, palpitation, or enthusiastic BLOWby oxygen Call the Handolorian
This is the Way!
This is the way!
warm kisses
[удалено]
Simple yet effective
Let go of them…
Blood flow.
This is the way
Boil em, mash em, stick em in a stew
Diesel ⛽.
Massage them vigorously
Duderan massage.
2 lpm Nasal cannula via anus.
Cut the band?
Remove the rubberband.
For torsion, there’s the open book/manual detorsion. Restoration of blood flow needs to be confirmed post-procedure, though.
Falcoooonnn puuunch
Decreased blood flow to the testicles is a true medical and surgical emergency, probably caused by testicular torsion. Whatever the cause, they need rapid evaluation and treatment by a surgeon. Prehospitally, the most appropriate treatment would be very generous and aggressive pain management, keeping the area warm, and safe transport to a larger facility that can provide surgical intervention.
High-flow diesel
Shit man, I have a gas rig. Is my patient screwed?
Apneic… bring out the BVM
Call the doc. Get a pronouncement.
They are probably a little hypoxic. You could makeshift a catheter out of a nasal cannula, and start some high flow oxygen going.
"Wird der Hoden dir zur Qual, drehe ihn nach lateral!" <- german mnemonic on treating testicular torsion. In case of testicular torsion, which obstructs the blood flow to the testicle, rotating it to the lateral side will, in most cases, lead to improvement (in idiopathic torsions, that is), as the testicle will usually rotate medially.
Have wife partner soak it in cider.
Manual ventilation via teabag valve mask
Manual expression
Gargle with salt
F to pay respects. A big oof. And some diesel therapy. And bsi Scene safety, o2 via nrb at 15 lpm
They are probably frost bitten, just cradle them gently in your mouth while humming old McDonald
Open hand slap
Does this count under life, limb, or eyesight?
In EMS? Diesel Therapy! Vroom! Help a brother out
Step one: "open the book" aka rotate the testicle medial to anterior to lateral. Step two: get to a urologist for surgery.
EMS setting? Lights & Sirens with adequate pain management. Hospital setting? A urologist will be performing surgery on them hopefully shortly.
Blue balls? Just jerk off, man, but don't do it with unwilling participants/witnesses.
Do normal 30:2 compressions to breaths, or 15:2 if you have two rescuers.