GSW/Blowout kit.

[RAM Engineer]

Originally Posted by 00leland00

Yeah, I want to add a couple of chest seals and some kind of coagulant, think I like the looks of the combat gauze best.

I wouldn't think you'd need more than a single chest seal. If BOTH lungs are punctured you'll probably be DRT.

[00leland00]

Originally Posted by RAM Engineer

I wouldn't think you'd need more than a single chest seal. If BOTH lungs are punctured you'll probably be DRT.

My reasoning was if you had a wound that fully penetrated and exited out the back, wouldn't it be prudent to have one on the front and the back?

[RAM Engineer]

I see where you're coming from, but what I was told, in that case, you tape one hole completely closed and put the ACS on the other hole. I'm sure someone on here would know for sure. It seems like the contents list for every blow-out kit I've ever seen only includes a single ACS.

[Danny Boy]

We've been using Hyfin dressings. But we also needle chest decompress.

Ashermans don't stick too well when there's alot of blood and need to be taped down. Hyfin dressings stick like crazy. If there's an exit wound we tAke the hyfin wrapper and some three inch tape and make another occlusive dressing. Or another Hyfin if there's an obundance.

Patching one hole completely with any air tight sheeting (MRE bag for example) and then using the Ashermans on the other side will help prevent a sucking chest wound from building into a tension pneumothorax. The flutter valve that sticks out should let the air out one way so air build up inside the chest cavity can't start crushing the lung in the affected side. You could also try achieving this by taping a square dressing down on three side leaving one open for air to escape if no seals are available.