Originally Posted by
davidjinks
When going over wound care/stop the bleed, the topic of sucking chest wounds came up. The directive we were given was to control bleeding and NOT seal the chest wound. The idea is that we control the bleed and that there will be enough time for EMS to get there before we start being concerned with tension pneumothorax.
What your instructor likely meant was that a tension pneumo is a later threat, and may not occur within your local EMS response time. If that's the case, they were right.
Once priorities were handled, I would apply a manufactured or improvised chest seal. Note that chest seals aren't a topic in the STB curriculum.
This is a topic many classes can get bogged down on. "Chest" seals vs the circumference of the thorax between the landmarks, vented or not, manufactured or improvised. For many students, time is better spent on learning on bleeding control, maintaining an open airway, recovery position. When I teach it to a lay class, I explain to put the body back like it was (sealed) with whatever they've got, and fart when you need to.
2012 National Zumba Endurance Champion
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