I forget. How do you field dress a sucking chest wound?

Answer 1

Since air can pass through a dressing, you must seal an open chest wound to stop air from entering the chest and collapsing the lung.
Open Field Dressing Wrapper
Tear open one end of the plastic wrapper of a field dressing.
Remove the inner packet.
Tear around the edges of the plastic wrapper until a flat surface is formed. Do not touch the inside surface of the plastic wrapper.
Seal the Wound
Tell the casualty to completely exhale and hold his breath. If possible, the casualty should hold his breath until the sealing material has been secured. Having the casualty to exhale forces some of the air out of the chest wound.
If the casualty is unconscious or cannot hold his breath, place the wrapper over the wound after his chest falls but before it rises.
Place the inside surface of the plastic wrapper (the side without printing) directly over the wound. The plastic wrapper makes an airtight seal which keeps air from entering the chest cavity through the wound. Breathing can be resumed.
If the edges of the wrapper do not extend at least two inches beyond the
edges of the wound, it may not form an airtight seal and may even be sucked into the wound. If the wrapper is too small, use foil, a poncho, cellophane, or similar material as the seal.
If an object is protruding from the chest wound, place airtight material around the object and stabilize the object with clean, bulky material and bandage. Do not wrap the bandages around the object.

Tape the top and both sides of the plastic wrapper to the casualty's chest. Leave the bottom edge untapped to form a flutter-type valve to allow air to escape through the chest wound, but keep air from entering the chest wound.

Apply the Field Dressing

Remove the field dressing from the paper wrapper.
Open the field dressing and place the white pad directly over the plastic wrapper.
Hold the dressing in place with one hand or have the casualty hold the dressing in place while you secure it.
Grasp one tail, slide it under the casualty, and bring it back over the dressing.
Wrap the other tail around the casualty in the opposite direction and bring it back over the dressing.
Tighten the tails and tie them with a non-slip knot over the center of the dressing when the casualty exhales. The bandages should keep the dressing and sealing material from slipping, but should not interfere with breathing.
If the casualty is unconscious, tie the knot after his chest falls.
If an object is protruding from the wound, tie the knot beside the object, not on it.
If the sealing material slips while the dressing is being applied or
secured, repeat the procedures.

Seal and Dress Other Open Chest Wounds

If both an entry wound and an exit wound are present, both wounds must be sealed in order to stop the collapse of the lung.
Apply Manual Pressure
Apply direct manual pressure over the dressing for 5 to 10 minutes to help control bleeding.

The casualty can apply the pressure if he is able.

Answer 2

You need a field dressing and the wrapper it comes in. If there is an exit would, you will need two field dressings.

Open the field dressing neatly with a knife so it's flat then use the inside to cover the wound.

If the left side is sucking, you should have them lean on their left side to keep the fluids from pooling in the other lung. The side of the plastic that's closest to the ground should be left open and the other three taped to their chest. Make the seal when they exhale.

Cover the would with a field dressing and then if there is an exit would bandage that as well.

That's the combat lifesaver way (I don't know what it's called now), the regular basic training way is to just put a pressure dressing on it and the exit would if it exists.

Answer 3

Treating A Sucking Chest Wound

Answer 4

1. Check for exit wound on back
2. Open Israeli Dressing (I don't teach old school anymore)
3. Open other Israeli Dressing packaging
THE CASUALTY'S NOT YOUR OWN

4. Seal wound on back using one of the Israeli wrappers and 3 in tape--SEAL ALL FOUR SIDES

5. Seal wound on front using the other Israeli wrapper and 3 in tape--SEAL ON THREE SIDES WITH THE OPENING TOWARD THE OUTSIDE OF BODY (facing armpit)

6. Apply Israeli dressing using pressure bar and use just enough pressure to secure the occlusive dressing you just made (Close it much like the pen in your pocket)

7. MONITOR CASUALTY. PLACE THE CASUALTY ON HIS INJURED SIDE. This uses the ground as a splint.

===STEP 7 IS FOR WHEN A CASUALTY HAS A SUCKING CHEST WOUND ONLY--NO NEEDLE DECOMPRESSION HAS BEEN PERFORMED===

Answer 5

In Combat

Plug the hole(s)

Find the bloated lung, stab it with a large gauge needle ( near the top of closest rib), let the pressure out. Tape a piece of surgical glove to the needle. Check that it restricts air flow as desired. make patient comfortable. Continue triage.

Many details left out.

Answer 6

first you put down something to seal the wound ie a credit card or ID card and then you use a field dressing and cover it

Answer 7

cover the chest side of the wound on all sides, and cover the back side of the wound on three sides and turn the person on their side. and use something sturdy, like plastic.

Answer 8

Meli knows what she's talking about. good answer.