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Sucking Chest Wound

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What is the current standard of care for BLS treatment of a sucking

chest wound? I was always taught to use an occlusive dressings, and

seal three sides, leaving one open. But one of my instructors came up

with this from a colleague (I'm not 100% sure of its original source):

" The Pre-Hospital Trauma Life Support and Tactical Combat Casualty

Curriculum is now recommending taping chest seals on all 4 sides. The

goal is to seal the hole completely and quickly. The concept of a

one-way valve from a dressing taped on 3 sides doesn't seem to work in

the real world. Let's teach to seal the chest hole completely and

quickly with a 4 sided dressing. If a tension pneumothorax develops,

then release the dressing " .

Steve

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