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EMS: Sucking Chest Wound

Tue, 15 May 2012|

Mike McEvoy demonstrates new methods for dealing with a patient who has a sucking chest wound.

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Automatically Generated Transcript (may not be 100% accurate)

I welcome to -- minutes today I'm gonna talk about managing a patient with the sucking chest -- So here on this patient and your -- we have a wound that's about the size of -- nickel. Which in actuality in order to cause collapse of -- long and attention -- thorax which is what -- sucking -- won't. You need to hold -- at least a nickel sized hole holes that are smaller than that are not gonna have the effect of collapsing along. And causing major human and -- a compromise to a patient. Holes that are bigger than matter much more difficult thing to manage -- this patient was shot. We be concerned about an exit -- From our previous minutes we have talked about a way that you could potentially CEO -- -- like this. Using an ECD electrode. And while this is a reasonable approach as a way of covering up a wound like that most of the sucking chest wounds that we actually -- Are going to be much larger than that and small -- electorate does not do the trick. We've learned in the past that. Piece of petroleum Glaus would actually be useful to -- -- like that. The thought process -- you'd open patrolling Glaus take this cause itself. Which is inclusive by nature -- fact that it's coded with petroleum. Put that on to the wound. And then cover the -- With addressing. Addressing then would in the past have been sealed on three sides. So that we could actually allow air to escape. From the collapse long and re inflate the long once we had an up close and resting on the -- par on the hole. So currently the thought process has changed. From covering the wound on three sides to completely covering -- and in fact when you look at the most recent trauma literature this process of attempting to put together. An inclusive dressing using some petroleum Glaus takes too long and it's too complicated to do. The military has for years used a device called an ash -- and sealed. The -- and -- very similar to what we had a -- Uses. A sterile gauze pad placed over the wound itself. And then the -- -- -- -- Is it completely surrounding inclusive dressing which is stuck on to the skin over the wound. And then allows the wound to -- Through that small latex piece of attachment to the dressing itself. The -- human -- is a difficult dressing to use. In actual practice. Because it sweats off of most patients who have wounds of this size or that. Leakage from one bleeding would actually cause addressing. Com off the page. Passion and seals are also very expensive. And because you go through many of them to try to treat a patient with -- -- like this we can no longer to use -- national and Theo. So the new thought process. For sealing the wound of this nature. Is to use an expired. AED -- and now we finally have a use for these electrodes that you've been throwing out for years. We take the -- the electrode. Place the electrode. Over the wound. Get rid of the wire going to the patient. Noticed my -- scissors. And buys it people don't steal from the can no one wants their users. And now we have completely included the wound itself. If in fact the patient -- that compromise. From the long collapsing underneath the sucking chest wound itself. Well we would do is lift addressing that one of the corners and -- the patient to cough or wait until it took a deep breath -- that we expand along underneath. For the present time no lead addressing on the wound. Sealing all four sides. Which is the current thinking in -- from life support pre hospital on life support and all of the trauma literature. Take some sort of -- writing implement and no on eight -- you're covering -- -- with. Thanks for watching training that's on my Mac voice in -- that there -- --

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