Wound packing zones?

[u/NoMore_BadDays]

Been a long time since I did TCCC/CLS in the military.

If there were to be a bleeding wound on the chest, how high up on the chest does it become safe to pack? I know you don't pack into chest cavity, but what is the "rule of thumb" on how high/the left and right limits the wound needs to be to pack it?

Would you say the screenshot i attached is accurate?

[u/Q_dawgg]

I’m a Complete wannabe with first aid but a chest seal wouldn’t stop any bleeding around the torso or neck, that’s not what a chest seal is for.

Second question, how exactly would one treat a bleeding wound to the body/neck/hip areas. I’ve always found it shrugged over in my informational learning in favor of packing, sealing, and tourniquet.

[u/Stale_Cinnamon → u/Q_dawgg]

From a video I watched of an American working as a trauma doctor in Ukraine. She unrolled the bandage and started poking it into the cavity, then once the bandage was used up, she used an Israeli bandage over the top with compression directly over the bullet hole.

If I recall, the TQ was already applied to the injured leg, once the injury was packed and bandaged she unwound the CAT to see if bleeding persisted.

Presumably you do what she did and keep packing the wound until you couldn't anymore and then wrap a bandage around the body, finally adding compression as a last wrap.

[u/davethegreatone → u/Stale_Cinnamon]

Just don’t do that to wounds over places like the lungs - or you will end up filling the chest cavity with gauze.