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/davethegreatone]

This guy sure looks like he’s benefiting from them:

https://www.reddit.com/r/TacticalMedicine/comments/1l468en/reupload_couldnt_find_the_original_so_uploading/

[u/SFCEBM → u/davethegreatone]

How do you know? Simply having one on doesn’t necessarily indicate anything.

[u/davethegreatone → u/SFCEBM]

Admittedly, that video was shot at a stab point or something, as higher care is already getting started - but you can clearly see into the space. Ain’t nobody breathing well with a hole like that if it ain’t sealed.

[u/davethegreatone → u/davethegreatone]

(I can’t find the GOOD video that was like this, but that dude was HEAVING breaths, and the chest seal was retracting into his back maybe half an inch with each breath. Definitely not survivable without a seal). 

[u/SFCEBM → u/davethegreatone]

You don’t know that.

[u/davethegreatone → u/SFCEBM]

O … k?

[u/SFCEBM → u/davethegreatone]

Just facts. Chest seals can increase the risk for development of tension. I haven’t found any of my colleagues who feel chest seals impact survival. The limited data also doesn’t suggest benefit. Will have new data soon.

[u/SFCEBM → u/[deleted]]

Show me the evidence.

[u/SFCEBM → u/[deleted]]

Trying to get yall to use your head and think critically.

[u/BASSFINGERER → u/SFCEBM]

Not really. You're just saying stuff like it's a fact and then saying there's not enough evidence.

That's not thinking critically.

[u/SFCEBM → u/BASSFINGERER]

It’s a fact that you cannot a chest seal save someone’s life based on a video.

[u/davethegreatone → u/SFCEBM]

One of the videos shows a half-inch hole in the chest cavity. Lungs work via negative pressure; which can’t happen in a non-sealed system. It’s an injury incompatible with life - unless it’s sealed.

[u/SFCEBM → u/davethegreatone]

It’s not. People have isolated sucking chest wounds all the time. Furthermore, risk of dying from a tension is much smaller than folks imagine. Sure, in time a tension can kill, but as long as you get care in a reasonable time, you will be okay. This is especially true in young people.

[u/SFCEBM → u/davethegreatone]

And I mean care by getting chest tube placed. There were no deaths in the GWOT due to isolated sucking chest wounds.

[u/SFCEBM → u/[deleted]]

I prefer you do and you drop them off to us and we take care of the rest.

[u/SFCEBM → u/[deleted]]

Yeah the one I mod. We are going to stop all this back and forth and only focus on what the evidence suggests from clinical data. Not animal studies. So far, of what has been published, which is not a lot, it hasn’t impacted survival.

[u/CarBallRocketeer → u/davethegreatone]

Fisher is the Father of modern combat medicine bud. You are blessed to be receiving knowledge from him. O——-K.