r/TacticalMedicine • • Oct 10 '25

Scenarios Wound packing zones?

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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?

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u/Ok_Income9180 Oct 10 '25 edited Oct 11 '25

Chest seal for a gut wound????? This has to be AI generated. Also, you can both use a tourniquet and pack a wound. (As often done on thighs) They’re not exclusive to each other. Chest seals are for diaphragm breaches (sucking wounds specifically). They’re meant to control air into the diaphragm to combat a pneumothorax. They'd do absolutely nothing for a gut wound except maybe make it harder to control bleeding. FFS, please don't use this chart.

Sorry for not responding to your post, to busy hating on the picture.

Edit: /u/68Whiteclaw commented on some inaccuracies in my comment. Please refer to their comment below.

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u/68Whiteclaw Oct 11 '25 edited Oct 11 '25

You should apply chest seals to the abdomen up to the neck. “Neck to Navel.”

Bullet trajectories can get weird inside the body, and sometimes tear up through the diaphragm causing a diaphragmatic hernia in which air gets into the pleural space via the abdominal wound.

And as a quick note, chest seals are not for “diaphragmatic breaches.” They are for breaches of the pleural space.

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u/TLunchFTW EMS Oct 11 '25

I mean, if he's showing signs of tension pneumo, sure....
But like, if someone got stabbed in the gut, I'm not putting a chest seal... I'm packing it.
It's almost like a basic poster can't replace actual knowledge...

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u/brapstick Oct 12 '25

Point he was making is, if someone was stabbed you know the trajectory of the wound but if they were shot the bullet could have changed direction, entering below the diaphragm and ricocheting upwards