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How to Treat an Open Pneumothorax (Sucking Chest Wound) 

School of First Aid
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An Open Pneumothorax, also known as a sucking chest wound, is a hole in the chest-from a gunshot wound, stabbing, or other puncture wound-that makes a new pathway for air to travel into the chest cavity. When the chest cavity is expanded in order to inhale, air not only goes into the mouth and nose like normal, it also goes into this new hole in the chest or even back...or both. That’s bad. Air entering the chest cavity through a hole in the chest or back reduces the amount of air being delivered into the lungs and reduces the oxygen that can be delivered and distributed into a patient’s system.
Sucking chest wounds are dangerous because they lead to collapsed lungs. Treating an open pneumothorax wound requires two things: keeping air from going into the chest through this hole while still letting extra air out that is leaking through a hole in a punctured lung.
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Wilderness First Aid First Aid Course and Associated Publications and Apps. The procedures and protocols in these videos and associated publications are based on the most current recommendations from responsible medical sources. The author, however, makes no guarantee as to, and assumes no responsibility for, the correctness, sufficiency, or completeness of such information or recommendations. Furthermore, the author does not assume and hereby disclaims any liability for loss, damage, injury, or disruption caused by errors, or omissions, whether such omissions result from negligence, accident, or any other cause. Other or additional safety measures may be required under particular circumstances. Use of this video course or the Wilderness First Aid Made Easy textbook or app does not create a physician-patient relationship. You are solely responsible for your decision to obtain treatment from a medical professional.
This course and associated publications are designed for educational purposes only and not for the purpose of rendering medical advice. The information presented through this course and publication is not intended to replace the counsel of a physician. It is not intended as a statement of the standards of care required in any particular situation, because circumstances and the patient’s physical condition can vary widely from one emergency to another. Nor is it intended that this course or associated publications and apps shall in any way advise people responding to emergencies concerning legal authority to perform the activities or procedures discussed.

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28 авг 2024

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Комментарии : 8   
@jakerichards2931
@jakerichards2931 2 месяца назад
Great channel!!! New sub.
@yunghiga3556
@yunghiga3556 6 месяцев назад
Thank you for the explanation.
@VTPSTTU
@VTPSTTU 2 месяца назад
Thanks for the video. Do you recommend those of us whose only training is from RU-vid videos to attempt any of this? I'm trying to find a good Stop the Bleed class, but I live in a very rural area. A part of me thinks that I should't carry a chest seal (or tourniquet) until I've had training in person.
@davidoftheforest
@davidoftheforest 5 месяцев назад
should you give them rescue breaths?
@schooloffirstaid2643
@schooloffirstaid2643 5 месяцев назад
In the case of an open pneumothorax, the application of an occlusive dressing is a critical initial step in management. This helps to prevent air from being sucked into the chest cavity with each breath, which can lead to a tension pneumothorax, a life-threatening condition. After applying an occlusive dressing to seal the wound, whether you should provide rescue breaths depends on the patient's condition. If the patient is not breathing or not breathing adequately (i.e., in respiratory arrest or severe respiratory distress), rescue breaths (as part of CPR or assisted ventilation) might be necessary. However, this must be done with caution. Here are key considerations: Monitor Closely: After applying an occlusive seal, it's essential to monitor the patient closely for signs of a developing tension pneumothorax, indicated by increasing difficulty breathing, cyanosis, decreased blood pressure, and tracheal deviation away from the injured side. If these signs develop, the occlusive dressing may need to be temporarily 'burped' or partially removed to allow air to escape from the chest cavity. Ventilation Techniques: If the patient requires assisted ventilation, careful attention must be paid to the volume and pressure used to avoid exacerbating the pneumothorax or causing a tension pneumothorax. Seek Immediate Medical Attention: Immediate transport to a medical facility is crucial for further evaluation and treatment. Training and Protocols: Follow the protocols for emergency care that you've been trained in.
@davidoftheforest
@davidoftheforest 5 месяцев назад
@@schooloffirstaid2643 yea, I'm asking because yesterday kids broke into my ex gf's place and stabbed her sons best friend in the chest a bunch, she gave him rescue breaths because his lips were blue and the kid died. This is in Prince George BC Canada if you want to look into it. She thinks she did the wrong thing and killed the kid. She didn't have a chest seal on hand and probably didn't know about how to make one. Brutal situation.
@yunghiga3556
@yunghiga3556 6 месяцев назад
The trachea may change or slide
@schooloffirstaid2643
@schooloffirstaid2643 6 месяцев назад
Excellent comment. We may see a deviation of the trachea when a patient is presenting with an open pneumothorax. When a patient experiences an open pneumothorax, the natural path of least resistance for air to enter the pleural space is through the defect in the chest wall. As a result, air rushes into the pleural cavity during inspiration, leading to a buildup of pressure. This pressure pushes the mediastinum, which is the central compartment of the thoracic cavity containing the heart, great vessels, and trachea, away from the affected side. The trachea, being a relatively rigid structure, is anchored by various ligaments and attachments within the thoracic cavity. When there's a significant pressure differential between the two sides of the chest due to an open pneumothorax, the trachea may be pushed or deviated away from the affected side towards the unaffected side. This deviation of the trachea is a compensatory mechanism the body employs to alleviate the pressure on the collapsed lung and to maintain airflow to the unaffected lung.
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