I much appreciate all you’re doing to educate non-medical personnel, Buddy. Who knows how many lives your videos could someday come to save? Thank you😘❤️
I like how it's labeled "VENT VENT VENT VENT." Makes it very clear to someone else that it is a vented seal and where the vent is (or at least half of them).
Great video. So we are back to vented chest seals. I can rember when we taught to roll sucking chest wounds on the injured side. Medicine always changing gotta keep up, thank you for what you do.
Can you describe why treating a sucking chest wound is important? Yes, you're covering the hole with the seal, but address collapsed lung etc. I'm assuming...
Dumb question, why do you have one vented one and one non vented? Dont you want to keep as much blood as possible? What is the benefit having a vent? Thanks!
The vents are supposed to help prevent a tension pneumothorax from blood and or pressure building up in the chest cavity and preventing the lungs from being able to expand, if I understand correctly.
Another reason to put a vented chest seal on the front of a patient laying down would be the potential for no exit wound on the back. Otherwise there’d be no venting. I still love me some decompression needles though, so I ain’t trippin.
I am researching what trauma kits to buy and the products to carry in the bag. I'll definitely add some chest seals to my emergency bag. With all the mass shootings going on it would be good for everyone to carry a trauma kit. I've been watching videos on how these work. Chances are that in the event you're in the location of a shooting that someone there could be a nurse or a doctor that could also use the things in your kit to save someone's life. My husband is a retired police lieutenant and has some basic life saving skills. Not that of a paramedic but I do know he has saved people's lives on scenes. Could you do a video of what a lay person could put together to keep in their vehicle just in case they are ever in a mass shooting and need to render assistance while waiting for police and EMS...thank you for your videos.
+SkinnyMedic What is your opinion on using a vented chest seal on an entrance wound and an occlusive chest seal on an exit wound because it’s typically larger? Or just your thoughts on the vented/occlusive seals combo in general?
The purpose of a chest seal isn't to keep blood in, it's to keep air out. Check out this Skinny Medic video on pneumothorax: th-cam.com/video/2yQTDcTKPbc/w-d-xo.html
During exhalation, air and blood are allowed to escape through the vent which decompresses the thoracic cavity. During inhalation, the device occludes the hole so that a pneumothorax or hemothorax doesn't develop into a tension pneumothorax which could become life-threatening. This is a temporizing measure only!
What if you have a large breasted female patient with a puncture injury mid-abdomen, near under the breast. Are there special considerations, and/ or how would you address the placement of the chest seal?
For building a range bag. In the event of a through and through is a vented and non vented required or can 2 vented seals be used on the entrance and exit?
If you encountered a particularly hairy person (body hair lol) that had a sucking chest wound would it be advisable to attempt to shave around the area before applying the seal, or would that even be an issue?
In the Fire Dept we had Gilletes as part of the regular kit, mainly for EAD use. I think that if the patient is way too hairy and is bleeding the seal may not work properly.
SigBoy 1911 I’ve been looking for the answer to this for a while. He never seems to address it. But u think I figured it out. It’s to let air and blood out to relieve pressure but not back in. When you breathe out it vents. When you breath in it closes I think.
Great video I’m just starting to learn about this and I have a question. Why would you want to put a vented seal on a chest wound? It looks like it just keeps bleeding in bleeding. How come you don’t put a non-vented chess seal so there’s no blood coming out?
It's supposed to work like a one way check valve for any air exiting your lung. Allowing it to escape but not allowing the patient to inhale through their new chest hole.
I was told to keep the ingured side of the chest close to the ground by laying tha paciant on there side that way if blood is builing up foe whatever reson the other lung still functions normaly
I think I remember you saying that emt and ambulances use some sort of gauze packaging as chest seals? Am I remembering that correctly, and if so what was it?
BmoCareful52 That's the old school way we used to do it before they invented these fancy specific seals. It's Vaseline gauze. It comes wrapped in a foil package. You open the package, throw away the gauze and tape the foil over the wound.
You pull the seal back and let the air / blood release from the chest cavity. Some times vented chest seals can get clogged so you can pull them back off the chest to release pressure.
Your patient may get short of breath and or decreased lung sounds so when you pull the clogged seal off they will get relief. But hopefully the seal doesn't get clogged and you don't have to worry about it.
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I much appreciate all you’re doing to educate non-medical personnel, Buddy. Who knows how many lives your videos could someday come to save? Thank you😘❤️
Thank you!
I like how it's labeled "VENT VENT VENT VENT." Makes it very clear to someone else that it is a vented seal and where the vent is (or at least half of them).
"Hopefully this works, we'll give it a shot..."
I see what you did there.
As much as I don't want to see it, please make a video on what to do if someone's guts are hanging out.
Let me see if I can work on some props for the video
Keep moist and supported, transport
Need more detail than that.
@@ragamuffin1588 yea, I left out keep covered.
@@timothylewis90 haha I think I'll need more than that.
Thank you so much for what you do brother. You are one of the good ones!
"You Never Know When You're Gonna Be The First Responder,You Need The Right Gear &The Right Training"- SkinnyMedic Out-
Great video. So we are back to vented chest seals. I can rember when we taught to roll sucking chest wounds on the injured side. Medicine always changing gotta keep up, thank you for what you do.
I still teach that when putting them in the recovery position.
Can you describe why treating a sucking chest wound is important?
Yes, you're covering the hole with the seal, but address collapsed lung etc. I'm assuming...
Great videos, thanks for making it and thanks for what you do!
Dumb question, why do you have one vented one and one non vented? Dont you want to keep as much blood as possible? What is the benefit having a vent? Thanks!
I was thinking the same thing as well.
The vents are supposed to help prevent a tension pneumothorax from blood and or pressure building up in the chest cavity and preventing the lungs from being able to expand, if I understand correctly.
As far as functionality, do you prefer the Halo seal or the Hyfin seals?
Another reason to put a vented chest seal on the front of a patient laying down would be the potential for no exit wound on the back. Otherwise there’d be no venting. I still love me some decompression needles though, so I ain’t trippin.
Thanks again, Skinny.
Hey man, I love the content of your channel. I learn so much, always. Keep em coming cause, someday, "I may be the first responder!"
Thank you for the support!
Thank you.
You always do a great job! Thanks!
I am researching what trauma kits to buy and the products to carry in the bag. I'll definitely add some chest seals to my emergency bag. With all the mass shootings going on it would be good for everyone to carry a trauma kit. I've been watching videos on how these work. Chances are that in the event you're in the location of a shooting that someone there could be a nurse or a doctor that could also use the things in your kit to save someone's life. My husband is a retired police lieutenant and has some basic life saving skills. Not that of a paramedic but I do know he has saved people's lives on scenes. Could you do a video of what a lay person could put together to keep in their vehicle just in case they are ever in a mass shooting and need to render assistance while waiting for police and EMS...thank you for your videos.
Thanks so much for everything, sir!
Thank you for the support!
+SkinnyMedic What is your opinion on using a vented chest seal on an entrance wound and an occlusive chest seal on an exit wound because it’s typically larger? Or just your thoughts on the vented/occlusive seals combo in general?
Informative as ever, many thanks.
If he only has a hole on the back, would you flip him and use the vented seal?
So what's the point of the chest seal if blood pours out the vents? Sorry, I'm very ignorant.
The purpose of a chest seal isn't to keep blood in, it's to keep air out. Check out this Skinny Medic video on pneumothorax: th-cam.com/video/2yQTDcTKPbc/w-d-xo.html
During exhalation, air and blood are allowed to escape through the vent which decompresses the thoracic cavity. During inhalation, the device occludes the hole so that a pneumothorax or hemothorax doesn't develop into a tension pneumothorax which could become life-threatening. This is a temporizing measure only!
Great video 👍
What if you have a large breasted female patient with a puncture injury mid-abdomen, near under the breast. Are there special considerations, and/ or how would you address the placement of the chest seal?
thank you for doing this video, Very Informative!
Thank you!
For building a range bag. In the event of a through and through is a vented and non vented required or can 2 vented seals be used on the entrance and exit?
Great job. As always.
I didn't find any neck wound video on your channel. Can it be packed with gauze?
Loved this vid
Thanks!
a great addition to trauma kits
in what application would we use a vented seal? isn't it best to close up and stop blood loss?
I thought the same.
Are you supposed to just let them bleed through that seal?
I know this is old but why would you use a vented chest seal in my time we only ever used normal ones
Hi! May I use some parts of your Video in my first aid course? Thanks!
How do you stop the bleeding after putting a chest seal on in situations where trauma surgery is a ways away
Exactly
Does this type of seal take away the need for a chest decompression need?
I'm curious too
Wait! What good is the seal if it still bleeds the patient ?
I thought for a GSW to the chest you wouldn't see that amount of blood? And I thought the seals were more so to prevent the lung from collapsing?
If you encountered a particularly hairy person (body hair lol) that had a sucking chest wound would it be advisable to attempt to shave around the area before applying the seal, or would that even be an issue?
In the Fire Dept we had Gilletes as part of the regular kit, mainly for EAD use. I think that if the patient is way too hairy and is bleeding the seal may not work properly.
With a chest/abdominal wound do you leave them as is or place into any kind of recovery position?
Good video! Will it work well with the blood coming out before you apply the seal?
Why would you want it to vent blood? Doesn’t that defeat the purpose of being a seal?
SigBoy 1911 I’ve been looking for the answer to this for a while. He never seems to address it. But u think I figured it out. It’s to let air and blood out to relieve pressure but not back in. When you breathe out it vents. When you breath in it closes I think.
Which would you say in your opinion is the best chest seal to use? I have a selection of Fox, Asherman and Russell.
Can they still bleed out if they have the vented option. Lo
How does the chest seal stop the bleeding
Great video I’m just starting to learn about this and I have a question. Why would you want to put a vented seal on a chest wound? It looks like it just keeps bleeding in bleeding. How come you don’t put a non-vented chess seal so there’s no blood coming out?
Because you need the air to go out of the lungs while the wound is protected for any infection
what is the drill if the victim has a harry chest?
If a person's chest is excessively hairy, will that affect the effectiveness of the chest seal?
That's a good question.
I think so.
what are the holes for in the vented chest seal?
It's supposed to work like a one way check valve for any air exiting your lung. Allowing it to escape but not allowing the patient to inhale through their new chest hole.
I was told to keep the ingured side of the chest close to the ground by laying tha paciant on there side that way if blood is builing up foe whatever reson the other lung still functions normaly
Correct ... that is one way of doing it
Short question: Why don't you apply chest seals on the extremities? Won't they seal them up too?
Because you need to stop the bleeding where you can. A TQ or pack it.
I think I remember you saying that emt and ambulances use some sort of gauze packaging as chest seals? Am I remembering that correctly, and if so what was it?
BmoCareful52 That's the old school way we used to do it before they invented these fancy specific seals. It's Vaseline gauze. It comes wrapped in a foil package. You open the package, throw away the gauze and tape the foil over the wound.
Sucking chest wound check, not I'm really concerned about his right leg and lack of one.
Do you recommend these over something like a Hyfin Compact Chest Seal?
Either one would be a good choice
@@SkinnyMedic awesome, thank you!
If entry hole in in the back and there is no exit wound, what position do we place the PT to allow venting?
I'd guess the Recovery Position.
Recovery or get them to lean forward
I have a somewhat stupid question for you; does this stick on a person with a hairy chest/back?
Yes it does
@@SkinnyMedic awesome, thank you!
what did you mean by "burped".
You pull the seal back and let the air / blood release from the chest cavity. Some times vented chest seals can get clogged so you can pull them back off the chest to release pressure.
@@SkinnyMedic I see, so after the vents are no longer venting you burp the seal!
Your patient may get short of breath and or decreased lung sounds so when you pull the clogged seal off they will get relief. But hopefully the seal doesn't get clogged and you don't have to worry about it.
SkinnyMedic> Could you provide link to your bag? Look on your site and
could not find it? Thanks for another Great video.
shop.skinnymedic.com/Skinny-Medic-Kits_c38.htm
Thanks.
🤔😊
is it safe roll chest seals up?
Yes. He goes over that at the end of the video.
But why the vents honest question
So blood and air can escape. Without the vents you’d have to do it manually.
Putting the seal on why he is laying flat on his back.... yikes
Why is that bad?
@@coolcat1530 Because you do it when they are in the Fowler or recovery position
Ahh yes... it’s always frustrating trying to put something big into something small... what do you expect.
wild nfl That's what she said, lol.
Can u try flex seal has a chest seal?