Wes, Yes it is ok to fold them in storage. We've done testing on the HyFin's being stored in that configuration, and encountered no issues. Also, the twin pack HyFins are folded inside the packaging. Thanks for the question.
@@cubbie9499 it's notade to stop bleeding. Generally speaking bleedings from chest area are either untreatable or not life treathening. Chest seal is put on to limit air getting into the chest and generating pressure on lungs. Newest cotccc recomendations say to use ventilated chest seal to also allow escape of the aor from chest.
I'd hate to be the guy who's the Guinea pig for that test. "Hey Greg! We got a .45 and some chest seals folded up into origami cranes, we're gonna need you."
@onegingernut The pneumothorax patient is placed on the affected (R/L lateral recumbant) side for two reasons: 1) This position shifts the weight of the organs against the injury, splinting the injury and causing a reduction in hemorrhage. 2) The effect of the weight of the thoracic organs against the pleura decreases the likelyhood of air escaping from the lung into the pleural space, thus minimizing the pneumothorax. Fluid transfer due to gravity is not the concern, AVOID TENSION PNEUMOTHORAX!
So tension pneumothorax basically compresses the lungs to the point that breathing becomes impossible? And if there's active bleeding from the wound site indicating a ruptured blood vessel, is immediate full surgical intervention the only way to stop that bleeding?
Hardcore: Using a finger to plug the wound like a cork. Macgyver: Superglue/staple and a plastic bag, etc. (Points awarded for creativity) Temple of Doom: Open up the chest cavity further to establish open pneumothorax.
3:10 Soldier hanging out in the fatal funnel, of course he gets shot. Should have put a disclaimer "No Soldier with a working brain would stand in an open doorway. For recreation purposes only!" haha!
aren't chest seals also supposed to allow air to exit the cavity on the exhale? effectively re-establishing negative pressure? I work in a hospital so this stuff interests me.
Dunno about cars, but in the USMC, infantry units with corpsmen carry this stuff in packs in the snow when it's -10 f out and hump this stuff around for weeks non stop. Sometimes even getting wet and it does last a few years at least.
If you use a chest seal but realize that you need to use a decompression needle, do you need to apply another one for the needle entry site or does it work a different way? Please explain
R. J. Ulmer usually needles used for TP come with one way valves. In emergencies you could use a simple needle or a pen, but after a while you should close the needle opening with your finger or tape. When the patient has difficulty breathing open the needle hole again. This cycle repeats until you get to better advanced care.
Wouldn’t I be bleeding internally after though? I know this is for emergencies in war scenarios where there are no doctors or emergency rooms, but what if there’s internal bleeding in the lung? Would our friend be out of luck or is there anything that can be done in the field?
This isnt to control bleeding, its to help breath. ABC's. Airway, Breathing, Circulation, in that order. My knowledge is dated, but it doesnt just apply to combat. Like anywhere, if you get shot, it's all about where and how much time passes. If you get shot in the chest and cant breath, the bleeding won't really matter. If you get shot in the arm or leg, a tourniquet may help. Each case is different, but these can close chest wounds to help you breathe and turniquets can stop you from bleeding out. Doesn't mean if you apply one of these or a TQ that the person will live.
Quick question when u apply the chest seal and you turn the victim over do you have to turn them over to the side where the gsw is or does it even matter ?
I saw in a comment above, someone who seems to know what they’re talking about, said you want the GSW side DOWN, so the organs push down on the lung and wound. It helps prevent a pneumothorax, which is the larger concern vs blood loss. (These things stop blood loss pretty good too btw )
@ROBIN_SAGE , so do chest seals help provide the necessary pressure to Kickstart the body's natural clotting process? (Differential pressure at the wound site, Clotting, fibrin into fibrinogen, blah blah blah)
I'm an OFA 3 in British Columbia Canada. I have just gone through a 2 week recertification. Both this time and also on my last, three years ago. Worksafe the overseeing Government body says we should not apply a chest seal but only gauze and not taped on. I've mentioned TCCC to the instructor but she said we were governed by the Red Cross. I can provide the reference material we use for documentation. My issue is If I follow the Worksafe rules, the patient may die. If I use a chest seal and the patient survives, I could lose my certification. Any thoughts?
Those instructions seem horribly out of date…. Like much of what Red Cross says and does. I trust the TCCC and what I’ve seen with my own eyes in 2 different wars. Do the chest seal and take your chances.
Sooooo....a tension pnemothorax can still occur with the use of this product?? I'm not very knowledgeable on this stuff, but isn't that a pretty bad flaw with this product? Not trying to be a jerk just asking.
+Tregeta Yes - this only stops new air from entering the chest cavity. To remove air already in the chest, you also need to use needle decompression. If the chest seal is applied early enough, you can prevent air entering the patient.
you mean expiration date? Yes but I've used expired ones when teaching trauma classes. some were 3 years past exp and worked great. Ireally don't think a GSW victim will care if the vent/seal is expired. The victim just doesn't want to expire
the one with vent is for when you anticipate air buildup inside the chest. otherwise you can just use a normal one and burp it every little bit if pressure builds up
@@lennertscherka514 the non vented one kind of more appeals to EMS on the civilian side so you can secure to your protocols Ie your agency may say to seal on all sides
Chest seals typically come in packs 2. You should apple one to the entry and one to the exit. (I have no medical experience and just an repeating what I heard on other videos)
If the patient has a particularly hairy chest, will this dressing stick over the hair? Should you try to shave as much as you can first? And can AED pads be applied over this seal?
@@paulinscott2190 wrong. Zero chance in a TCCC environment will you “shave hair” you’re gonna stick that mF as best you can and tape that shit if it’s not stickie enough. Common sense
![ประสบการณ์ จ้าง Developer ที่ผมจะไม่มีวันลืม [ภาค2]](http://i.ytimg.com/vi/pZbsSDRrmXA/mqdefault.jpg)
Wes, Yes it is ok to fold them in storage. We've done testing on the HyFin's being stored in that configuration, and encountered no issues. Also, the twin pack HyFins are folded inside the packaging. Thanks for the question.
North American Rescue. Is there a time where it would be more harmful than helpful to use this a chest wound?
How does it stop bleeding?
@@cubbie9499 it's notade to stop bleeding. Generally speaking bleedings from chest area are either untreatable or not life treathening. Chest seal is put on to limit air getting into the chest and generating pressure on lungs. Newest cotccc recomendations say to use ventilated chest seal to also allow escape of the aor from chest.
I'd hate to be the guy who's the Guinea pig for that test. "Hey Greg! We got a .45 and some chest seals folded up into origami cranes, we're gonna need you."
Excellent question
@onegingernut The pneumothorax patient is placed on the affected (R/L lateral recumbant) side for two reasons: 1) This position shifts the weight of the organs against the injury, splinting the injury and causing a reduction in hemorrhage. 2) The effect of the weight of the thoracic organs against the pleura decreases the likelyhood of air escaping from the lung into the pleural space, thus minimizing the pneumothorax. Fluid transfer due to gravity is not the concern, AVOID TENSION PNEUMOTHORAX!
So tension pneumothorax basically compresses the lungs to the point that breathing becomes impossible?
And if there's active bleeding from the wound site indicating a ruptured blood vessel, is immediate full surgical intervention the only way to stop that bleeding?
I feel bad for the model bleeding and having difficulty breathing all the while the host is talking, presenting the product!
Don’t worry, it was just an animation.
Hope he’s ok
Hardcore: Using a finger to plug the wound like a cork.
Macgyver: Superglue/staple and a plastic bag, etc. (Points awarded for creativity)
Temple of Doom: Open up the chest cavity further to establish open pneumothorax.
th-cam.com/video/KBIdcUxdgo0/w-d-xo.html
Tampons plug bullet sounds pretty well. Just saying lol
@@whatdoiput807 What, do you put them in your ears lol
@@spiralizer if I get shot through and through both my ears, sure. Worth a shot.
@@spiralizer bullet wounds* lmao I've been thinking about your comment for the greater part of the day and just realized my typo. That's funny.
3:10 Soldier hanging out in the fatal funnel, of course he gets shot. Should have put a disclaimer "No Soldier with a working brain would stand in an open doorway. For recreation purposes only!" haha!
If u don’t have a chestseal u can use the inner steril plastic wrapping oder the Israeli Bandage to improvisieren one…
aren't chest seals also supposed to allow air to exit the cavity on the exhale? effectively re-establishing negative pressure? I work in a hospital so this stuff interests me.
Jmyster4 Only if they're a vented chest seal. This company makes vented ones as well.
No, they stated that there is no evidence that the 3 sided approach is better than 4
@@vikingsfan2123 Oh. No wonder the product i’m looking at says “vented”.
You can slap a collapsed lung spike on.
@@Brickwall7653 That's old news
Can you leave chest seals in a vehicle when it is below freezing out?
Dunno about cars, but in the USMC, infantry units with corpsmen carry this stuff in packs in the snow when it's -10 f out and hump this stuff around for weeks non stop. Sometimes even getting wet and it does last a few years at least.
If you use a chest seal but realize that you need to use a decompression needle, do you need to apply another one for the needle entry site or does it work a different way? Please explain
R. J. Ulmer usually needles used for TP come with one way valves. In emergencies you could use a simple needle or a pen, but after a while you should close the needle opening with your finger or tape. When the patient has difficulty breathing open the needle hole again. This cycle repeats until you get to better advanced care.
Wouldn’t I be bleeding internally after though? I know this is for emergencies in war scenarios where there are no doctors or emergency rooms, but what if there’s internal bleeding in the lung? Would our friend be out of luck or is there anything that can be done in the field?
This isnt to control bleeding, its to help breath. ABC's. Airway, Breathing, Circulation, in that order. My knowledge is dated, but it doesnt just apply to combat. Like anywhere, if you get shot, it's all about where and how much time passes. If you get shot in the chest and cant breath, the bleeding won't really matter. If you get shot in the arm or leg, a tourniquet may help. Each case is different, but these can close chest wounds to help you breathe and turniquets can stop you from bleeding out.
Doesn't mean if you apply one of these or a TQ that the person will live.
Chest seals, tourniquets, and packing gauze/pressure are to keep you alive long enough to get to a surgeon.
When I put the victim in lateral recummbent position, which side of the shoulder should contact on the ground?
This was great thank you👍
How large are these? I am considering them for an ankle IFAK, and want to ensure that they will fit. Can they be folded prior to use?
Yes
Quick question when u apply the chest seal and you turn the victim over do you have to turn them over to the side where the gsw is or does it even matter ?
I saw in a comment above, someone who seems to know what they’re talking about, said you want the GSW side DOWN, so the organs push down on the lung and wound. It helps prevent a pneumothorax, which is the larger concern vs blood loss. (These things stop blood loss pretty good too btw )
@ROBIN_SAGE , so do chest seals help provide the necessary pressure to Kickstart the body's natural clotting process? (Differential pressure at the wound site, Clotting, fibrin into fibrinogen, blah blah blah)
I'm an OFA 3 in British Columbia Canada. I have just gone through a 2 week recertification. Both this time and also on my last, three years ago. Worksafe the overseeing Government body says we should not apply a chest seal but only gauze and not taped on.
I've mentioned TCCC to the instructor but she said we were governed by the Red Cross.
I can provide the reference material we use for documentation.
My issue is If I follow the Worksafe rules, the patient may die. If I use a chest seal and the patient survives, I could lose my certification.
Any thoughts?
Those instructions seem horribly out of date…. Like much of what Red Cross says and does. I trust the TCCC and what I’ve seen with my own eyes in 2 different wars. Do the chest seal and take your chances.
Is your certification more important than saving a life?
@cyberbyter that doesnt make sense? with the injured side down, the blood will pool on the injured side and not affect the good lung.
Sooooo....a tension pnemothorax can still occur with the use of this product?? I'm not very knowledgeable on this stuff, but isn't that a pretty bad flaw with this product? Not trying to be a jerk just asking.
+Tregeta Yes - this only stops new air from entering the chest cavity. To remove air already in the chest, you also need to use needle decompression. If the chest seal is applied early enough, you can prevent air entering the patient.
Yes. To relieve the pressure, you would need to use a vented chest seal, which some other companies do make
Saying it can still happen is required for all chest wound products. Treat with needle chest decompression.
This is very well made! Great work!
do those have a due date?
you mean expiration date? Yes but I've used expired ones when teaching trauma classes. some were 3 years past exp and worked great. Ireally don't think a GSW victim will care if the vent/seal is expired. The victim just doesn't want to expire
Is it ok to fold these in storage?
yeah bro it is smushy texture anyway it would be impossible for it to retain any permanent memory from its storage position
I’ve been waiting seven years for a response.......I can finally fold my chest seals!!!
@@Isaac_Davis_ that's hilarious
@@Isaac_Davis_ do you still have the same chest seals?
@@Matthiasschweizer come back in 7 years to find out!
Hi, in which case should I use a "Hyfin Vent Chest Seal" and in which case should I use a simple "Hyfin Chest Seal" ? Thank you
the one with vent is for when you anticipate air buildup inside the chest. otherwise you can just use a normal one and burp it every little bit if pressure builds up
@@Liljoozy Whould it be a problem if I use an vented everytime?
@@lennertscherka514 the non vented one kind of more appeals to EMS on the civilian side so you can secure to your protocols Ie your agency may say to seal on all sides
@@lennertscherka514 I say just use vented all the time keep shit simple
What should done for the exit wound in a scenario like this?
Chest seals typically come in packs 2. You should apple one to the entry and one to the exit. (I have no medical experience and just an repeating what I heard on other videos)
Good info, nice moobs
Nice product. When placing pt in lateral recumbant position, chest injuries should be up, not down, when rolled as is shown in this video.
I was taught to put the injured side down..
@@lukejackson1575 same here
I got a chest wound just watching this.
Do you guys still sell the crickit?
If the patient has a particularly hairy chest, will this dressing stick over the hair? Should you try to shave as much as you can first? And can AED pads be applied over this seal?
dick smith yes, if the pt has a hairy chest, or sweaty chest. You can shave it and wipe it. It’s common sense
@@paulinscott2190 wrong. Zero chance in a TCCC environment will you “shave hair” you’re gonna stick that mF as best you can and tape that shit if it’s not stickie enough. Common sense
…and don‘t forget the possible exit wound.
Literally every chest seal sold by north american rescue has two, one for entry, one for exit
Dont mind me, just gonna pass out 3 times
Why was he standing in that doorway????
Lol
Preventive maintenance
To stop any bullets from entering the building
Turcotte Row
Im here from Rust movie court coverage
.
watched
why
Nah, we’re good with ziplocs and bandages
....
Mightybond
Ghey.
your mission - money, stupids macdonalds
Watched