Follow-up video suggestion: How do they perform when blood/fluids are actively escaping through the chest wound? Do they still adhere? Do the valves continue to function? Also, how does performance of commercial seals compare to a makeshift dressing (piece of plastic taped on 3 sides)?
I will watch the vis on Tension Pneumo. I have a question for everyone...more like a statement. I am an OFA lvl3 . similar to a firefighter and or EMT in our area. We have for the last 3 yrs been told NOY to apply a chest seal over a sucking chest wound. Our overseeing govt body Worksafe BC says we should only apply gauze and don't tape it down on either the entry or exit . Tough to do if casualty is rolled lateral being driven down a bumpy fire road, in the ETV They are concerned about a Tension Pheumo. We are not trained to do a needle decompression, However Skinny Medic about 6 yrs ago on a course I took with him was training people with NO first aid training at all, how to do a needle decompression. I had a big problem with that which he did not like . So the question is to use a chest seal or gauze and why? Thanks
Personally I believe a chest seals should absolutely be applied even if the possibility of tension pneumo is present, I think having proper training to deal with it after the patient has had the seal applied is a far better course of action due to the possibility of air continuing to enter through the open wound and causing the lung to collapse anyways. There's not one size fit option sadly, and I think it should come down to training and the individual situation at hand, but having both the skills and equipment to do either one depending on what the incident calls for is very beneficial.
Patrząc ile krwi potrafi być na tych opatrunkach, bardziej skłaniam się ku minimalizmowi. Zaklejona skrzepami zastawka nie będzie prawidłowo funkcjonować, a burping nie jest super wygodny i skuteczny
Zgadzam sie i nie do konca sie zgadzam. Po kilkunastu latach w ratownictwie tez uwazam, ze w wiekszosci przypadkow mniej znaczy wiecej. Czyli tzw niewentylowane opatrunki lub improwizowane (choc gdy przygotowywalem ten odcinek trafilem na interesujaca publikacje nt nieefektywnosci opatrunkow improwizowanych). Ale (!) gdy zobaczylem jak dziala Fox (ktorego na Co dzien nie mamy, w moim pogotowiu uzywamy Russella) musze powiedziec, ze troche szczeka mi opadla. Podobnie H-vent zrobilem na mnie super wrazenie; odprowadzaja krew i maja kilka zastawek na wypadek zatkania, o ktorym piszesz. Tak wiec co do zasady uwazam ze masz 1000% racji Natomiast akurat w przypadku opatrunkow na rany klp uwazam, ze technologia naprawde robi robote. Pozdro
Very interesting. The NAR HyFin chest seal seems to be the most common around here. If you do another test, please make sure to include it.
Definitely would have liked to see the NAR HyFin in this test
I’ve also found the Russel Chest Seal to be a pain to get out and apply
Follow-up video suggestion: How do they perform when blood/fluids are actively escaping through the chest wound? Do they still adhere? Do the valves continue to function?
Also, how does performance of commercial seals compare to a makeshift dressing (piece of plastic taped on 3 sides)?
I will watch the vis on Tension Pneumo. I have a question for everyone...more like a statement. I am an OFA lvl3 . similar to a firefighter and or EMT in our area.
We have for the last 3 yrs been told NOY to apply a chest seal over a sucking chest wound. Our overseeing govt body Worksafe BC says we should only apply gauze and don't tape it down on either the entry or exit . Tough to do if casualty is rolled lateral being driven down a bumpy fire road, in the ETV
They are concerned about a Tension Pheumo. We are not trained to do a needle decompression, However Skinny Medic about 6 yrs ago on a course I took with him was training people with NO first aid training at all, how to do a needle decompression.
I had a big problem with that which he did not like .
So the question is to use a chest seal or gauze and why?
Thanks
Personally I believe a chest seals should absolutely be applied even if the possibility of tension pneumo is present, I think having proper training to deal with it after the patient has had the seal applied is a far better course of action due to the possibility of air continuing to enter through the open wound and causing the lung to collapse anyways. There's not one size fit option sadly, and I think it should come down to training and the individual situation at hand, but having both the skills and equipment to do either one depending on what the incident calls for is very beneficial.
Patrząc ile krwi potrafi być na tych opatrunkach, bardziej skłaniam się ku minimalizmowi. Zaklejona skrzepami zastawka nie będzie prawidłowo funkcjonować, a burping nie jest super wygodny i skuteczny
Zgadzam sie i nie do konca sie zgadzam. Po kilkunastu latach w ratownictwie tez uwazam, ze w wiekszosci przypadkow mniej znaczy wiecej. Czyli tzw niewentylowane opatrunki lub improwizowane (choc gdy przygotowywalem ten odcinek trafilem na interesujaca publikacje nt nieefektywnosci opatrunkow improwizowanych). Ale (!) gdy zobaczylem jak dziala Fox (ktorego na Co dzien nie mamy, w moim pogotowiu uzywamy Russella) musze powiedziec, ze troche szczeka mi opadla. Podobnie H-vent zrobilem na mnie super wrazenie; odprowadzaja krew i maja kilka zastawek na wypadek zatkania, o ktorym piszesz. Tak wiec co do zasady uwazam ze masz 1000% racji Natomiast akurat w przypadku opatrunkow na rany klp uwazam, ze technologia naprawde robi robote. Pozdro