CHEST & BACK SEALS TAPED ON ALL SIDES (MAR 2010)

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The Pre-Hospital Trauma Life Support and Tactical Combat Casualty Curriculum is now recommending taping chest wound seals on all (4) sides. The goal is to seal the hole completely and quickly. The concept of a one-­way valve from a dressing taped on 3 sides doesn’t seem to work in the real world. If a tension pneumothorax develops – as indicated by significant bubbling and/or inflation of the occlusive dressing, release the dressing on one side to release the pressure, then re-seal with copious amounts of hypoallergenic (Silk) tape.

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