BestJob IveEverHad to be more accurate he was referring to a gun show wound in the chest cavity. In the area where the lungs reside. This can’t be “wound packed” because the lungs inflate and deflate during the gas exchange (O2/CO2). Because of this, wound packing does not work as all of the material that is introduced in the chest cavity will find a space as you breathe in and out; which can exacerbate the problem further by denying the normal space the lungs would inhabit to perform their function.
Tanner Rienbolt- just heard that too. Went right to the comments to see if I was the only one hahaha 🤦♂️ By “God” do you mean a Trauma Surgeon? -ER Nurse
@@chacecardiff3441 They have to get to the trauma surgeon first. It's not like the surgeon is just gonna be waiting in the ambulance with everything he needs to commence slicing and dicing right then and there.
I was an EMT in the early 90s, (so long ago that we used MAST pants) and we actually had to make occlusive dressings in the field from time to time. (Vaseline and gauze, or even cellophane from a cigarette package.)
Thank you for all your videos. I'm graduating EMS School soon and your videos about very useful and helping me prepare for my new career. Keep up the good work.
Not really a big deal. You aren't trying to prevent bleeding. You are stopping air from entering the chest. So when the victim breathes in the seal would still work.
Scene safety, BSI... Ahhhh brings back memories. I worked on the box for 14 years and been off for about 4 now. I miss it at times but I don't mind sleeping in my own bed every night either! God bless, stay safe and thanks for the information. I've never heard of MARCH before, when I went through TEMS they taught CAB (Circulation Airway Breathing).
Thoracostomy and a chest drain is the definitive treatment for both conditions. Prior to this, any open chest wound should be occluded by a chest seal. A tension pneumothorax can be temporarily relieved by appropriately qualified personnel performing a needle thoracocentesis/chest decompression, but this procedure will have no impact on a haemothorax. In both instances, it is important to activate EMS early to facilitate advanced management.
If you are trained as a medic, you will understand what he meant by "You have to seal it up and let god take care of it". I was told when I was in medical school that as a medic, our job is just to stabilize him, do not be sad if your patient dies as it is up to god whether he lives or dies.
If it’s a shtf scenario and there aren’t any hospitals, how effective would an ifak be if you probably couldn’t take care of the wound after the temporary care?
Just curious In a better than nothing type scenario. Would something like Gorilla Tape work if there isn't a large amount of blood? Maybe occasionally peeling to drain blood? Also for multiple gunshots, say we have one or two vented chest seals but more holes Can we then just tape additional holes without venting?
Hate to reply to a 3-year old post but this info could save a life so I will. If there is any fluid (blood or air) leaking into the chest cavity then that is going to put pressure on the lungs. The seal must be vented to make sure there is no build-up of pressure. Tape would certainly be better than nothing for a hemo but in the case of a pneumo it isn't going to take long for air to fill the chest cavity. As to your question of multiple gunshots, one vent and seal the rest closed. Assuming your vent is unobstructed and functioning properly the other sealed holes make no difference. Physics doesn't care if the rest of the chest cavity is sealed by flesh or tape.
Already see the problem with that chest seal. Holes on the seal are not big enough to transfer fluids and blood effectively and are very likely to clog up. Especially when blood starts to clot. The same issue was with Asherman chest seal. Hence Russel chest seal appears to be superior.
Great video, but you forgot the part where I get a little too fast for my own good and the chest-seal gets folded over on itself while I lose both gloves onto it like two big orange flies on fly-paper.... lol
hi, can you still apply direct pressure to the wound even after putting on the chest seal? or would that put too much pressure on the lungs? Little bit confused on that because I know direct pressure is so important. Thanks!
I love your videos but I'd especially like to thank you for your use of "first responder" When I call 911 I am asking for a second responder. We must each be ready to: 1) reduce threats, 2) care for others, 3) call for help.
So what is the point of putting a chest seal on a chest gsw if it still allows blood to pour out? I understand the air needing to escape, but if someone is losing alot of blood from the wound and we can't pack it (you said chest wounds can't be packed since it's just open space), the only option would be to open the patient up, go in and do surgery to stop the bleeding before applying a chest seal?!? Most are incapable of such a surgery, so if there is profuse blood loss from a chest wound, what would you recommend the average inexperienced person do? Seal it up completely or put a chest seal on it anyway and wait for help to arrive? Thanks!
You want the seal to let blood out. If it doesn't, the pressure from the blood or air build-up in the chest cavity will collapse the lung. The point of the vented chest seal is to let blood and air out but let no air in.
Anybody ever hear about cigarette plastic? Works great if sealed properly. But now with sucking chest wound you have to worry about tension pneumothorax. Time to go back to school, learn the old ways. Sometimes a tampax and cellophane kinda work wonders. Of course when the patient gets to a real surgeon, they'll be pissed. But you got the patient to someone that can fix what you can't. Sometimes these new medics overthink some things.
vinny thehourshower Yeah. You wouldn't need to seal a gut shot though. Only holes above the diaphragm need to be sealed because loss of airtightness in the thoracic cavity prevents breathing.
@@mannys9130 He literally told you in the video why you *would* seal a shot to the guts - bullets do not always travel straight through and through, sometimes they yaw and can go *up* into the lungs.
How would one deal with a chest(or abdomen in general if I understand correctly) wound if it cant packed, if you did not have a way to make a valve? What other options are there to stop the bleeding?
ok. what about guys like me, who God humorously decided will grow fur instead of hair on their bodies? how do you get a good seal on a piece of shag carpet?
Most chest seals will stick to the skin through the hair. Youd br very surprised how strong they are. They are made to work with hair and wet surfaces.
I enjoyed this video I dont have ventilated chest seal, but I can Jerry rig up a occlusive dressing. And that snake oil modular wall you have makes me cringe s.m.
Skinny Medic - we sent you an email to this address (smsurvival@skinnymedic.com) last week about a project we would love to work on with you. Is there a better email to reach you ? Also, I can't seem to find your actual name anywhere - ??? Thank you!
"You have to seal it up and let god take care of it" You never want to hear something like that...
Seriously!! I want my paramedics to take me to the nearest trauma center! :D Great video.
Thought the same thing
God, if the hypothesis exists, was the one that originally let the bullet hit the victim... soooo
not much you can do in the field for a GSW to the chest. so your best chance is god in that situation, and a trained ALS provider preferably
BestJob IveEverHad to be more accurate he was referring to a gun show wound in the chest cavity. In the area where the lungs reside. This can’t be “wound packed” because the lungs inflate and deflate during the gas exchange (O2/CO2). Because of this, wound packing does not work as all of the material that is introduced in the chest cavity will find a space as you breathe in and out; which can exacerbate the problem further by denying the normal space the lungs would inhabit to perform their function.
He said, “You seal it up and let God take care of it.”... I’m done. 💀😂
that "gunshot wound" in a case is pretty freaking awesome
"You seal it up .... and then let god take care of it" lol
Tanner Rienbolt- just heard that too. Went right to the comments to see if I was the only one hahaha 🤦♂️ By “God” do you mean a Trauma Surgeon?
-ER Nurse
He pretty much answered all my questions with that, ie if it’s more serious than this, their screwed and you ain’t gonna change it lol.
@@chacecardiff3441 They have to get to the trauma surgeon first. It's not like the surgeon is just gonna be waiting in the ambulance with everything he needs to commence slicing and dicing right then and there.
Very cool info, good to know. I have these in my bag and its good to see them being used
I was an EMT in the early 90s, (so long ago that we used MAST pants) and we actually had to make occlusive dressings in the field from time to time. (Vaseline and gauze, or even cellophane from a cigarette package.)
“Scene safe, BSI/PPE”. Can’t think how many times I’ve had to say that
haha RIGHT
I have to get a couple of these for my bag. Thanks for the information. Also, I like your simulators.
Awesome, thank you for watching!
Those simulators are awesome. Techline makes some top notch training aids ranging from the wounds in a box up to full talking human analoges.
I find it disturbing that you don't have more subs and more viewers. :/ Great videos brother keep it up.
It because everyone is so wrapped up in inflicting the wounds. No one cares about patching them up until they get one.
@@Justablakman yeah hopefully the people who saw hacksaw ridge opened their eyes to the importance of first aid
Excellent no nonsense, real talk, get it done video. Great teaching vid!
Thank you for all your videos. I'm graduating EMS School soon and your videos about very useful and helping me prepare for my new career. Keep up the good work.
Great video and explanation for chest seals. Awesome gsw in a box, Techline makes some incredibly realistic stuff, and top notch training.
Best quote from skinny is "u gotta seal it up and let God take care of it"
I'm not an expert, but didn't a good deal of blood leak through the adhesive seal on the right? Is that acceptable?
tben339 that’s what I was thinking about
Not really a big deal. You aren't trying to prevent bleeding. You are stopping air from entering the chest. So when the victim breathes in the seal would still work.
He didn't dry the fake skin well enough.
"I'm not an expert"...you really didn't need that disclaimer for ppl to fig out you're not an expert.
You are right it is an issue. The seal doesn't seal properly and perhaps bigger size required. There are better products on the market.
U r the man! Thank you for your service.
Scene safety, BSI... Ahhhh brings back memories. I worked on the box for 14 years and been off for about 4 now. I miss it at times but I don't mind sleeping in my own bed every night either! God bless, stay safe and thanks for the information. I've never heard of MARCH before, when I went through TEMS they taught CAB (Circulation Airway Breathing).
Is there a difference in treatment between a pneumothorax and a haemothorax?
Thoracostomy and a chest drain is the definitive treatment for both conditions. Prior to this, any open chest wound should be occluded by a chest seal. A tension pneumothorax can be temporarily relieved by appropriately qualified personnel performing a needle thoracocentesis/chest decompression, but this procedure will have no impact on a haemothorax. In both instances, it is important to activate EMS early to facilitate advanced management.
NO.
If you are trained as a medic, you will understand what he meant by "You have to seal it up and let god take care of it". I was told when I was in medical school that as a medic, our job is just to stabilize him, do not be sad if your patient dies as it is up to god whether he lives or dies.
Thirty years as an inner city ER trauma certified nurse. Also 6 years as an inner city paramedic. I asked for God's help every day
Dude! Keep these coming! Great info! Thanks so much :)
If it’s a shtf scenario and there aren’t any hospitals, how effective would an ifak be if you probably couldn’t take care of the wound after the temporary care?
This great, finally i have an idea how it looks likes, what to do and how it works ! tnx !
Where do you get your simulators? Love the videos, very well done and great learning tools.
Incredibly helpful!
Nice video. Just asking what's the different between the vented and non vented chest seal and use for wich one. Thank you
If my friend have that size of wound. i rather call the church to book the day.
Glad I'm not your fren
Just curious In a better than nothing type scenario.
Would something like Gorilla Tape work if there isn't a large amount of blood?
Maybe occasionally peeling to drain blood?
Also for multiple gunshots, say we have one or two vented chest seals but more holes
Can we then just tape additional holes without venting?
Hate to reply to a 3-year old post but this info could save a life so I will. If there is any fluid (blood or air) leaking into the chest cavity then that is going to put pressure on the lungs. The seal must be vented to make sure there is no build-up of pressure. Tape would certainly be better than nothing for a hemo but in the case of a pneumo it isn't going to take long for air to fill the chest cavity. As to your question of multiple gunshots, one vent and seal the rest closed. Assuming your vent is unobstructed and functioning properly the other sealed holes make no difference. Physics doesn't care if the rest of the chest cavity is sealed by flesh or tape.
Do you have a video showing how the hyfin chests seals vent on your trainer?
Thnx.for the video.
Thanks for all the great information!!!!
Good video just found your channel and this is exactly what I have been looking for thanks
Great video. ..about time someone shows how to use the product and what's inside the pkg .
The seal didn't seem to be affective once you added blood and more pressure... how effective in real life would the vented chest seal be?
these to me seem mostly designed to give the person more time to survive till you get to a real paramedic or ER
Thanks for the video!
Already see the problem with that chest seal. Holes on the seal are not big enough to transfer fluids and blood effectively and are very likely to clog up. Especially when blood starts to clot. The same issue was with Asherman chest seal. Hence Russel chest seal appears to be superior.
Will being left in a vehicle that's below freezing harm the seals?
If you’re not in a place where it doesn’t get below -40° you’re fine my friend
Great video, but you forgot the part where I get a little too fast for my own good and the chest-seal gets folded over on itself while I lose both gloves onto it like two big orange flies on fly-paper.... lol
So if you had a through and through, i presume you would need two seals--for the front and back?
Yes
Going to school for emt. Love your vids.
Awesome. video.
hi, can you still apply direct pressure to the wound even after putting on the chest seal? or would that put too much pressure on the lungs? Little bit confused on that because I know direct pressure is so important. Thanks!
I love your videos but I'd especially like to thank you for your use of "first responder"
When I call 911 I am asking for a second responder. We must each be ready to: 1) reduce threats, 2) care for others, 3) call for help.
In the case where a male is particularly hairy, is it necessary to shave the area before application?
Can you take a look at the ChitoSAM gauze and SAM vented chest seals?
So what is the point of putting a chest seal on a chest gsw if it still allows blood to pour out? I understand the air needing to escape, but if someone is losing alot of blood from the wound and we can't pack it (you said chest wounds can't be packed since it's just open space), the only option would be to open the patient up, go in and do surgery to stop the bleeding before applying a chest seal?!? Most are incapable of such a surgery, so if there is profuse blood loss from a chest wound, what would you recommend the average inexperienced person do? Seal it up completely or put a chest seal on it anyway and wait for help to arrive? Thanks!
You want the seal to let blood out. If it doesn't, the pressure from the blood or air build-up in the chest cavity will collapse the lung. The point of the vented chest seal is to let blood and air out but let no air in.
They could've used one of these in American pie to fix the pie
Hey skinny! Are these chest seals ok to fold in half so that I may stick it in my pocket or an ankle rig?
Upvote and a Comment for the "Scene safe,BSI..."
What is the best tourniquet for the neck?
Love your videos and all the stuff I’ve bought from you!
Thank's
How well does the chest seal stick when there is blood present? It seems like it would come off pretty easily.
Scene safe bsi do I need any other resources
When will your essentials kit he back in stock?
July
Will the hyfin chest seal will work if you have a neck opening
If you have to DIY a seal, how often do you burp it? As in, every exhale breath? every 3rd breath?
As needed, when the casualty develops progressive breathing difficulty. If they are alert, they can vent themselves.
"Seal it up, & let god take care of it." I felt that.
Would this be used on the stomach area or would you pack that area?
How much price this stuff at market
"You have to SEAL it up and you let GOD take care of it."
Anybody ever hear about cigarette plastic? Works great if sealed properly. But now with sucking chest wound you have to worry about tension pneumothorax. Time to go back to school, learn the old ways. Sometimes a tampax and cellophane kinda work wonders. Of course when the patient gets to a real surgeon, they'll be pissed. But you got the patient to someone that can fix what you can't. Sometimes these new medics overthink some things.
Would a non vented seal suffice for say, a gut shot? At least until medical services arrive?
vinny thehourshower Yeah. You wouldn't need to seal a gut shot though. Only holes above the diaphragm need to be sealed because loss of airtightness in the thoracic cavity prevents breathing.
@@mannys9130 He literally told you in the video why you *would* seal a shot to the guts - bullets do not always travel straight through and through, sometimes they yaw and can go *up* into the lungs.
How do these compare to the Hyfin Vent chest seal?
iAm in to bleed outs how do we stop them from cut arteries I am know master at this but I need to learn
Bleeding inside the chest is not controlled in the field. LSD - Lights, Sirens, and Diesel fuel. They need surgery. TXA may help.
very crazy, inovation
How would one deal with a chest(or abdomen in general if I understand correctly) wound if it cant packed, if you did not have a way to make a valve? What other options are there to stop the bleeding?
You seal the chest and get them to trauma surgery.
ok. what about guys like me, who God humorously decided will grow fur instead of hair on their bodies? how do you get a good seal on a piece of shag carpet?
Carry disposable razors. We used them for AED, chest seals, etc
nrm3247 😂😂😂😂😂😂😂
We used to put AED pads on, tear them off with the hair, then use a second set of pads in the same spot. Might work the same with chest seals.
Most chest seals will stick to the skin through the hair. Youd br very surprised how strong they are. They are made to work with hair and wet surfaces.
Chest seals will stick threw blood, sweat, and hair. They have some very impressive adhesive on them.
You mentioned the neck. What do you do with an injury to the neck, does it matter how high up the neck it is? Love your videos!
You wound pack it
Hi Skinny Medic - I have a NON-VENTED Halo Chest Seal in my IFAK - is this ok, or should I get a vented one? Thank you.
In a pinch, would flex tape do the job? I mean I know it's a literal meme at this point, but I think for this it could actually work?
2:16 - I mean, I'd rather let the docs take care of it upon successful transport to a hospital, but ok.
So would you want to pour some celox on there first to help try to control the blood so you dont have to just seal and pray.
No. Don't put anything in there. Just a chest seal and get them to a hospital.
2:17 Things have to happen. If you’re fated to die-
What is that Pvt. Pyle? A JELLY DONUT?
"You have to seal it up and let God take care of it" Well shit
Iraqvet8888 sent me here
Awesome!
@@SkinnyMedic found you, subscribed, and made a purchase from your webstore all in 5 hours. 👍 I’m excited to learn from you.
Yea didn't seal very well, but got the idea.
What i learned.....I need more than a 4x4
Unless it's a 223 hollow point then your deep pooooooo.
very good video. thank you. Chest hair? Use duct tape in your IFAK to remove prior to application? OUCH!
We just carried disposable razors haha
lol good one
Let god take care of it LMAO
Im just here because I was reading about UK soldiers buying Chest Seals before they go to Ukraine 😀
Good info ...lol...good jokes
I enjoyed this video I dont have ventilated chest seal, but I can Jerry rig up a occlusive dressing. And that snake oil modular wall you have makes me cringe s.m.
Skinny Medic - we sent you an email to this address (smsurvival@skinnymedic.com) last week about a project we would love to work on with you. Is there a better email to reach you ? Also, I can't seem to find your actual name anywhere - ??? Thank you!
Whats the difference between god and a surgeon?
.
.
.
God doesnt think hes a surgeon!