Chest Seals

The updated TCCC Guideline (Feb. 2013) for the battlefield management of open pneumothorax is: “All open and/or sucking chest wounds should be treated by immediately applying a vented chest seal to cover the defect. If a vented chest seal is not available, use a non-vented chest seal. Monitor the casualty for the potential development of a subsequent tension pneumothorax. If the casualty develops increasing hypoxia, respiratory distress, or hypotension and a tension pneumothorax is suspected, treat by burping or removing the dressing or by needle decompression.”

Butler, et al: Management of Open Pneumothorax in Tactical Combat Casualty Care: TCCC Guidelines Change 13-02: Journal of Special Operations Medicine Volume 13, Edition 3/Fall 2013