Quick Answer
Effective evacuation of chest wound victims requires immediate control of bleeding, stabilization of the wound, and proper positioning to prevent further injury. This can be achieved through the use of a tourniquet, a chest seal, and a scoop and run technique. A team of two or more individuals is often necessary for a safe and successful evacuation.
Tourniquet Control
Control of bleeding is the first priority when evacuating a chest wound victim. A tourniquet should be applied between the wound and the heart to constrict blood flow to the area. This can be achieved with a CAT tourniquet, which should be tightened to a pressure of 250-300 mmHg. The tourniquet should be left in place until the victim reaches medical care.
Chest Seal Application
A chest seal should be applied to the wound to prevent air from entering the chest cavity and causing the lung to collapse. A pre-made chest seal, such as the Israeli bandage, is the most effective option. The seal should be applied directly over the wound, with any air that has entered the chest cavity allowed to be slowly released.
Scoop and Run Technique
The scoop and run technique is the fastest and safest way to evacuate a chest wound victim. One individual should scoop the victim onto a backboard or stretcher, with the victim’s head and neck supported. The other individual should then assist in moving the victim, with the scoop and run technique allowing for a safe and efficient transfer to a medical vehicle.
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