Quick Answer
A survival kit for sucking chest wounds should include a chest seal, a one-way valve device, and a hemostatic agent, such as QuikClot, to control bleeding and prevent air from entering the chest cavity.
Assessing and Treating the Wound
When dealing with a sucking chest wound, it’s essential to prioritize airway, breathing, and circulation (ABCs). First, move the casualty away from the hazard and ensure their airway is clear. Then, apply a chest seal or a one-way valve device to cover the wound, allowing air to escape but preventing it from entering the chest cavity. This can be done with a commercial chest seal or by using a piece of plastic or a waterproof material, such as a ziplock bag, to cover the wound.
Applying a Hemostatic Agent
Once the wound is sealed, apply a hemostatic agent, such as QuikClot, to the surrounding area to control bleeding. QuikClot contains zeolite, a substance that helps to accelerate clotting by attracting blood platelets and promoting the formation of a blood clot. Apply the agent to the wound, following the manufacturer’s instructions, and press down firmly to help it adhere.
Positioning and Monitoring the Casualty
Finally, position the casualty in a supine position, with their back flat on the ground or a firm surface, and elevate their legs 12-18 inches to help reduce bleeding. Monitor the casualty closely for signs of respiratory distress, such as difficulty breathing or a blue discoloration of the skin, and be prepared to perform CPR if necessary.
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