Awesome information! Thanks. I watch to keep up my knowledge as a retired firefighter/medic. Great job!

I've finally found an alternative use for that roll of Flex-Seal tape in my toolbox. It sticks to everything.

It's also good practice to place and burp a chest seal when the PT is exhaling

A pair of chest seals is pretty cheap. Buy them, keep them in your trauma kit with your TQ and a gauze roll, and learn the basics of using them. If you live in a decent city, 911 will get EMTs wherever you are in 5 minutes. Keep yourself or another alive that long here where I live and you're usually good. If you live in a crappy city where 911 takes a lot longer, if ever, then that's another issue, and you better learn some other stuff, like how to rent a u-haul and bail out of the societal armpit you live in.

I'm a volunteer B-EMT. I was trained to use the petroleum dressing method and the agency that has medical direction over me does not carry a designed occlusive dressing like these chest seals. In my community that I respond to I am often by myself for the first 10 minutes or so. I think you have changed my mind on carrying occlusive dressings. By oneself I can see how the petroleum method may be difficult to apply and taped down. I will likely be adding hyfin chest seals to my first-in bag. Thank you.

Human physiology can be complicated especially when shot. Thank you for providing insight to remedial practice that saves lives. 👍

Super informational as always. If you are ever struggling for video ideas, I’m sure everyone could use a refresher course on how to handle an overdose. As LEO I hear a bunch of jokes about how we have the reputation of overdoing the Naloxone, and I’ve even seen it first hand. My agency provides only a brief verbal conversation about it from just as untrained FTOs. I’d love to hear about the response from a medic’s perspective. Considering Narcan is OTC, I’m sure everyone untrained could stand to benefit as well. I appreciate all of your videos and keep it up!

Maybe you could have a chat with Dr. Andrew D. Fisher. He is working for the US army and stands against Chest seals, saying they are questionable at best. Having him on a podcast might be interesting. He was one of the authors of TCCC 2024 Guidelines

Thank you i hope im never in this position .

Thanks for making these videos, I just built out my IFAK a few weeks ago. Chest seals and quick clot are next on my purchase list. Then an NPA

Thanks for the shout out, as always, Sam!

Another great video Sam! Thank you for the TrueClot shoutout 😊

I love how fast these are. We used to have to make a “flutter valve” for SCW. It was not the best, but it was our best option at the time. Definitely need to add these to the IFAK.

As a provider who rarely gets to use these skills. I love the videos you provided like this one that can keep me up to date and i can use as a refresher. Time to bust out the training kit at the station!

Great video, Sam! Again, I love the bite-size focused topic lectures and demos. I learned something new every time. Keep it up. HALO are the best seals!

Appreciate your A1 content as always brother. 🤝

Man your vids are really great. Very informative and well supported with visuals.

Another fantastic video. Thank you!

Great video - I learned a lot!

great info, thanks for sharing with us

Great video Thomas!!

Incredibly good insights as always 👍

Very good video. Thanks

Excellent info.

Man what a GREAT video. Train with what you will be using in the field. Dont just stick it in your bag and forget it!

Great info.thanks.

Awesome video 👏👏

Love these videos

Awesome information!! Subscribed

Excellent

Good one. 68W. 1st Armored Div, 99-2006

thanks

Love the vids mate need a patreon !

New to channel, thank you

The algorithm did its work!

Good info! Always looking for other people’s perspective and more knowledge! Just curious, what state are you in?

Happy Father's Day! 🎉

Positively awsome information, keep up the info. Question? At the 4 minute marker you went over some of the complications of a chest seal; ie burping to relieve pressure. If the patient is supervised, should a chest seal be applied as a JIC, even if I misdiagnose a sucking chest wound? Stuffing a chest cavity is not a solution for a ballistic/ stab wound, but a chest seal would atleast, hopefully, control bleeding. Thank you👍

Thanks for another great and helpful video! I just wanted to ask, with the studies you mentioned in regards to vented chest seals, are they still creating a pressure build up leading to tension pneumo? I thought the point of these vented chest seals were that they are able to release some of the air built up in the thoracic cavity.

Great video Sam! Another option/technique on burping that we're taught as Canadian military medics is to peel back the seal, wipe away any blood, re align tissue as needed as sometimes tissue plains can shift and cause no air to escape from the chest thus leading to tension. Then stick your finger inside the wound to move blood or tissue that is sealing the hole and push down force fully on the chest upon exhale.

When putting chest seals on the neck after packing wounds, do you bandage the wound before or after or at all love your videos thankyou

Can you make a detailed video for civilians who are limited to basic training such as Stop the Bleed? Giving your opinion on what an untrained civilian should carry without hands on training.

If it's a shot through, you use vented at the front and non-vented at the back? or both vented? many thanks for that great video

Awesome video. Could you do a vid that explains how a civilian with TCCC training assist on site or FR on scene. Maybe scenario based. Happening upon MVA, mass sh**tr casualty, LE engagement , etc. I travel with a active "medic go-bag" based on your advice. Whats the protocol for interacting with FR or LE in situations under high stress. What are the expectations from agency players?

Great video! Thank you for your insights. Question: I bought an IFAK (SIRK 1) from North American Rescue but it only came with a single HyFin; will this be suffice or should I double up?

Any suggestions for a through and through sideways through both lungs? The Hyfin has worked really well for me. A gentleman was shot 4 times on a hot day. I had some smaller ones (small adhesive area) and ran into some complications within just a couple minutes. The blood, but mainly sweat, was causing a problem. While reassessing it was observed the seal slid and was not functioning. Switched to a larger one, and boom, worked. I didn't have enough time before he was transported to have to burp it. He lived though thankfully. You spoke about the size of bullet holes. The 556 has really small entry wounds. It was much harder to find. It was noticeably more difficult on fat people or fattier areas (buttox).

Many thanks for this overview What about hairy torso, do hairs affect the stickiness of these seals? Would we need to shave as we're supposed to do for automatic defribillation (at least in France where I'm a volunteer first responder) ?

Please explain how you wound pack a neck injury - I was trained to just apply an occlusive dressing and transporting.

Given an entry and an exit wound, would a vented chest seal on the smaller entry wound, and an improvised plastic, non-vented, solution for the assumedly larger exit wound be "sufficient"? I.e. is it critical having the vents on both sides?

As someone with 0 med training, this is helpful and somewhat frightening to me considering what I believe is coming. But I'm learning. Better late than never. Thanks for the vids!

Hi sam, could you rewiev something from a polish company called JB tacticals?

if its not vented is it guaranteed to lead to tension pneumothorax? also how often do you need to burp it?

So if we eventually go to not using chest seals, would there be any alternative to keeping it open to the air? Would you just cover it with gauze and accept that a pneumothorax will keep progressing until you reach definitive care?

Plis review a kit ruf north american rescue

Would packing with gause work in a pinch to stop a sucking wound if you can't keep hands on it?

Where would Decompression needles wrap into all of this?

Where can I purchase a prepmedic patch or apparel?

What are your views on the SAM chest seals? Thanks.

Do these chest seals stay good in extreme heat. Want to get some for an aid kit to keep in the car but I’m in Florida and it’s fairly warm here

If we can't monitor or can't recognize the signs (not a paramedic, not a doctor, no equipment), is it a good idea every often to burp it regardless?

Thanks for the information. Here's the big question for me. I'm not a trained paramedic. I took "Red Cross Multimedia" in the eighties. I was on a fire crew at work for ten years and learned to used an AED and to connect an oxygen bottle to a mask. Both of those trainings happened over twenty years ago. I have health issues, so I'm not in a good position to take a real class on using a chest seal. If I could find a "Stop the Bleed" class that only lasted two hours, I could probably last through the entire class, but otherwise, I'm likely to fade out before a class is finished. Is there any point in my buying a couple of chest seals to put in a first aid kit? If I came upon an accident in my rural area where help is often half an hour or longer away, would a chest seal have any value in my untrained hands? My inclination is never to buy first aid equipment for which I don't have real training. No offense to any KZfaq creators, but a part of me is skeptical of whether a KZfaq video constitutes real training. Am I wrong about that? On the other hand, I'd like to be able to help someone to the best of my ability if I encountered a horrible situation. If it helps you decide whether there's value in my buying chest seals for a first aid kit, I'll give a few more details. I have three engineering degrees, so I was once very good at learning. On the other hand, many things that are intuitive to others aren't intuitive to me. I'm terrible with phone apps. I've been in one serious first aid situation where I saw a friend go through hypothermia for five hours and fall to the point that he stopped shivering about ninety minutes before the first rescuer arrived. Depending on what I'm doing, i lose energy and fade out anywhere from twenty minutes to two hours into any activity. I used to do quite a bit of lab work, but I haven't in decades. I don't even own any lab gloves although I should get some for my first aid kit. Thanks for your help.

With what you mentioned at the end (regarding the danger of chest seals causing tension pneumothorax), would you recommend a novice just burping the seal very often or not using a seal at all? I do not trust my ability to spot a tension pneumothorax. Would it be more important to use if the patient had asthma/weak lungs? Thank you.

If there are multiple gun shot wounds to the chest, do we just rinse and repeat with multiple chest seals?

Have you tried gorilla brand duck tape? That was the first thing i thought of when you mentioned improvised. I keep a small rool in my go bag wounding if it will work.

what was the simulator called?

What about the classic Asherman?

It most of all squeezes and stops your heart.

So if you place a chest seal on someone, do you ALWAYS have to end up burping in? If you have a vented chest seal I could see why not, because I think its supposed to do it for you. But lets say you dont have a vented chest seal, when do you burp it? And for how long?

If you have an entry and exit wound. Would you use a vented chest seal on the front and back, or could you use a vented chest seal on the front and a non-vented seal on the back ?

Get some.

But HOW do you “burp it?”

How much is generally a burp n for how long, id appreciate the knowledge if any1 is willing

I know everyone is different but if you had to give rate for burping, whether it's X number of times per 1/5/10 minute(s) or something like every 5/10/20 breaths, how often would you recommend it gets burped? Just a ballpark average is all I'm curious about. Thanks!

HALO chest seal... called HALO because if you practice on your rather furry buddies, it leaves a bald, freshly waxed halo ring on their chest!

Would there be any good reason to show a patient how to burp the chest seal themselves? Assuming a calm and collected patient that may already have some basic combat first-aid experience like military/LEOs.

If those are not as effective as once thought, what is the more effective treatment?

MRE wrapper plus sticky tape.

A slightly off topic question about chest seals. I live in Canada so extreme temps are the norm. What is the safe temp range to keep chest seals in?

Petroleum guaze prevents the pneumothorax.

POTATO CHIP BAG WORKS TOO

How often do you recommend burping it?

If you think about it a chest seal is basically a big boo boo sticker

prep medic day is a good day

Body armour , body armour , body armour

Did I miss how to "burb" a chest seal?

please can you go in-depth on how chest seals can be unhelpful? also fox has a vented chest seal as well.

Big black tape, all the big black tape.

11:12 hey now buddy there's one more obstacle that you're forgetting about a frantic patient there's nothing that is more frustrating than a person that is in panic and bleeding out a training Buddy isn't going to be flailing their arms or any of that other nonsense it's a little difficult for people to be cool calm and collective in a situation especially getting shot in the throat

Chat GPT for President 👍

Your basically stabilizing them .

The described injury & remedy is as rare as a winning lottery ticket: *IF* there is an exclusive, singular 'puncture' of the thorax, which has NOT compromised / disrupted / briused / pierced / insulted / any other organ(s) above the diaphragm, then this clip applies. *However* , if the lung is even marginally 'nipped / damaged' , then you WILL drown in your own blood, no external vacuum seal can avoid this. AND MOST LIKELY (sadly) this wil be anyone's fate that has received a GSW to the Chest. Lung 'collapse' (what this vid prevents) is the least of your problems in MOST CHEST GSW situations. Have fun folks, , you may be the Lotto winner...or not.

i tought its a old video lmao

Great mustache. Almost looks as great as my Lifeguard stash… Thanks for the lecture, keep cranking them. Don’t except to get paid for this, if so… stop looking to get rich doing such.