Professional Documents
Culture Documents
Lesson Four
MSTC, FT LEWIS WA
Introduction
► Penetrating chest injuries may result from:
IEDs
Gunshot wounds
Schrapnel injuries
Stab wounds
Stick
Anatomy of the Thorax
►Trachea
►Lungs
►Bronchi
►Mediastinu
m
►Heart
Assess the casualty
► Identify signs and symptoms:
Airway
Breathing
Circulation
Signs indicative of chest
injury
► Shock
Tachypnea
Bradypnia
Labored
Retractions
Locate and Expose Open
Chest Wound
Cut, Remove, or tear clothing over wound
Do not remove stuck clothing
Do not try to clean or remove objects from
wound
Compare both
sides of the
chest at the
same time when
assessing for
asymmetry.
Open Chest Wound
Open Chest Wound
Seal and Dress Open Chest
Wound
Open field dressing wrapper
Petroleum Gauze
can also be used to
seal a sucking
chest wound.
Tension Pneumothorax
Air
outside
lung from
wound
Heart compressed not able
to pump well
Tension Pneumothorax
Anxiety, agitation, apprehension
Tachypnea