Chest Seals: A Lifesaving Tool for Treating Sucking Chest Wounds
Posted by DS Medical on 4th Mar 2025
What Are Chest Seals?
Chest seals are a critical medical device used to treat penetrating chest injuries, particularly sucking chest wounds (SCWs). These wounds occur when trauma, such as a gunshot or stab wound, causes air to enter the chest cavity, leading to a life-threatening condition called a tension pneumothorax. Chest seals prevent air from being sucked into the chest while allowing trapped air to escape, stabilising the patient until further medical treatment is available.
Why Are Chest Seals Important?
A tension pneumothorax is one of the leading causes of preventable death in trauma cases. Without immediate intervention, it can lead to respiratory distress and collapse of the lung. Chest seals provide an airtight closure over the wound, preventing further air entry and reducing the risk of complications. They are widely used by military medics, emergency responders, and civilian first aid kits.
How Do Chest Seals Work?
Chest seals are designed with an adhesive backing that sticks firmly to the skin, even in wet or bloody conditions. They come in two main types:
- Vented Chest Seals: These seals have built-in one-way vents that allow trapped air to escape but prevent additional air from entering the wound.
- Non-Vented Chest Seals: These are fully occlusive and create a complete seal over the wound, requiring medical personnel to monitor and adjust for air buildup.
When to Use a Chest Seal
- Gunshot wounds to the chest
- Stab wounds to the torso
- Puncture wounds from shrapnel or accidents
- Any injury causing difficulty breathing and an open chest wound
Chest Seals on the Market
When choosing a chest seal, factors like adhesion, venting mechanism, and ease of use are crucial. Some of the best chest seals available include:
- SAM Chest Seals – Highly rated for military and civilian use.
- Russell Chest Seal – Widely used in emergency services & military.
- FoxSeal Chest Seal – Compact and effective for emergency kits.
How to Apply a Chest Seal
- Expose the wound – Remove clothing and debris around the injury.
- Check for an exit wound – If present, seal both the entry and exit wounds.
- Wipe the area clean – Dry off blood and moisture to improve adhesion.
- Apply the seal – Place the adhesive side directly over the wound.
- Monitor the patient – Look for signs of tension pneumothorax and seek emergency care immediately.
Conclusion
Chest seals are a crucial addition to any trauma kit, offering a simple yet effective solution for treating sucking chest wounds. Whether you're a first responder, military personnel, or a well-prepared civilian, having a reliable chest seal could mean the difference between life and death in an emergency.
Stay prepared and equip your first aid kit with high-quality chest seals today!