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Principles and Techniques of Trauma Care

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OPEN CHEST WOUND<br />

•"Sucking" sound<br />

•Requires very prompt treatment<br />

– Apply an occlusive "plastic pack"<br />

dressing to wound, tape down on<br />

three sides, leaving one side open<br />

for air to escape<br />

•Place a chest drain<br />

•Never insert chest tube through<br />

wound<br />

•Give high flow oxygen<br />

•Give antibiotics<br />

•Debride wound <strong>and</strong> consider<br />

closure<br />

22 |<br />

Emergency <strong>and</strong> Essential Surgical <strong>Care</strong> (EESC) programme<br />

www.who.int/surgery

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