Medically reviewed by Adithya Cattamanchi, M.D., Pulmonology — written by Tim Jewell — to update on September 18, 2018

Overview

A suck chest wound (SCW) happens when an injury reasons a hole to open up in your chest. SCWs are often caused by stabbing, gunshots, or various other injuries that permeate the chest.

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Signs of one SCW include:

an opened in the chest, about the size of a coinhissing or suck sounds as soon as the human inhales and also exhalesheavy bleeding native the woundbright red or pinkish, foaming blood roughly the woundcoughing increase blood

SCWs occasionally make no noise. Treat any kind of wound resulted in by chest penetration as an SCW.


If an item is tho protruding native the wound, don’t remove it. This deserve to make the injury worse.

Call your local emergency solutions immediately. If no emergency solutions are available, gain the injured human to a hospital as soon as possible. Follow any steps that the emergency services operator provides you. You may be command to execute the following:

Sterilize your hands with soap and water.Put on gloves or other hand protection.Remove any loosened clothing or objects extending the wound. nothing remove clothes that’s grounding to the wound.Keep a hand over the wound while preparing a dressing. defend your hand through a gloves or other hand protection. If possible, have actually someone else put their hand over the wound. If nobody else is available, have the injured person cover the wound through their hand if they’re quiet able to carry out so.Find a chest seal or sterile, medical-grade plastic, or tape to seal the wound. If girlfriend don’t have medical plastic, usage a clean Ziploc bag or a credit card because that the wound. Use your hands if you have no various other option.If possible, questioning the human to breath out to release any type of excess air.Place tape, plastic, or a chest seal over any hole it is sucking in air, consisting of entry and also exit wounds. Make sure no wait enters any wound.Secure the tape or seal v occlusive dressingor comparable wrapping product that can develop a water and also airtight seal. Make sure the seal contends least one open side to let the end air without letting air in.Remove the seal if you notice symptoms of stress and anxiety pneumothorax, or a buildup of waiting in the chest. This happens as soon as a lung leaks air into the chest and builds pressure. This can cause extremely short blood press (shock) and be fatal. Symptoms encompass crackling sounds once the human breathes in or out (subcutaneous emphysema), lip or finger blueness (cyanosis), enlarged neck veins (jugular vein distention), short, shallow breaths, and one side of the chest showing up larger than the other.

Keep the human being on your side uneven this provides it harder because that them come breathe. Let out as lot excess waiting as possible from the chest if making certain that the person can still breath.

If the human being loses awareness or stops breathing, carry out the following:

use a ceiling to store them from getting too colddon’t allow the human eat or drinkput push on wounds to sluggish bleeding

Once the person has been admitted into the hospital, the complying with may it is in done:

A facemask is placed over the nose and mouth of the patient to supply oxygen right into their body.The patient is associated to an intravenous (IV) catheter and also given anesthesia so that a doctor or surgeon deserve to operate.During surgery, a small incision is made on the patient’s chest. The surgeon inserts a chest tube into the patient’s chest cavity (the pleural space) to drain fluids from the area about their lungs. The chest tube stays in till all overfill air and also fluid has been drained.The surgeon climate surgically closes the wound with stitches or sutures come prevent further bleeding and also to keep air from gaining into the pleural space.

Possible complications of an SCW that deserve to be deadly include:

loss that oxygen in the blood (hypoxia)shock indigenous blood or oxygen ns (hypotension)fluid buildup in the chest cavityinjuries to critical organs, such as the heart, lungs, or gastrointestinal mechanism

If one SCW no treated quickly in a medical facility, it have the right to be fatal.

Typical recovery from one SCW takes about 7 come 10 days, or much longer if there space multiple wounds. More surgeries might be required to treat any type of punctures in the lungs, muscles, heart, or other organs that may have occurred.

Depending on how substantial the wound is and what other treatments room necessary, full recovery deserve to take three to six months.

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SCWs have the right to be deadly or cause serious health difficulties if they’re no treated quickly. Act quick first aid within the first couple of minutes, and also getting the human being to a hospital, have the right to save their life and prevent irreversible complications.


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Medically the evaluation by Adithya Cattamanchi, M.D., Pulmonology — created by Tim Jewell — update on September 18, 2018