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Multiple Choice

In the management of an open chest wound, which intervention helps prevent air from entering the chest cavity?

Preventing air from entering the chest cavity is the key goal when an open chest wound is present. An occlusive dressing provides an airtight seal over the wound, stopping air from being drawn into the pleural space during inhalation. This helps prevent or limit pneumothorax, and using it with the dressing secured on three sides can also allow any trapped air to escape, reducing the risk of a tension pneumothorax. A dry dressing offers no seal, leaving air entry possible; leaving the wound open to air worsens the problem; ice therapy isn’t relevant to this mechanism.

Preventing air from entering the chest cavity is the key goal when an open chest wound is present. An occlusive dressing provides an airtight seal over the wound, stopping air from being drawn into the pleural space during inhalation. This helps prevent or limit pneumothorax, and using it with the dressing secured on three sides can also allow any trapped air to escape, reducing the risk of a tension pneumothorax. A dry dressing offers no seal, leaving air entry possible; leaving the wound open to air worsens the problem; ice therapy isn’t relevant to this mechanism.