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In the prehospital environment, the oft-cited belief is if the hole in the chest wall is 2/3 rds the size of the trachea it should be sealed. The stated theory behind this adage is the hole will be a more accessible conduit for air to enter into the thorax than through the trachea and into the lungs and thus must be sealed

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Don't zest too deep into the skin

So, suit up, put your bow tie on, and get ready to own that black tie affair

But like I said, I want this to be as simple and easy as possible