(1) Place the dressing pad directly over the plastic wrapper forming the
flutter valve and secure the dressing with the bandage. The bandage should not be
applied so tight that it interferes with the casualty's breathing.
(2) If the casualty is able, you can have him hold the dressing pad in place
while you apply the bandage. If he cannot help, then you must hold the dressing in
place while securing it.
(3) If an object is protruding from the chest wound, do not try to remove it.
Place airtight material around the object to form as airtight a seal as possible. Stabilize
the object by placing a bulky dressing made from the cleanest material available around
the object. Apply improvised bandages to hold the sealing material and dressings in
place. Do not wrap the bandages around the protruding object.