Just a quick question for everyone (I am also going to do my own research to see what I can find out on my own). What is currently being taught to EMTs regarding the management of a flail chest? I ask because we held a physical agility and practical testing today as part of the hiring process. For the trauma scenario the patient had a flail chest and an open tib/fib fracture. Of the nine canidates that we had, only three of them even acknowledged the fact that the patient had a flail chest. Of those three only one used a bulky dressing against the flail segment. A second put the bulky dressing on the opposite side of the chest as the flail segment, and the third person said they could use a bulky dressing but that BTLS is teaching to no longer do that. (Could anyone out there verify if this is true?) We were just surprised that the other six didn't even acknowledge the injury and were trying to figure out why that may be. Thanks for any input you guys may have!