A through-and-through penetrating chest wound rarely presents two identical holes. The anterior entry may benefit from a vented seal that lets trapped air and blood escape; a posterior or debris-fouled wound may seal more reliably with a fully occlusive dressing.
So which seal do you reach for — when you only packed one type?
The USMC Combo answers that by carrying both. North American Rescue developed it for Marine Corps issue so a single package handles any penetrating thoracic presentation regardless of wound location or orientation. One HyFin® Vent (3-channel) and one HyFin® Occlusive, each deploying to a full 6″ × 6″, both on the enhanced hydrogel adhesive that grips bloody, sweaty, hairy skin.
Why This Configuration
Both Seal Types, One Pouch
Vented for the wound where air must escape; occlusive for posterior or debris-rich wounds. No decision penalty for carrying the wrong type.
Enhanced Hydrogel Adhesive
Aggressive hydrogel formulation maintains a seal on contaminated skin where standard adhesives release.
Red-Tip Technology®
Tear notch opens the foil one-handed under stress. Large red elliptical tab drives single-step, glove-on application.
Transparent Backing
See the wound during placement and monitor it afterward without lifting the seal.
What's in the Pack
Chest Seals
- 1× HyFin® Vent Chest Seal (3-channel)
- 1× HyFin® Occlusive Chest Seal (non-vented)
- Both 6″ × 6″ deployed
Packaging
- 1× clear resealable pouch
- Vacuum-sealed, low-cube
- Total weight 2.9 oz
Vented Seal per CoTCCC 2024 TCCC Guidelines
The 2024 TCCC Guidelines direct that open and sucking chest wounds be treated with a vented chest seal first; if a vented seal is unavailable, a non-vented seal is applied while monitoring for tension pneumothorax. Carrying both types in one pouch satisfies that protocol without a resupply gap. Always monitor for developing tension after any seal placement.
Who Carries It
Combat medics / corpsmen — issued configuration for penetrating thoracic trauma
Tactical & LE medics — one-pouch answer for entry/exit wound pairs
IFAK builders — complete chest-seal capability in a single SKU
Build Out the Chest Kit
Pair with decompression and airway capability for a complete thoracic loadout.
HyFin USMC Combo Pack



Both Seal Types. One Pull.
Genuine North American Rescue, shipped from a clinician-founded, veteran-led team.

Genuine North American Rescue
Sourced direct from North American Rescue.
Specifications
| Manufacturer | North American Rescue |
| SKU (MED-TAC) | MEDTAC0337 |
| Contents | 1× HyFin® Occlusive + 1× HyFin® Vent + resealable pouch |
| Seal Dimensions | 6″ × 6″ each (excl. tab) |
| Packaged Dimensions | 9″ L × 5″ W × 0.2″ D |
| Total Weight | 2.9 oz |
| Adhesive | Enhanced hydrogel — bloody / sweaty / hairy skin |
| Guideline Status | Vented seal type per CoTCCC 2024 TCCC Guidelines |
| U.S. Patent | 7,504,549 |
When to Choose the USMC HyFin Chest Seal Combo Pack
USMC HyFin Chest Seal Combo Pack Contents (SKU: 85-1045):
- 1× HyFin Vent Chest Seal — 6 in. × 6 in., 3-channel pressure relief vents, large red elliptical tab
- 1× HyFin Chest Seal (Occlusive) — 6 in. × 6 in., fully occlusive, large red elliptical tab
- 1× Clear resealable outer storage pouch — both seals individually packaged within
Packaged: L 9 in. × W 5 in. × D 0.2 in. | Weight: 2.9 oz. Note: The USMC Combo Pack uses a clear resealable outer pouch — distinct from the standard HyFin Vent Twin Pack's perforated foil pouch. Both seals use enhanced adhesive technology. Made in America, 100% latex free.
- USMC and SOF units running the vented/occlusive dual-seal protocol — the USMC standard treats the entry wound with the vented HyFin and the exit wound with the occlusive HyFin. The Combo Pack puts both in a single pull.
- Through-and-through thoracic gunshot wound management — one package, one casualty, one complete chest wound treatment. No sorting through a kit for two different products under stress.
- Medics and PJs requiring protocol-correct seal types in one unit — pull one clear-pouch package, apply in sequence (vented to entry, occlusive to posterior/exit), done.
- IFAK builds for units specifying the vented + occlusive protocol — single part number (85-1045) covers both seal requirements; simplifies procurement and eliminates the risk of pulling two same-type seals from a kit under stress.
Application sequence: 1. Apply HyFin Vent (vented, with valve dome) to the ENTRY wound — anterior chest, accessible for valve monitoring during transport. 2. Apply HyFin Chest Seal (occlusive) to the EXIT wound — posterior chest, where blood pooling can occlude a vented valve on a supine patient. 3. Reassess respiratory status continuously.
Visual identification: The vented seal has a visible valve dome in the center — look for it. The occlusive seal is flat across the entire surface. Confirm which is which before applying — do not apply them reversed.
USMC Combo Pack vs. Common Alternatives
USMC Combo Pack (85-1045) vs. HyFin Vent Twin Pack (10-0037): Twin Pack = two identical vented seals in a perforated foil pouch. USMC Combo = one vented + one occlusive in a clear resealable pouch. Choose based on your unit's dual-seal protocol: vented/vented vs. vented/occlusive. The resealable clear pouch on the USMC Combo allows visual inventory check without opening.
USMC Combo Pack vs. buying HyFin Vent + HyFin Chest Seal separately: The Combo Pack is one SKU (85-1045) for two matched seals in a single pouch. Buying individually requires two SKUs on your gear list and separate staging. The Combo Pack eliminates the sorting step and confirms correct product pairing at the packaging level.
USMC Combo vs. standard NAR HyFin Chest Seal Combo Pack: NAR lists a standard "HyFin Chest Seal Dressing — Combo Pack" in addition to the USMC-designated version. The USMC Combo Pack (85-1045) uses a clear resealable pouch; verify packaging type if ordering for a specific protocol.
USMC Combo vs. HyFin Vent Compact Twin Pack (10-0042): Compact Twin = two smaller vented seals (4.75 × 4.75 in.) for space-constrained kits. USMC Combo = two standard-size seals (6 × 6 in.) of different types. Not interchangeable — different products for different protocols.
Frequently Asked Questions
Q: Why is one seal vented and one occlusive in the same pack?
A: The USMC chest wound treatment protocol specifies: vented seal on the entry wound (anterior, accessible, valve can be monitored during transport) and occlusive seal on the exit wound (posterior, patient supine, where blood pooling can block a vented valve). The Combo Pack puts the two protocol-correct seals in a single package, eliminating any chance of pulling mismatched seals under stress.
Q: How do I visually tell the vented from the occlusive seal?
A: The HyFin Vent has a raised valve dome visible in the center of the seal. The HyFin Chest Seal (occlusive) is completely flat with no dome or valve structure. Confirm which is which before peeling the backing — confirm vented goes to the entry wound, occlusive to the exit wound.
Q: Can I use this if my unit doesn't run the USMC protocol?
A: Yes. Any provider who wants one package covering both vented and occlusive chest wound management benefits from the Combo Pack. If your protocol specifies vented for both entry and exit, order the HyFin Vent Twin Pack (10-0037) instead.
Q: Is there an NSN for the USMC Combo Pack?
A: An NSN was not listed on the current NAR product page for this item. Contact MED-TAC at orders@tactical-medicine.com for current procurement documentation — we can verify the latest NSN or procurement channel for USMC Combo Pack orders. MED-TAC is SDVOSB-certified.
Q: Does the clear resealable pouch affect the individual seal shelf life?
A: The clear resealable outer pouch is a storage organizer — both seals inside are individually sealed in their own Red-Tip Technology foil packaging. The individual foil seal packaging is what protects shelf life. The clear outer pouch does not affect shelf life as long as the individual foil packages remain sealed.
Related searches: HyFin USMC chest seal, vented and occlusive chest seal combo, North American Rescue chest seal, penetrating chest wound seal, entry exit wound seal, 6x6 chest seal, CoTCCC vented chest seal, USMC combo pack
All products sourced direct from North American Rescue. CoTCCC recommendation status verified where applicable. Ships from MED-TAC International, Pembroke Pines, FL — clinician-founded, veteran-led, SDVOSB-certified.
Specifications coming soon. Contact us for detailed product information.