Which method is not indicated when treating 'in the box bleeds'?

When treating 'in the box bleeds', the focus is often on controlling hemorrhage effectively while maintaining access for further interventions. The option that stands out as not indicated in this scenario is the method of packing the wound with gauze.

'In the box bleeds' typically refer to injuries that are located in confined spaces, such as the thoracic cavity. In these situations, packing a wound with gauze can be counterproductive, as it may not allow for adequate visualization or assessment of the injury. Additionally, it could impede necessary interventions or hinder the ability to drain fluids if they accumulate, which is crucial in managing these types of injuries.

Other methods, such as applying direct pressure, using suction devices, or performing chest decompression, are more aligned with addressing the immediate life-threatening consequences of bleeding and would be more appropriate in managing such injuries. Direct pressure can effectively control bleeding, suction devices can help manage airways or fluids, and chest decompression can relieve pressure build-up in cases of tension pneumothorax, all of which are critical in emergency settings.