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Caring for Soft-Tissue Injuries and Shock

Caring for Soft-Tissue Injuries and Shock. Topics. Bleeding and Shock Open Wounds Closed Wounds Caring for Specific Wounds. Objectives . Discuss the importance of utilizing appropriate personal protective equipment (PPE) when caring for an ill or injured person with external bleeding

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Caring for Soft-Tissue Injuries and Shock

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  1. Caring for Soft-Tissue Injuries and Shock

  2. Topics • Bleeding and Shock • Open Wounds • Closed Wounds • Caring for Specific Wounds

  3. Objectives • Discuss the importance of utilizing appropriate personal protective equipment (PPE) when caring for an ill or injured person with external bleeding • Differentiate the characteristics of arterial, venous, and capillary bleeding • Describe the signs and symptoms of shock

  4. Objectives • List the common types of open wounds that result in external bleeding • Discuss the proper care for an injured person with active external bleeding • State the purpose of a dressing • State the purpose of a bandage • State the purpose of a hemostatic agent

  5. Objectives • Describe the signs and symptoms of internal bleeding • Discuss the proper care of an injured person with suspected internal bleeding • Discuss the proper care for an injured person with an impaled object • Discuss the proper care for a person with an open chest injury

  6. Objectives • Discuss the proper care for a person with an open abdominal injury • Discuss the proper care for an amputation injury • Discuss the proper care for nosebleed • Discuss the proper care for an injury to the eyes

  7. Objectives • Differentiate superficial, partial-thickness, and full-thickness burns • Discuss the proper care for an injured person with a superficial, partial-thickness, and full-thickness burn

  8. Bleeding and Shock • Safety first • Types of bleeding: • Arteries • Veins • Capillaries

  9. Quick Check • Bleeding from which type of vessel is most difficult to control?

  10. Bleeding and Shock • Shock: • Signs and symptoms: • Pale, moist skin • AMS • Increased heart rate • Increased breathing rate • Nausea and vomiting • Priorities of care

  11. Open Wounds • Types of open wounds: • Superficial • Lacerations • Abrasions • Avulsions • Penetrations • Amputations

  12. Open Wounds • Care for open wounds: • Direct pressure • Tourniquet • Dressings: • Occlusive dressing • Hemostatic dressing • Bandage

  13. Quick Check • What is the name of the device that is designed to be applied directly to a wound to assist with bleeding control?

  14. Open Wounds • Application of a tourniquet: • Fold bandage 2 inches wide • Place just above injury • Wrap tightly • Tie a knot • Place a pencil or stick • Tie another knot • Twist until bleeding stops • Secure

  15. Closed Wounds • Internal bleeding: • Signs and symptoms: • Pain • Swelling • Rigid or tight abdomen • Bruising

  16. Closed Wounds • Internal bleeding: • Priorities for care: • Activate 911 • Monitor ABCs • Control external bleeding • Keep the person flat • Monitor body temperature and keep warm • Provide supplemental oxygen per protocol

  17. Caring for Specific Wounds • Impaled object: • Leave in place and stabilize • Open chest injury: • Occlusive dressing • Open abdominal injury: • Evisceration

  18. Caring for Specific Wounds • Amputation injury: • Direct pressure • Tourniquet • Caring for the amputated part: • Cover open wound with a dressing • Wrap entire part in plastic • Cool the part • Send the part with the patient

  19. Caring for Specific Wounds • Amputation injury: • Direct pressure • Tourniquet

  20. Caring for Specific Wounds • Caring for the amputated part: • Cover open wound with a dressing • Wrap entire part in plastic • Cool the part • Send the part with the patient

  21. Caring for Specific Wounds • Nose bleed: • Pinch the nostrils • Sit and lean slightly forward

  22. Caring for Specific Wounds • Dental injuries: • Ensure a clear and open airway • Place in recovery position • Place teeth in milk or wrap in dressing

  23. Caring for Specific Wounds • Eye injuries: • Care guidelines: • Small objects—flush • Chemical splash—flush • Heat burns—moist dressing

  24. Caring for Specific Wounds • Burn injuries: • Classification of burns: • Superficial • Partial-thickness • Full-thickness • Priorities of care

  25. Review Question • What type of life-threatening trauma can be difficult for emergency responders to detect? • External bleeding • Contusions • Full-thickness burns • Internal bleeding

  26. Review Question • When caring for open wounds, bandages are: • Placed directly against the wound to aid in clotting • Rarely needed • Used to hold dressings in place • Usually replaced periodically

  27. Review Question • Nosebleeds are best treated by pinching the person’s nostrils and: • Having them tilt their head back • Filling them with gauze • Keeping their head in a neutral, in-line position • Having them lean forward in a chair

  28. Review Question • A person has suffered an amputation of the right hand just above the wrist. Your first priority is to: • Keep the hand cool • Control the bleeding • Wrap the injured arm in plastic • Apply pressure to the amputated hand

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