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Abdominal Injuries

Abdominal Injuries. By Harold R. Knopp Paramedic/ Firefighter, I/C. The Abdominal Organs. Retroperitonal Organs. Referencing ABD Areas. Types of Abdominal Injuries. Closed injury Open injury. Closed ABD Injury. Bleeding of organs is more commonly seen in blunt trauma.

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Abdominal Injuries

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  1. Abdominal Injuries By Harold R. Knopp Paramedic/ Firefighter, I/C

  2. The Abdominal Organs

  3. Retroperitonal Organs

  4. Referencing ABD Areas

  5. Types of Abdominal Injuries • Closed injury • Open injury

  6. Closed ABD Injury • Bleeding of organs is more commonly seen in blunt trauma. • Fractures to lower ribs can cause abd. Organ injury. • Seatbelts can injury internal organs. • Unstable pelvis fractures can injury bladder, blood vessels, bowel, and reproductive organs.

  7. Closed ABD • The abdomen may become “Distended” if there is blood, inflammation, or other contents in the cavity. • The abdomen can be “Distended” if all the organs and vessels are intact!

  8. The Open Abdominal Injury • Ruptured hollow organs can spill contents into cavity causing, “Peritonitis.” • Any time the abdominal cavity is opened, there is a prime consideration of infection! • Key in treatment is stabilization of organs and minimizing further blood loss.

  9. Pain, tenderness Nauseated, Emesis Guarding Fetal positioning Coffee-ground emesis Hematuria Melena Obvious trauma Lac, Bruises, Deformity Tachypnea Distention Rigid abd Referred pain Hypovolemic shock S/S of ABD Injury

  10. ABD Injury Management • ABC, O2, Clear that emesis airway. • Assist vetilations as needed. • Keep them warm, calm, quiet. • Consider spinal immobilization. • Transport on side to reduce aspiration risk. • Control bleeding with direct pressure dressings. Cold packs.

  11. GSW to ABD

  12. The Eviserated Bowel

  13. Eviserated Bowel Care • Always treat ABCs first! • Goal of care is to: • Stabilize organs. • Prevent further injury. • Keep bleeding to a minimum. • Conserve body heat loss! • Always use sterile MOIST trauma dressing!

  14. Another look

  15. Care of Evisceration

  16. Knife wounds can be Deceptive

  17. When in doubt of Treatment Call Rampart

  18. Injuries to Genitalia • Fractured Penis • Assault injuries • Self-inflicted amputation or mutilation • Burns • Lacerations, avulsed skin

  19. Caring for injured Genitalia • Desecration is the better part of valor. • Ask before you do. • Examining a sexual assault victim is not a good idea, and may destroy evidence. • Control bleeding, take parts and place in sterile moist dressing, then in bag or jar. • Minimize movement. Cold Packs.

  20. The End

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