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Chapter Soft Tissue  Injuries Twenty-Two
Chapter ,[object Object],[object Object],[object Object],[object Object],Twenty-Two CORE CONCEPTS
Soft Tissues
C LOSED WOUNDS
Closed Wound Internal injury with no open pathway from the outside to the injured site K EY TERM
Closed Wounds ,[object Object],[object Object],[object Object],(Continued)
Closed Wound  Contusion
Patient  ASSESSMENT Closed Wounds Signs and Symptoms Assess for: ,[object Object],[object Object],[object Object],[object Object],[object Object]
Patient  CARE Closed Wounds Emergency Care Steps ,[object Object],[object Object],[object Object],(Continued)
Patient  CARE Closed Wounds Emergency Care Steps ,[object Object],extremities. ,[object Object]
O PEN WOUNDS
Open Wound An injury in which the skin is interrupted (broken), exposing  the tissue underneath K EY TERM
Abrasions Laceration (Smooth Edges)
Laceration (Jagged Edges) Avulsion
Puncture Open Wound: Amputation
Entrance and Exit Wounds
Crush injuries can cause  open and closed wounds.
Patient  ASSESSMENT Open Wounds Signs and Symptoms Assess for: ,[object Object],[object Object],[object Object],[object Object]
Patient  CARE Open Wounds Emergency Care Steps ,[object Object],[object Object],[object Object],[object Object],[object Object],(Continued)
Patient  CARE Open Wounds Emergency Care Steps ,[object Object],[object Object],[object Object],[object Object],(Continued)
Patient  CARE Open Wounds Emergency Care Steps ,[object Object],[object Object],[object Object],[object Object]
Chest wounds may cause damage to lungs.
Patient  ASSESSMENT Chest Wounds Signs and Symptoms ,[object Object],[object Object],[object Object],(possible open wounds)
Patient  CARE Chest Wounds Emergency Care Steps ,[object Object],wounds. ,[object Object],[object Object]
Flutter Valve  Inspiration
Flutter Valve  Exhalation
Patient  CARE Closed Chest Wound Emergency Care Steps ,[object Object],[object Object],[object Object]
Patient  CARE Impaled Object Emergency Care Steps ,[object Object],[object Object],[object Object],[object Object],(Continued)
Patient  CARE Impaled Object Emergency Care Steps ,[object Object],[object Object],[object Object],[object Object],[object Object]
Impaled Object  Cheek
Manually stabilize object in place. Use bulky dressings and bandage to  stabilize.
Impaled Object in the Eye
Patient  CARE Closed Abdominal Wound Emergency Care Steps ,[object Object],[object Object],[object Object],[object Object],[object Object]
Patient  CARE Emergency Care Steps ,[object Object],[object Object],[object Object],dressing moistened with sterile saline. Abdominal Evisceration
Abdominal Evisceration Expose the wound.
Cover with sterile dressing. Follow local protocols.
Tell new EMT-Bs that the old textbooks describe using aluminum foil as the airtight dressing for eviscerations. Today, plastic wrap is preferred as an occlusive dressing, because the sharp edges of the aluminum foil may cause further damage to abdominal organs.  P RECEPTOR  P EARL
Patient  CARE Amputations Emergency Care Steps ,[object Object],sterile dressing. ,[object Object],[object Object],if possible. (Continued)
Patient  CARE Amputations Emergency Care Steps ,[object Object],[object Object],[object Object],[object Object]
Patient  CARE Open Neck Wound Emergency Care Steps ,[object Object],[object Object],[object Object],same time.
Cover wound  with gloved hand. Place occlusive dressing over wound.
Place dressing  over occlusive  dressing. Bandage. Do not  compress both carotids or restrict  breathing.
B URNS
Patient  ASSESSMENT Burn Depth: Superficial Signs and Symptoms ,[object Object],[object Object],[object Object]
Patient  ASSESSMENT Burn Depth: Partial-Thickness Signs and Symptoms ,[object Object],[object Object],[object Object],[object Object]
Patient  ASSESSMENT Burn Depth: Full-Thickness Signs and Symptoms ,[object Object],[object Object],[object Object],(white, dark brown, or charred) (little pain)
Superficial Full- Thickness Partial- Thickness Classifying Burns by Depth
Skin Reddened Blisters Charring Classifying Burns by Depth
Patient  ASSESSMENT Burn Severity Signs and Symptoms Body Surface Area A burn equal to the size of the  patient’s hand is equal to 1% BSA.
Rule of Nines  Adult
Rule of Nines  Child and Infant
Tell new EMT-Bs that an alternative way to determine the BSA estimate is the “Rule of Palm,” which uses the patient’s palm surface area as a unit of measurement.  The patient’s palm is considered equal to approximately 1% of the BSA.  Using this method, you can mentally estimate a burn area on any age patient.  For example, if the burn area is equal to “7 palm surface areas,” the burn would be estimated at 7% BSA.  P RECEPTOR  P EARL
Patient  ASSESSMENT Burn Severity Signs and Symptoms ,[object Object],[object Object],[object Object],[object Object],considered serious: (Continued)
Patient  ASSESSMENT Burn Severity Signs and Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],(Continued)
Patient  ASSESSMENT Burn Severity Signs and Symptoms ,[object Object],hands, feet, or genitalia ,[object Object],injury (Continued) ,[object Object]
Patient  ASSESSMENT Burn Severity Signs and Symptoms ,[object Object],Critical Burns than 30% BSA ,[object Object],swollen, or deformed extremity (Continued)
Patient  ASSESSMENT Burn Severity Signs and Symptoms ,[object Object],Critical Burns elderly patients ,[object Object],(arm, chest, etc.) (Continued)
Patient  ASSESSMENT Burn Severity Signs and Symptoms ,[object Object],[object Object],Moderate Burns 50%  BSA (Continued)
Patient  ASSESSMENT Burn Severity Signs and Symptoms ,[object Object],Minor Burns 2% BSA ,[object Object],15% BSA (Continued)
Patient  ASSESSMENT Breathing Adequacy Signs and Symptoms ,[object Object],Infants and Children to total size ,[object Object],[object Object],[object Object]
Infants and Children Burn Severity Critical Any full-thickness burns Partial-thickness >20% BSA or involving hands, feet, face,  genitalia Moderate Partial-thickness, 10 – 20% BSA Minor Partial-thickness, <10% BSA
Patient  CARE Burns Emergency Care Steps ,[object Object],[object Object],or saline. ,[object Object],(Continued)
Patient  CARE Burns Emergency Care Steps ,[object Object],[object Object],(from chemicals) . ,[object Object],sterile dressing. (Continued)
Patient  CARE Burns Emergency Care Steps ,[object Object],[object Object],[object Object],[object Object]
Chemical Burns ,[object Object],[object Object],[object Object]
Patient  CARE Chemical Burns Emergency Care Steps ,[object Object],before flushing. ,[object Object],[object Object],while flushing. ,[object Object]
Electrical Burns ,[object Object],contact with electrical source. ,[object Object],for rescue.
Electrical burns may have entry  and exit wounds.
Special Areas of Concern Burns to the eyes ,[object Object],[object Object],[object Object],[object Object],[object Object],(to avoid injury to other eye) . (Continued)
Special Areas of Concern Burns of the hands and toes ,[object Object],[object Object]
Patient  CARE Electrical Burns Emergency Care Steps ,[object Object],[object Object],[object Object],than external ones. ,[object Object],[object Object]
Purposes ,[object Object],[object Object],[object Object],damage. infection. Dressing and Bandaging
[object Object],[object Object],[object Object],[object Object],Dressings
[object Object],[object Object],[object Object],[object Object],Bandages
Dressings and Bandages
Dressing/Bandage: Forehead Dressing/Bandage:  Elbow
Dressing/Bandage: Hand Dressing/Bandage: Shoulder
1. What is the difference between an open    wound and a closed wound? ,[object Object],[object Object],[object Object],[object Object],[object Object],2. What is the treatment for: R EVIEW QUESTIONS

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