Emergency Care Chapter Seven Soft Tissue Injuries - 7

Emergency Care Chapter Seven – Soft Tissue Injuries - 1 - Chapter Objectives – Wounds Soft tissues are______

Wounds are ______Closed Wounds  Closed wounds occur when the body is hit and the force of the blow damages the soft tissue layers beneath the skin causing internal bleeding.  These can be as simple as ______or as severe as ______. Signals of Internal Bleeding 1. ______2. ______3. ______4. ______5. ______6. ______7. ______

Call 9-1-1 if -  A person complains of severe pain or cannot move a body part without pain.  You think the force that caused the injury was great enough to cause serious damage.  An injured extremity is blue or extremely pale.  The person’s abdomen is tender or distended.  The person is vomiting blood or coughing up blood.  The person shows signs of shock.

Care for Closed Wounds 1. ______2. ______3. ______4. ______

Chapter notes can be found on Mrs. Kathleen Kelley’s Emergency Care Website Emergency Care Chapter Seven – Soft Tissue Injuries - 2 -

Open Wounds - ______Abrasions - ______Laceration - ______Avulsion - ______ If a body part is severed off – 1 Call 9-1-1 2 Wrap body part in sterile gauze and put it in a plastic bag 3 Place the bag on ice but DO NOT freeze it 4 Make sure the body part stays with the victim

Puncture - ______

Infection Signs & Symptoms 1. ______2. ______3. ______4. ______5. ______Care 1. ______2. ______3. ______

Chapter notes can be found on Mrs. Kathleen Kelley’s Emergency Care Website Emergency Care Chapter Seven – Soft Tissue Injuries - 3 -

Determining if the Person Needs Stitches 1. ______2. ______3. ______4. ______5. ______6. ______7. ______8. ______Materials used when caring for an open wound include - ______Disposable gloves – create a barrier between you and the victim ______Dressings – pads placed directly on the wound to absorb blood and other fluids to prevent infection ______Occlusive dressings - prevents wounds from being exposed to the air ______Bandages – material used to wrap or cover any part of the body, used to hold dressings in place

General Guidelines Applying a Roller Bandage 1. ______2. ______3. ______4. ______Applying an Elastic Bandage ______Check for circulation of the limb beyond where you will be placing the bandage ______Place the end of the bandage against the skin and use overlapping turns ______Gently stretch the bandage as you wrap ______Check the snugness, a finger should easily pass under the bandage

Care for Minor Open Wounds

Chapter notes can be found on Mrs. Kathleen Kelley’s Emergency Care Website Emergency Care Chapter Seven – Soft Tissue Injuries - 4 - 1. ______2. ______3. ______4. ______5. ______

Care for a Major Open Wound 1. ______2. ______3. ______a.

4. ______5. ______6. ______Using a Tourniquet When Help is Delayed ______A tourniquet is a tight band placed around an arm or leg to constrict blood vessels in order to stop blood flow around the wound ______Use only as a last resort ______If used, a tourniquet should not be removed until the victim gets to the hospital

Hemostatic Agents 1. ______2. ______Burns  Burns are a special kind of soft tissue injury

Chapter notes can be found on Mrs. Kathleen Kelley’s Emergency Care Website Emergency Care Chapter Seven – Soft Tissue Injuries - 5 -  Burns can be classified in two ways – – The source of the burn 1

– The depth of the burn 1

Depth Classifications ______First Degree - Superficial o ______o ______o ______o ____________Second Degree - Partial Thickness o ______o ______o ______o ______

Chapter notes can be found on Mrs. Kathleen Kelley’s Emergency Care Website Emergency Care Chapter Seven – Soft Tissue Injuries - 6 - ______Third Degree - Full Thickness o ______o ______o ______o ______Critical Burns  Critical burns require immediate medical attention because they are potentially life threatening, disfiguring, and/or disabling.  You should always call 9-1-1 if the burned person – – Has trouble breathing or suspected burned airway – Has burns covering more than one body part – Has burns to the head, neck, hands, feet or genitals – Has a burn and is younger than 5 or older than 60 – Has burns resulting from chemicals, explosions, or electricity

Caring for a Thermal Burn 1. ______2. ______3. ______4. ______5. ______6. ______7. ______Care for a Thermal Burn  DO NOT – – Apply ice or ice water Chapter notes can be found on Mrs. Kathleen Kelley’s Emergency Care Website Emergency Care Chapter Seven – Soft Tissue Injuries - 7 - – Touch a burn with anything except a clean bandage – Remove pieces of clothing that stick to the burn – Try to clean a severe burn – Break blisters – Use ointment on a severe burn

Care for a Chemical Burn 1. Important – ______2. If the burn was caused by dry chemicals,

3. Flush the burn with large amount of running water. ______4. ______5. If possible have the person remove contaminated clothes.

Care for Electrical Burns 1. Important –

2. Call 9-1-1 3. ______4. Be prepared to give CPR or use an AED 5. Care for shock and thermal burns Preventing Burns 1. ______

Chapter notes can be found on Mrs. Kathleen Kelley’s Emergency Care Website Emergency Care Chapter Seven – Soft Tissue Injuries - 8 - 2. ______3. ______4. ______Crush Injuries 1. ______2. ______3. ______4. ______Care for an Embedded Object  Do not remove the object.  Place several dressings around it to keep it from moving.  Bandage around the object to keep it from moving.

Sucking Chest Wound  This injury occurs when a puncture wound penetrates the chest cavity and air passes in and out of the wound.

Care for a Sucking Chest Wound  Cover the wound with a large occlusive dressing (closes the wound) and tape the dressing except for one side.  The dressing will keep air from entering the wound when the person inhales and allow the air to escape when the person exhales.

Chapter notes can be found on Mrs. Kathleen Kelley’s Emergency Care Website