Soft Tissue Injuries

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Soft Tissue Injuries

• Chapter 7

2
Types of Injuries Closed

• Skin is NOT broken
• Contusion
• Hematoma
• Crush/clamping
• Care
• RICES
• Treat for shock

3
Types of Injuries Open

• Skin IS broken
• Abrasion
• Laceration
• Avulsion
• Puncture
• Amputation
• Bites
• Care
• Clean and cover
• Activate EMS (?)

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Cleaning Wounds

• Wash gently with soap and water
• Irrigate with sterile water
• Pat dry and apply antibiotic ointment
• Cover with sterile dressing
• Never use
• Hydrogen peroxide
• Isopropyl alcohol
• Merthiolate
• Mercurochrome
• Iodine

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Special Considerations

• Slivers
• Pull at entry angle
• Tweezers or needle
• Fishhook
• Secure and send
• Cactus spines
• Tweezers
• Rubber cement and gauze (rrrrip!)

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More Special Considerations

• Sucking chest wound
• Occlusive dressing on 3 sides
• Abdominal evisceration
• Dont touch!
• Moist, occlusive dressing
• Nothing that shreds
• Impaled objects
• Stabilize and send
• ALWAYS control bleeding and treat for shock