Vocab (words you'll actually use!)
An injury in which soft tissue is torn completely loose or is hanging as a flap.
Avulsion
Involving only the top layer of skin. The skin turns red but does not blister. The burn site is often painful.
Superficial Burn (first degree)
What part of SAMPLE is crucial to obtain when dealing with trauma patients and what are you specifically trying to identify
Medications: Blood thinners
DCAP-BTLS
Deformities, Contusions, Abrasions, Penetrations, Burns, Tenderness, Lacerations, Swelling
The minimum amount of time you should flush a chemical burn
20 minutes
The linings of body cavities and passages that communicate directly or indirectly with the environment outside of the body.
Mucous membranes
This is the way to estimate the body surface area affected by burns
The rule of nines
Device used to secure a dressing
bandage
Injuries to the body from being thrown or hurled by the force of the explosion into an object or onto the ground.
Tertiary Blast injury
Emergency care of closed injuries - (hint, Yep. There is an acronym for that.)
RICES
Swelling in a confined space that produces dangerous pressure; may cut off blood flow or damage sensitive tissue
Compartment syndrome
The first thing that needs to be done when treating any type of burn
Stop the burning process
This is a dressing that has been chemically treated to help promote clotting
Hemostatic dressing
What are the types of soft tissue injuries
Closed
Open
Burns
Your Pt has an evisceration. You know not to touch or move the exposed organs but how do you treat this injury
Cover anything that should be on the inside on the outside with sterile gauze moistened with sterile saline solution.
Bonus - Then secure with occlusive dressing.
A buildup of blood beneath the skin the produces a characteristic blue or black discoloration as the result of an injury
Ecchymosis
Burns to the entire back and the back of the legs is what percent of body surface
36%
Before and after immobilizing/bandaging it is vital to check these
CMS
Circulation, motor, sensory
The dermis contains 3 things they are
Sweat glands, hair follicles, sebaceous glands
Pts w/ BSA greater than ___% should be covered w/ dry, sterile, non-adherent dressing
10
A mass of blood that has collected within the damaged tissue beneath the skin or in the body cavity
Hematoma
Your pt is a 44 y/o male w/ burns to his R leg from the ankle to the hip circumferential, and his R arm from wrist to shoulder circumferential what percentage of BSA do you calculate it out to be
27%
On the GCS name the points and criteria for eye opening.
4 - Opens eyes spontaneously
3-Opens eyes to verbal
2- Opens eyes to pain
1- Does not open eyes
Geriatric patients are prone to these type of soft tissue injuries.
Skin tear
You are dispatched to a GSW, LE is on scene and scene is secure, you have on your PPE. Your pt is a 55 y/o male with a gun shot wound to the R upper leg. After cutting of his pants you see blood spurting from the bullet entrance. After direct pressure bleeding is still uncontrolled, what do you do next?
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