Questions and Answers
According to the rule of nines, this patient has burns that cover _____ of his BSA.
18%
After managing ABCs in a patient with an abdominal evisceration, how should you care for his wound?
Cover it with moist, sterile gauze and secure with an occlusive dressing.
What should you do after stabilizing the head of a patient struck in the head by a baseball?
Administer high-flow oxygen.
What should you do after controlling bleeding from an incomplete avulsion on the forearm?
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A burn that is characterized by redness and pain is classified as a:
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A closed soft-tissue injury characterized by swelling and ecchymosis is called a(n):
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What should you do in addition to transporting a child bitten by a stray dog?
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What should you do when approaching a young male who was involved in an industrial accident and is not moving?
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Why are burns to pediatric patients generally considered more serious than burns to adults?
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During your assessment of a patient who was shot in the abdomen, what wound pattern is MOST consistent with a:
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In addition to severe bleeding, the MOST life-threatening complication associated with an open neck injury is:
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In which of the following patients should you remove an impaled object?
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What do sebaceous glands produce?
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When caring for a patient whose arm is covered with a dry chemical, you should:
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Which of the following areas of the body has the thinnest skin?
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Which of the following is a severe burn in a 65-year-old patient?
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Which of the following open soft-tissue injuries is limited to the superficial layer of the skin and results in the least amount of blood loss?
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What process occurs during the inflammation phase of the healing process?
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What is the correct statement regarding crush syndrome?
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What should you do if during transport, a patient complains of numbness and tingling in her hand after applying a dressing?
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Study Notes
Soft Tissue Injuries Overview
- Radiator burns covering 18% body surface area (BSA) on the anterior arms and chest in a 21-year-old male.
- Abdominal evisceration management requires covering the wound with moist sterile gauze secured with an occlusive dressing.
- Traumatic brain injury symptoms include confusion, slurred speech, and a hematoma; high-flow oxygen should be administered.
Types of Soft Tissue Injuries
- Incomplete avulsion treatment involves replacing the avulsed section to its original position and covering it with a sterile dressing.
- Superficial burns characterized by redness and pain.
- Contusions are closed soft-tissue injuries marked by swelling and ecchymosis.
Pediatric and Animal Bites
- Pediatric burns are more serious due to higher surface area relative to body mass.
- Dog bites require reporting to authorities in addition to dressing the wound and seeking hospital care.
Trauma Assessment
- In cases of unconsciousness, open the airway and assess breathing while checking for visible injuries, such as contusions or lacerations.
- The entrance wound with surrounding small puncture wounds is indicative of a shotgun shooting.
- An open neck injury may lead to air embolism as a life-threatening complication.
Impaled Objects and Chemical Burns
- Remove impaled objects only if the patient is pulseless and apneic.
- For dry chemical exposure, brush off the chemical before flushing with water.
Skin and Healing Processes
- Sebaceous glands produce sebum, which waterproofs and keeps the skin supple.
- The thinnest skin is found on the ears.
- In a 65-year-old, a partial-thickness burn covering 20% BSA is considered severe.
Injury Types and Healing
- Abrasions are superficial injuries limited to the top skin layer and cause minimal blood loss.
- The inflammation phase of healing involves immune responses that increase blood flow, causing redness and swelling.
- Crush syndrome can develop from prolonged arterial blood flow compromise, especially after body entrapment longer than four hours.
Monitoring During Care
- If a dressing causes numbness or tingling in the distal area during transport, reassess circulation and adjust the bandage as necessary.
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Description
This quiz covers essential concepts of soft tissue injuries including their types, management strategies, and specific considerations for pediatric cases and animal bites. Test your knowledge on trauma assessment and treatment protocols to enhance your understanding of soft tissue injury care.
