Soft Tissue Injuries Overview and Management
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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?

<p>Replace the avulsed flap to its original position and cover it with a sterile dressing.</p> Signup and view all the answers

A burn that is characterized by redness and pain is classified as a:

<p>Superficial burn</p> Signup and view all the answers

A closed soft-tissue injury characterized by swelling and ecchymosis is called a(n):

<p>Contusion</p> Signup and view all the answers

What should you do in addition to transporting a child bitten by a stray dog?

<p>Report the incident to the appropriate authorities.</p> Signup and view all the answers

What should you do when approaching a young male who was involved in an industrial accident and is not moving?

<p>Open his airway and assess his breathing status.</p> Signup and view all the answers

Why are burns to pediatric patients generally considered more serious than burns to adults?

<p>Pediatric patients have more surface area relative to total body mass.</p> Signup and view all the answers

During your assessment of a patient who was shot in the abdomen, what wound pattern is MOST consistent with a:

<p>Shotgun</p> Signup and view all the answers

In addition to severe bleeding, the MOST life-threatening complication associated with an open neck injury is:

<p>Air embolism</p> Signup and view all the answers

In which of the following patients should you remove an impaled object?

<p>A pulseless and apneic patient with a knife impaled in the back</p> Signup and view all the answers

What do sebaceous glands produce?

<p>Sebum.</p> Signup and view all the answers

When caring for a patient whose arm is covered with a dry chemical, you should:

<p>Brush away the chemical before flushing with water.</p> Signup and view all the answers

Which of the following areas of the body has the thinnest skin?

<p>Ears</p> Signup and view all the answers

Which of the following is a severe burn in a 65-year-old patient?

<p>Partial-thickness burn to 20% of the BSA</p> Signup and view all the answers

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?

<p>Abrasion</p> Signup and view all the answers

What process occurs during the inflammation phase of the healing process?

<p>The immune system releases histamines, which cause vasodilation and increased capillary permeability, resulting in local redness and swelling.</p> Signup and view all the answers

What is the correct statement regarding crush syndrome?

<p>Compromised arterial blood flow leads to crush syndrome and can occur when an area of the body is trapped for longer than 4 hours.</p> Signup and view all the answers

What should you do if during transport, a patient complains of numbness and tingling in her hand after applying a dressing?

<p>Assess distal circulation and readjust the bandage as needed.</p> Signup and view all the answers

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.

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