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Questions and Answers
What is the outermost layer of the skin called?
What is the outermost layer of the skin called?
Which type of soft tissue injury does not involve external bleeding?
Which type of soft tissue injury does not involve external bleeding?
In the case of a bruise over a vital organ, what is a significant risk associated with it?
In the case of a bruise over a vital organ, what is a significant risk associated with it?
What is typically true about closed soft tissue injuries?
What is typically true about closed soft tissue injuries?
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What is one of the main functions of the skin?
What is one of the main functions of the skin?
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Which layer of skin contains blood vessels and nerve endings?
Which layer of skin contains blood vessels and nerve endings?
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What should be prioritized in emergency medical care for soft tissue injuries?
What should be prioritized in emergency medical care for soft tissue injuries?
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Which of the following is a characteristic of an open soft tissue injury?
Which of the following is a characteristic of an open soft tissue injury?
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In which layer of skin is pain typically felt during an injury?
In which layer of skin is pain typically felt during an injury?
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Which of the following statements about soft tissue injuries is true?
Which of the following statements about soft tissue injuries is true?
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What type of closed injury involves a collection of blood beneath the skin?
What type of closed injury involves a collection of blood beneath the skin?
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Which of the following injuries is characterized by flaps of skin being torn loose or completely off?
Which of the following injuries is characterized by flaps of skin being torn loose or completely off?
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Which dressing type is primarily used to stop bleeding and protect a wound?
Which dressing type is primarily used to stop bleeding and protect a wound?
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What are the external signs commonly associated with open crush injuries?
What are the external signs commonly associated with open crush injuries?
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What is a characteristic of a laceration injury?
What is a characteristic of a laceration injury?
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Which approach is NOT recommended when managing bleeding from a wound?
Which approach is NOT recommended when managing bleeding from a wound?
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Which type of bandage is often used to hold a dressing securely in place?
Which type of bandage is often used to hold a dressing securely in place?
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What type of open injury is caused by a sharp, pointed object?
What type of open injury is caused by a sharp, pointed object?
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Which condition is indicated by the internal bleeding and signs of shock such as hypoperfusion?
Which condition is indicated by the internal bleeding and signs of shock such as hypoperfusion?
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Which step is essential in the emergency management of patients with soft-tissue injuries?
Which step is essential in the emergency management of patients with soft-tissue injuries?
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Which technique is crucial for managing a penetrating injury?
Which technique is crucial for managing a penetrating injury?
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What is the recommended action for managing evisceration during an abdominal injury?
What is the recommended action for managing evisceration during an abdominal injury?
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What should be done if an object is impaled in a patient's cheek?
What should be done if an object is impaled in a patient's cheek?
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How should an amputated part be preserved during transport?
How should an amputated part be preserved during transport?
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Which method is appropriate for controlling bleeding from a large open neck injury?
Which method is appropriate for controlling bleeding from a large open neck injury?
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What is the first step in dressing a soft-tissue injury?
What is the first step in dressing a soft-tissue injury?
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Which of the following injuries requires special management consideration?
Which of the following injuries requires special management consideration?
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What should be assessed after applying a dressing to a bleeding injury?
What should be assessed after applying a dressing to a bleeding injury?
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What is an appropriate action if extensive bleeding occurs at a dressing site?
What is an appropriate action if extensive bleeding occurs at a dressing site?
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Which area of the body often requires specific considerations when treating a soft tissue injury?
Which area of the body often requires specific considerations when treating a soft tissue injury?
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What is the initial step to manage a chemical burn?
What is the initial step to manage a chemical burn?
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Which type of burn involves both the epidermis and the dermis?
Which type of burn involves both the epidermis and the dermis?
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When treating an eye injury caused by a chemical, how long should you flush the eye?
When treating an eye injury caused by a chemical, how long should you flush the eye?
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What is the significance of the 'Rule of Nines' in burn assessment?
What is the significance of the 'Rule of Nines' in burn assessment?
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What is a critical burn according to established criteria?
What is a critical burn according to established criteria?
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In emergency medical care for burns, which step should be taken first?
In emergency medical care for burns, which step should be taken first?
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Which type of soft-tissue injury is characterized by torn skin and underlying tissue?
Which type of soft-tissue injury is characterized by torn skin and underlying tissue?
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How should a tooth that has been knocked out be managed?
How should a tooth that has been knocked out be managed?
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What indicates a full-thickness burn?
What indicates a full-thickness burn?
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Before attempting to treat an electrical burn, what is the first precaution to take?
Before attempting to treat an electrical burn, what is the first precaution to take?
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Study Notes
Soft Tissue Injuries Overview
- Soft tissue injuries are often more severe than they appear visually.
- Injuries can be classified as closed or open.
- Closed injuries do not break the skin.
- Open injuries break the skin.
Skin Layers
- Epidermis: Outermost layer, dead cells, no bleeding
- Dermis: Deeper layer containing glands, hair follicles, blood vessels, and nerve endings.
- Subcutaneous: More bleeding and pain.
Closed Injuries
- Contusion: Damaged cells and blood vessels in the dermis; skin remains intact; swelling and pain are typical.
- Hematoma: Collection of blood beneath the skin; larger amount of tissue damage than a contusion; larger vessels are damaged; significant blood loss is possible.
Crush Injuries
- Crushing force applied to the body.
- Can cause internal organ rupture.
- Internal bleeding may be severe, with shock (hypoperfusion).
Open Injuries
- Abrasion: Outermost skin layer is damaged.
- Laceration: Break in skin.
- Avulsion: Skin or tissue flaps torn loose or pulled off.
- Penetration/Puncture: Caused by a sharp object; internal bleeding may be severe, and an exit wound might be present.
- Amputation: The loss of an extremity or other body part due to injury.
Open Crush Injuries
- Damaging soft tissue and internal organs.
- Can cause painful, swollen, and deformed extremities.
Emergency Medical Care for Soft Tissue Injuries
- Body substance isolation: Isolate the patient.
- Airway, Breathing, and Circulation (ABCs): Properly assess the airway, monitor breathing, and treat for shock.
- Manage bleeding: Control bleeding, potentially using direct pressure or sterile dressings.
- Expose the wound: Clean the injured area.
- Prevent contamination
- Dressing and bandaging: Apply a dry sterile dressing and bandage securely.
- Keep calm and quiet: Calm the patient with soothing techniques.
- Splints: Splint painful, swollen, or deformed extremities.
Specific Areas
- Forehead, shoulder, hip, hand, joint, chest
- Treat specific injuries to these areas with specialized care.
Injuries Requiring Special Considerations
- Chest wounds: Occlusive dressings, administer oxygen, maintain comfort position to prevent spinal injury.
- Abdominal wounds: Evisceration (protruding organ) - Do not touch or replace organs, cover them with a wet dressing, apply additional sterile dressings, and transport.
- Impaled objects: Do not remove unless through cheek; stabilize with a bulky dressing; control bleeding.
- Amputations: Wrap amputated part in sterile dressing, place in a plastic bag and keep cool; transport with the patient.
- Large open neck injuries, may cause air embolisms, cover with occlusive dressings, if necessary, control bleeding.
Burns
- Painful, can cause permanent disfigurement and disability.
- ABC (airway, breathing, circulation) check before treating burns.
- Consider possibility of child abuse.
- Classification: Superficial, partial-thickness, full-thickness.
- Assess body surface area (BSA).
- Stop the burning process.
- Remove clothing.
- Body substance isolation.
- Continuously monitor airways for evidence of closure, prevent contamination, and cover the burned area with a sterile dressing. Do not use ointments, lotions, or antiseptics.
Chemical Burns
- Brush off dry chemicals.
- Immediately flush with large amounts of water, continuing en route to a medical facility.
- Avoid contaminating uninjured areas during flushing.
Electrical Burns
- Do not remove the patient from the electrical source unless trained to do so.
- If unsure, do not touch the patient.
- Administer oxygen if necessary.
- Monitor for respiratory or cardiac arrest (consider need for automated external defibrillator (AED).
- Treat the soft tissue injuries associated with the burn (look for both entry and exit wounds).
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Description
This quiz covers the essentials of soft tissue injuries, including classifications of closed and open injuries. Explore the layers of skin affected by these injuries and learn about specific types such as contusions, hematomas, abrasions, and lacerations. Understand the implications and severity of each type for better awareness and response.
