10Soft Tissue InjuriesSoft tissue includes the layer of skin, fat and muscleCuts, scrapes and bruises – called wounds.There are 2 types of wounds:ClosedOpen
11Closed Wounds Example: Simplest is a bruise. Could be more serious. Call 911 if :A person complains of severe pain or cannot move a body part without painYou think the force that caused the injury was great enough to cause serious damageAn injured extremity is blue or extremely pale
12Bruises (aka Contusions) Causes:When tiny blood vessels are damaged or broken as the result of a blow to the skinCan result from other injuries to area(ankle ligament sprain)
13Closed Wound Treatment Apply ice for first hoursOn and off in 20 minute incrementsApply compression with ace wrapProvides:-Support-Decreases swelling
14Open Wounds: TypesAbrasions – scrape, rug burn, a road rash or a strawberry
15Laceration – a cut in the skin caused by a sharp object like a knife, scissors or broken glass.
16Open WoundsAvulsions – an injury in which a portion of the skin and sometimes other soft tissue is partially or completely torn away (amputation)
17Punctures – a pointed object piercing the skin Punctures – a pointed object piercing the skin. A gunshot wound is also a puncture wound.
18Minor Open Wound Treatment Use barrier between your hand and the woundApply direct pressure for a few minutes to control the bleedingWash the wound with soap and waterIf no allergies, apply antibiotic ointmentCover the wound with sterile bandages
19Minor Open Wound Treatment Bandages are used to:Hold dressings in placeControl bleedingProtect woundsProvide support to an injured limb or body part.
20Major Open Wound Treatment --Call 911Control bleedingCover wound with dressing and press against wound.Apply a pressure bandage over dressing.If blood soaks through – Do NOT remove bandageAdd more bandage on top.**** Monitor the persons airway, breathing and circulation
21When are stitches needed? Rule of thumb:Stitches are needed when…..edges of skin do not fall togetherthe laceration involves the facewhen any wound is over½ inch long
22Preventing Disease Transmission Follow these guidelines when giving 1st aid to help decrease risk of getting or transmitting an infectious disease:- Avoid contact with blood & other body fluidsUse protective breathing barriersUse disposable glovesDo not touch anything soiled in blood
23Using GlovesWash your hands with soap and water after giving care even if you are wearing glovesTell EMS if you come in contact with bloodWhy do you think it is important to avoid contact with blood????
24Cleaning up a blood spill Clean up spill IMMEDIATELY after it occursUse disposable gloves and other protective equipmentWipe up spill with paper towels or something else durableAfter the area has been wiped up use 1 ½ cups of liquid chlorine bleach : 1 gallon of fresh water and let stand for 10 minutesDispose in Biohazard container
25Minor Wound Treatment Scrape, cut on wrist Scenario 1Minor Wound TreatmentScrape, cut on wrist
26Partner Set Up Partner #1: Victim Partner #2: Set Up of treatment Partner: First Responder