Abdominal Injury –Closed or Open Mechanism of Injury Discoloration/Bruising Swelling, Rigidity Pain over area Signs of shock –What are they? Exposed organs
Abdominal Injury Treatment Maintain ABCs Treat for shock Control external bleeding Stabilize any impaled objects Cover exposed organs with clean, moist dressing –Do not touch with hands or try to replace! Reassure Activate EMS
Acute Abdomen Sudden onset of belly pain with no obvious injury or cause
Treatment – Acute Abdomen Position of comfort – lying still with knees flexed Treat for shock Reassure Seek medical care
Genitourinary Injury Assaults or straddle Pain, swelling, discoloration, bleeding Ice packs and control bleeding –No internal bleeding control for females! (tampons) Reassure Seek medical care
Sexual Assault Give emotional support as well as being advocate Treat soft tissue injuries with ice packs and external dressings to control bleeding Maintain evidence –No hygiene –No change of clothes –No urination Seek medical care ASAP
Fractures Closed Open Pain Swelling and discoloration Deformity Shock Exposed bone Crepitus
Fractures - Treatment Maintain ABC’s Ice pack Immobilize from joint above to joint below, ie splint Elevate (if possible) Control bleeding with loose dressing Treat for shock Do not touch exposed bone or attempt to push back under skin Reassure Get medical care
Sprains Over-stretching or tearing a ligament Pain Swelling Discoloration Ice Immobilize Elevate Reassure Get medical care
Strains Over-stretching or tearing a muscle Pain Minimal (if any) swelling or discoloration Ice Immobilize Reassure Seek medical evaluation
Dislocation Bones that form a joint are knocked out of alignment Pain Deformity Discoloration Swelling Ice Immobilize Reassure Immediate medical care
Splinting Guidelines Check circulation and nerve function before and after Expose area Splint in the position you find the injury Don’t let splint push exposed bone back under skin Pad splints When in doubt, splint!
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