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Chapter 14: Chest, Abdomen, and Pelvic Injuries. 151 AMERICAN RED CROSS FIRST AID–RESPONDING TO EMERGENCIES FOURTH EDITION Copyright © 2005 by The American.

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Presentation on theme: "Chapter 14: Chest, Abdomen, and Pelvic Injuries. 151 AMERICAN RED CROSS FIRST AID–RESPONDING TO EMERGENCIES FOURTH EDITION Copyright © 2005 by The American."— Presentation transcript:

1 Chapter 14: Chest, Abdomen, and Pelvic Injuries

2 151 AMERICAN RED CROSS FIRST AID–RESPONDING TO EMERGENCIES FOURTH EDITION Copyright © 2005 by The American National Red Cross All rights reserved. Injuries to the Chest, Abdomen and Pelvis  Because the chest, abdomen and pelvis contain many organs important to life, injury to these areas can be fatal.  Chest injuries are a leading cause of trauma deaths each year.

3 152 AMERICAN RED CROSS FIRST AID–RESPONDING TO EMERGENCIES FOURTH EDITION Copyright © 2005 by The American National Red Cross All rights reserved. Chest Injury  Chest injuries may involve the bones that form the chest cavity or they may involve the organs or other structures in the cavity itself.  Chest wounds are either open or closed (ex: rib fractures and puncture wounds).  Signals of serious chest injury include—  Trouble breathing.  Severe pain.  Flushed, pale, ashen or bluish skin.  Obvious deformity.  Coughing up blood.  Bruising at the site of a blunt injury.  A distinctive “sucking” sound as the person breathes.

4 153 AMERICAN RED CROSS FIRST AID–RESPONDING TO EMERGENCIES FOURTH EDITION Copyright © 2005 by The American National Red Cross All rights reserved. Care for Injuries to the Chest  Caring for a serious chest injury often means helping the victim with trouble breathing. To care for a serious chest injury—  Call or the local emergency number.  Position the victim to aid breathing.  If ribs are broken, bind the victim’s upper arm to the chest.  Use a pillow or rolled blanket to support and immobilize the area.  If a sucking chest sound is evident, cover the wound with an occlusive dressing.  Take steps to minimize shock.

5 154 AMERICAN RED CROSS FIRST AID–RESPONDING TO EMERGENCIES FOURTH EDITION Copyright © 2005 by The American National Red Cross All rights reserved. Injuries to the Abdomen  Signals of serious abdominal injury include—  Severe pain.  Bruising.  External bleeding.  Nausea.  Vomiting (sometimes containing blood).  Weakness.  Thirst.  Pain, tenderness or tight feeling in the abdomen.  Organs protruding from the abdomen.  Rigid abdominal muscles.  Other signals of shock.

6 155 AMERICAN RED CROSS FIRST AID–RESPONDING TO EMERGENCIES FOURTH EDITION Copyright © 2005 by The American National Red Cross All rights reserved. Care for Injuries to the Abdomen  If the injury involves an open wound—  Call or the local emergency number.  Carefully position the victim on his or her back.  Do not apply direct pressure.  Do not push any protruding organs back in.  Remove clothing from around the wound.  Apply moist, sterile dressings.  Cover the wound with an occlusive dressing.  Cover dressings lightly with a folded towel to maintain warmth.  Take steps to minimize shock.

7 156 AMERICAN RED CROSS FIRST AID–RESPONDING TO EMERGENCIES FOURTH EDITION Copyright © 2005 by The American National Red Cross All rights reserved. Care for Injuries to the Abdomen (continued)  If the injury involves a closed wound—  Call or the local emergency number immediately.  Carefully position the victim on his or her back unless you suspect injury to the head, neck or back.  Bend the victim’s knees slightly. If moving the victim’s legs causes pain, keep them straight.  Place rolled-up pillows or blankets under the knees for support.  Take steps to minimize shock.  Monitor breathing, skin color and temperature until EMS personnel arrive.

8 157 AMERICAN RED CROSS FIRST AID–RESPONDING TO EMERGENCIES FOURTH EDITION Copyright © 2005 by The American National Red Cross All rights reserved. Injuries to the Pelvis  Signals of pelvic injury are the same as those for an abdominal injury. Signals of pelvic injuries may also include—  Severe pain.  Bruising.  External bleeding.  Nausea.  Vomiting (blood).  Weakness.  Thirst.  Pain, tenderness or swelling.  Protruding organs.  Rigid muscles.  Pelvic injuries may also cause  Loss of sensation in the legs.  Inability to move.

9 158 AMERICAN RED CROSS FIRST AID–RESPONDING TO EMERGENCIES FOURTH EDITION Copyright © 2005 by The American National Red Cross All rights reserved. Care for Pelvic Injury  To care for injuries to the pelvis—  Call or the local emergency number.  Do not move the victim unless necessary.  Control external bleeding.  Cover any protruding organs.  Take steps to minimize shock.  Care for a closed wound to the genitals as you would any closed wounds.  If the genital has an open wound apply a sterile dressing and control bleeding with direct pressure.

10 159 AMERICAN RED CROSS FIRST AID–RESPONDING TO EMERGENCIES FOURTH EDITION Copyright © 2005 by The American National Red Cross All rights reserved. Review  Injuries to the chest, abdomen or pelvis can be serious.  Some injuries can only be detected if the victim’s condition worsens over time.  Watch for signals of serious injury that require medical attention.  Care for life-threatening emergencies first.  Always call or the local emergency number as soon as possible.  For open wounds, control the bleeding.  If a fracture is suspected, immobilize the injured part.  Use occlusive dressing for sucking chest wounds and open abdominal wounds.


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