CH. 6 hot spots, Blisters, Fishhooks and Splinters

Question 1

What are hotpsots and blisters?

Answer 1

repeated friction against the skin - A LEADERSHIP PROBLEM

Question 2

Treatment principles for hotspots

Answer 2

• pad with moleskin or tape to buffer against further rubbing
• look for source of friction between footwear and skin
• ## paper tape or a lubricant under the medical/duct tape can prevent the skin from tearing when the tape is removed

Question 3

How to drain an intact blister

Answer 3

• clean the blister
• ## use a needle cleaned with antiseptic solution or heated until red-hot and cooled to insert into the base of the blister

Question 4

Treatment principles for an open blister

Answer 4

• clean any open blister (they easily become infected)
• cover with second skin or Blist-o-ban
• consider using a donut hole with moleskin and cover with tape

Question 5

What are good tips for taping blisters?

Answer 5

1. round the corners
2. clean and dry the skin
3. rub the tape for 20-30 seconds after applying to skin
4. apply tape at least one hour before use or over night
5. when using kinesiology tapes, lay the tape on the skin, do not stretch.

Question 6

Prevention of a blister

Answer 6

1. hot spots are not a warning of a problem, they are a problem. they are the window of opportunity to prevent a blister
2. check your feet
3. keep your feet dry
4. boots must fit
5. socks provide insulation and padding
6. tape trouble spots early
7. trim toenails

Question 7

Treatment principles for a subungual (sub - ung- gual) hematoma (blood under nail)

Answer 7

1. heat up a needle, safety pin, or… a paper clip.

2. carefully drill it through the nail to relieve pressure

Question 8

Treatment principles for fish hooks

Answer 8

1. attach 12 inch piece around the curve of the hook. Keep it as close to the skin as possible
2. simultaneously push down on the eye of the hook and pull the string along the axis of the hook.
3. if unsuccessful, numb the skin, push the point barb through the skin, snip of the barb and pull the hook out.

Question 9

treatment principles for splinters

Answer 9

1. press on the deep end of the splinter and push it toward the wound entrance
2. grab the exposed end of the splinter with tweezers and gently pull it out
3. if the splinter is deeply imbedded, gently cut out the overlaying skin with a sterile blade until you can remove the splinter.