FMST 207 Manage Wounds Flashcards
What is a superficial/first degree bud ?
Involves the epidermis as red and painful.
What is a partial thickness burn/second degree burn?
Involves the epidermis and portions of the dermis. Can appear as blisters or burn areas that glisten or wet appearing base. Intense Pain.
What is a full thickness burn/third degree burn?
Involves all three layers of the skin, painful but only on the surrounding area. Skin is dry/leathery. Skin can range in color.
What is a fourth degree/complete burn?
All layers of the skin, fat muscle, bone and organs.
What is a thermal burn?
It’s the most common type of burn in the battlefield, weapons are designed to burn at high temperatures.
What are electrical burns?
Caused by electricity, small entrance and can damage internally. Damage depends on amount of electricity and duration.
What is radiation burns?
Associated with nuclear blast, radiation is hazardous. Can have systematic effects.
What is a chemical burn?
Prolonged exposure to offending agents. ACIDS: pH levels from 7-0
Bases (Alkali) 7-14
What is a circumferential burn?
Burns that encircles the trunk of the body, it can cause a tourniquet like effect.
What is a critical burn?
A burn that quickly compromise your patient and should be recognized quickly and treated as a life threatening emergency.
What’s the two way to estimate the burn sizes?
Rules of 9 and Rules of Palm.
What the treatment for burns?
Get them out of the burning, maintain ABC, estimate TBSA, cover burns with dry sterile dressing, hypothermia, pain management, antibiotics, and fluid resuscitation.
What’s the rules of ten to calculate fluid resuscitation?
% TBSA x 10 cc/hr and for every 10kg above 80 increase by 100 ml/hr.
(%TBSA x 10 cc/hr)+(100cc/hr(X-80kg)/10)
How would you treat burns of the eye?
Irrigate/flush. Perform a rapid visual test, and cover with eye shield and use antibiotics.
How do you treat a penetrating eye trauma?
Test visual acuity, stabilizes, apply eye shield. Use antibiotics and CASEVAC.
How to you treat an impaled object in the eye?
ABC, do not remove, donut wrap, cup and dressing, and elevate head.
How do you treat a protruding globe?
Do not push back in, bulky dressing and moist gauze. Cover with a cup and secure. Monitor and TACEVAC.
What are the two types of soft tissue injuries?
Closed and Open. Open is the skin is interrupted exposing tissue. Closed is skin is not interrupted but can have bruising.
What is an abrasion?
Skin is rubbed or scraped off. For example road rash or rug burns
What is a laceration?
Tearing of the body tissue. Control infection, clean, and treat. (big cut)
What is an avulsion?
Flaps of skin are torn loose or completely pulled off. HEMCON, treat, immobilize and pain management.
What are some of the causes of abdominal injuries?
Internal hemorrhage,septic shock, and organ failure.
How would you treat penetrating trauma?
Do not remove, stabilize and CASEVAC.
How would you treat an evisceration?
Control hemorrhage, clean the site, moist sterile dressing, reduction, and antibiotics
How would you assess for eviscerations?
Inspect, auscultate, palpate, and check for signs and symptoms.
