Soft Tissue Injureis Emergency War Surgery Flashcards
What chapter of the emergency ear surgery manual provides the care and treatment of soft tissue injuries
Chapter 9
What form of treatment for soft tissue and open joint injuries is not a replacement for surgery
Antibiotics
Antibiotics should be provided for all penetrating wounds within what time period of time following injury
Less than 1 hour
Once a sterile dressing has been placed , you may conduct an exam what number of times prior to surgery
One look
What chapter of the emergency war surgery manual provides information for compartment release
Chapter 34
Wound debridement should occurs within what period following injury
6 hours
Sounds should be assess for the presence of what abnormalities
Dirt,debris,fragments
Infections increase by what percent per hour following injury when debridement tested a delayed
3 %
If there is no deep contamination of superficial wounds and skin you may
Cleanse with antiseptic and scrub brush
What type of incision extends wounds parallel to the axis to the extremity to facilitate deep exposure
Longitudinal
What type of incision should be avoided as it does not facilitate subsequent extension
Transverse
What action should occur with damage fat surrounding a penetrating wound during surgical intervention
Generously excised
Damage to what tissues is often Minimal relative to the magnitude of destruction beneath it
Fascia
What procedure should be performed for compartment syndrome
Complete fasciotomy
Limited fasciotomy is reserved for what part of the body without evidence of compartment syndrome
Localized facial injury
Tissue-sparing debridement is acceptable if follow-on wound surgery will occur within what period of time
24 hours
What muscle assessment may be the best predictor of muscle viability
Consistency
Debridement of what tissue is not normally required except frayed edges and respecting grossly destroyed portions
Nerves and tendon
What chapter of the emergency ear surgery manual provides information for the considerations in vascular shunting ,bypass,and repair
Chapter 25
What type of debridement of vessels is recommend for the purpose to decrease infection risk
Minimal
When should wound irrigation begin
After surgical debridement
When irrigating a surgical site you should use how many liters for large ,significant contaminated wounds
6-12 L
Acute wounds irrigation
Low-pressure
What type of dressing is preferred for patients that are being transported through and out of the battlefield
A sterile ,lose,bulky dry dressing
What type of device may be helpful maintaining an isolated wound environment
Negative pressure wound therapy
What type of device should not be used in a combat theater or during air transport
Makeshift negative pressure wound therapy
What may be helpful in delaying periods of bacterial regrow after initial debridement
Antibiotic beads
What surgical procedure provides the gentle mobilization of adjacent healthy tissue to prevent drying ,necrosis,and infection is recommended
Local Soft-Tissue coverage
Do not pack the wound with packing because will cause what type of environment
Anaerobic
