soft tissue injuries Flashcards
what is in the dermis
nerve, sweat gland, blood vessel
what is in the epidermis
barrier to bacteria + other organisms
how to wash a wound
with saline water or under running water for 3-5min
Disinfect periphery of wound with clear anti-septic solution
when can we use anti-septic solution
-Is okay for cleaning
of “small” minor wounds.
-Not really meant for wound bed cleansing as products are cytolytic.
-More effective for peri-wound cleansing.
warning for wound wash saline
don’t store at temperature above 120F, single patient use only
what are the three type of tetanus shots
Diphtheria, tetanus, and pertussis (DTaP).
what is tetanus
Tetanus is a disease caused by a bacterial infection.
The tetanus bacteria gets in a wound through a break in the skin (cut, puncture wound, deep scrape, deep burn) or mucous membrane.
what tetanus do to you
The bacteria makes a toxin that causes severe muscle spasms and seizures. Tetanus is also called “lockjaw” because muscle spasms in your jaw make it hard to open your mouth, difficult to swallow or breathe.
wound sealants
glustitch
dermabond
J&J liquid bandage
mastisol
compound benzoin tincture
steri-strip
opsite spray
when we use skin glue what should we do day 1-5 and 5-10
DAY 1-5 Keep wound dry.
DAY 5-10 Okay to wash the wound.
Do not soak in water for long periods of time as this
could make the glue come off, or reopen the wound
after how long can the athlete wash his hair if he have skin glue on head
5 days
can we put bandaid on skinglue
no
can we put lotion on skin glue
no
after how long the skin glue will come off by itself
7-10days
when to seek help with skin glue
-Splits open again
-Starts to bleed.
- Infected: red or swollen,
increase pain discharge or pus fever
when do we use opsite spray-sealant
Minor cuts and abrasions
Over dry sutured wounds
After suture removal
Can help to protect unbroken blisters
Can help to protect the skin from friction/blisters
where can’t we put glue product
around eyes
can we remove impaled object
no expect in cheek/jaw or affect airway
management of amputed limb
- Control bleeding- easier with complete vs partial
- Sterile/diaper bandage over stump and severed
amputated part - Keep amputated part (gauze on wound) in a dry plastic bag on ice (tissue should not be in contact)
- Transport part immediately with victim when possible
with partial avulsion do we remove the flap
no we use to close wound
how do we stop the burning process for dry chemical burn
- Brush powder off first before flushing with water
how do we stop the burning process for phenol/carbolic acid burn
flush with alcohol before water
for managing thermal burn for toes and finger how do we wrap them
individually
how do we stop the burning process
flush with cool water up to 15min
what to do with dressing if burn < 10% BSA
WET dressings may stay on until arrival at ER. WET dressings help decrease pain
what to do with dressing if burn >10% BSA
WET dressings applied no longer than 15 minutes “Fire is out” - Large burns have risk of shock.
DRY sterile dressing to protect and insulate sheet or clean sheet
shock prevention a priority
