soft tissue injuries

Question 1

what is in the dermis

Answer 1

nerve, sweat gland, blood vessel

Question 2

what is in the epidermis

Answer 2

barrier to bacteria + other organisms

Question 3

how to wash a wound

Answer 3

with saline water or under running water for 3-5min

Disinfect periphery of wound with clear anti-septic solution

Question 4

when can we use anti-septic solution

Answer 4

-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.

Question 5

warning for wound wash saline

Answer 5

don’t store at temperature above 120F, single patient use only

Question 6

what are the three type of tetanus shots

Answer 6

Diphtheria, tetanus, and pertussis (DTaP).

Question 7

what is tetanus

Answer 7

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.

Question 8

what tetanus do to you

Answer 8

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.

Question 9

wound sealants

Answer 9

glustitch
dermabond
J&J liquid bandage
mastisol
compound benzoin tincture
steri-strip
opsite spray

Question 10

when we use skin glue what should we do day 1-5 and 5-10

Answer 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

Question 11

after how long can the athlete wash his hair if he have skin glue on head

Answer 11

5 days

Question 12

can we put bandaid on skinglue

Answer 12

no

Question 13

can we put lotion on skin glue

Answer 13

no

Question 14

after how long the skin glue will come off by itself

Answer 14

7-10days

Question 15

when to seek help with skin glue

Answer 15

-Splits open again
-Starts to bleed.
- Infected: red or swollen,
increase pain discharge or pus fever

Question 16

when do we use opsite spray-sealant

Answer 16

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

Question 17

where can’t we put glue product

Answer 17

around eyes

Question 18

can we remove impaled object

Answer 18

no expect in cheek/jaw or affect airway

Question 19

management of amputed limb

Answer 19

• 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

Question 20

with partial avulsion do we remove the flap

Answer 20

no we use to close wound

Question 21

how do we stop the burning process for dry chemical burn

Answer 21

• Brush powder off first before flushing with water

Question 22

how do we stop the burning process for phenol/carbolic acid burn

Answer 22

flush with alcohol before water

Question 23

for managing thermal burn for toes and finger how do we wrap them

Answer 23

individually

Question 24

how do we stop the burning process

Answer 24

flush with cool water up to 15min

Question 25

what to do with dressing if burn < 10% BSA

Answer 25

WET dressings may stay on until arrival at ER. WET dressings help decrease pain

Question 26

what to do with dressing if burn >10% BSA

Answer 26

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