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Soft tissue injury

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VijayanandVimnandu

The document discusses soft tissue injuries, including closed wounds which involve injury beneath unbroken skin, and open wounds which break the skin. It outlines the signs and symptoms of each and the pre-hospital treatment steps. For open wounds, the six treatment steps are: control bleeding, apply dressing using decontamination, cover the wound completely, ensure firm but not tight bandaging, avoid covering fingertips, and transport promptly. Specific treatments are also covered for injuries to eyes, ears, neck, abdomen, and genitals.

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May 11, 2019 INSP VIJAY KUMAR 1
SOFT TISSUE INJURIES May 11, 2019 INSP VIJAY KUMAR 2 PRESENTED BY INSP VIJAY KUMAR NDRF ACADEMY
OBJECTIVES Upon completion of this lesson you will be able to define. Soft tissue injuries, open and close wound Two steps to treat a closed wound Six steps to treat an open wound. May 11, 2019 INSP VIJAY KUMAR 3
OBJECTIVES Pre-hospital treatment for eye, ear and neck injuries. Pre-hospital treatment of abdominal and genital injuries. Pre-hospital treatment for. a) Impaled object in the eye or cheek B) Bleeding neck injuries May 11, 2019 INSP VIJAY KUMAR 4
SOFT TISSUE INJURY INJURY TO THE SKIN, MUSCLE, NERVES AND BLOOD VESSELS. May 11, 2019 INSP VIJAY KUMAR 5
CLOSED WOUND INJURY TO THE SOFT-TISSUE BENEATH UNBROKEN SKIN May 11, 2019 INSP VIJAY KUMAR 6
SIGN AND SYMPTOMS OF CLOSED WOUND May 11, 2019 INSP VIJAY KUMAR 7 SWELLING TENDERNE SS
May 11, 2019 INSP VIJAY KUMAR 8 DISCOLOURATION POSSIBLE DEFORMITY
PHT OF CLOSED WOUND Use universal precautions and secure the scene Apply RICE method Monitor the patients and check vital sign Treat for shock Transport the patient to the EMS as soon as possible. Note:- Apply ice 20 min in one hour May 11, 2019 INSP VIJAY KUMAR 9
OPEN WOUND A Soft Tissue-Injury Resulting In Breaking Of The Skin. May 11, 2019 INSP VIJAY KUMAR 10
TYPES OF OPEN WOUNDS Scratches and Abrasions Lacerations-Regular and Irregular Penetrations and Puncture Wounds Avulsions Amputations Crushing injury Gunshot wounds Impaled objectMay 11, 2019 INSP VIJAY KUMAR 11
OPEN INJURIES May 11, 2019 INSP VIJAY KUMAR 12
TYPES OF OPEN WOUNDS May 11, 2019 INSP VIJAY KUMAR 13 S C R A T C H E S A B R A S I O N S
LACERATION May 11, 2019 INSP VIJAY KUMAR 14
May 11, 2019 INSP VIJAY KUMAR 15 AMPUTATION PENETRATING WOUND PUNCTURE WOUND
GUNSHOT WOUND May 11, 2019 INSP VIJAY KUMAR 16 IMPALED OBJECT
DOUGHNUT TYPE RING PAD May 11, 2019 INSP VIJAY KUMAR 17
PHT OF OPEN WOUND Use universal precaution and secure the scene Remove or cut the cloth by the help of trauma scissor from open wound area. Control bleeding by the help of direct pressure and use pressure points also if needed. Prevent from contamination. May 11, 2019 INSP VIJAY KUMAR 18
Applying dressing and bandage. Cover the patient from cloth. Treat for shock Transport the patient to the EMS as soon as possible. May 11, 2019 INSP VIJAY KUMAR 19
DRESSING Any material used to cover a wound that helps control bleeding and also aids in the prevention of additional- contamination. May 11, 2019 INSP VIJAY KUMAR 20
BANDAGE ANY MATERIAL USED TO HOLD A DRESSING IN PLACE. May 11, 2019 INSP VIJAY KUMAR 21
OCCLUSIVE DRESSING Any water-resistant material (plastic or waxed paper) that is applied to a wound to prevent the entry of air and loss of moisture from internal organs. May 11, 2019 INSP VIJAY KUMAR 22
BULKY DRESSING Multiple stacked dressings made to form single dressing 2-3 cm thick, such as a thick sanitary napkin or any similar material. May 11, 2019 INSP VIJAY KUMAR 23
APPLYING DRESSINGS AND BANDAGES Control bleeding Apply the dressing using decontamination technique. Cover the wounds completely Ensure that the dressing and the bandages are firm, flexed and comfortable but not so tight as to affect circulation Ensure there are no loose ends that can get caught Avoid covering the fingertips May 11, 2019 INSP VIJAY KUMAR 24
HEAD OR EAR BANDAGE May 11, 2019 INSP VIJAY KUMAR 25 SHOULDER BANDAGE ELBOW BANDAGE KNEE BANDAGE
WOUND TO THE EYE Close the BEST ONE EYE to restrict the movement of injured eye. Close the best one eye to the unconscious patient before dressing to secure the BLINDNESS of the patient. Apply the cup or card board to the EXTRUDED EYE patient and never try to enter that eye in same place.May 11, 2019 INSP VIJAY KUMAR 26
WOUNDS TO THE EAR Never probe the ear Never pack it to stop bleeding from the ear canal Place a loose, clean dressing across the opening to absorb the fluids Do not apply pressure May 11, 2019 INSP VIJAY KUMAR 27
INJURIES TO THE NECK Visible lacerations or other wounds can produce massive bleeding. Difficulty in speaking: loss of voice Airway obstructions can occur without foreign bodies in mouth.May 11, 2019 INSP VIJAY KUMAR 28
Tracheal deviation Deformities and depressions Immobilize the patient if you suspect a spinal injury May 11, 2019 INSP VIJAY KUMAR 29
ABDOMINAL INJURY SIGNS AND SYMPTOMS Pain or cramps in the abdominal area local or diffuse Guarding the abdomen or lying down in foetal position Tenderness of the abdomen Signs of shock Rigid, tense or distended abdomenMay 11, 2019 INSP VIJAY KUMAR 30
ABDOMINAL INJURY SIGNS AND SYMPTOMS Mild discomfort progressing to intolerable pain Deep penetrating pain in the pelvis or lower back Pain radiating to a shoulder or both shoulders Vomiting blood: bright red or like coffee grounds Blood in the stool: bright red or tarry black May 11, 2019 INSP VIJAY KUMAR 31
PRE HOSPITAL TREATMENT FOR ABDOMINAL INJURIES Use universal precautions and secure the scene. Be alert for patient vomiting. Cover all open wounds Do not replace exposed internal organs. Cover them with thick , moist sterile dressing. Keep exposed area warm by placing a dressing or towel over the occlusive dressing May 11, 2019 INSP VIJAY KUMAR 32
PRE HOSPITAL TREATMENT FOR ABDOMINAL INJURIES Do not remove impaled objects stabilize them with bulky dressing. Constantly monitor vital signs. Place patient supine with legs in most comfortable position. Treat for shock. Transport the patient as soon as possible. May 11, 2019 INSP VIJAY KUMAR 33
May 11, 2019 INSP VIJAY KUMAR 34
INJURIES TO GENITALS PRE HOSPITAL TREATMENT FOR WOUNDS TO GENITALIA: Wounds To The Genitals Should Be Treated The Same As Any Other Wounds. However, Special Care And Attention Should Be Given To Protect The Patients Privacy. May 11, 2019 INSP VIJAY KUMAR 35
May 11, 2019 INSP VIJAY KUMAR 36
REVIEW May 11, 2019 INSP VIJAY KUMAR 37
POST EVALUATION May 11, 2019 INSP VIJAY KUMAR 38
May 11, 2019 INSP VIJAY KUMAR 39 Define soft tissue injury? Bulky dressing thickness is? Ice apply for min in one hour? Water resistant dressing known as?
May 11, 2019 INSP VIJAY KUMAR 40
May 11, 2019 INSP VIJAY KUMAR 41

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Soft tissue injury

  • 1. May 11, 2019 INSP VIJAY KUMAR 1
  • 2. SOFT TISSUE INJURIES May 11, 2019 INSP VIJAY KUMAR 2 PRESENTED BY INSP VIJAY KUMAR NDRF ACADEMY
  • 3. OBJECTIVES Upon completion of this lesson you will be able to define. Soft tissue injuries, open and close wound Two steps to treat a closed wound Six steps to treat an open wound. May 11, 2019 INSP VIJAY KUMAR 3
  • 4. OBJECTIVES Pre-hospital treatment for eye, ear and neck injuries. Pre-hospital treatment of abdominal and genital injuries. Pre-hospital treatment for. a) Impaled object in the eye or cheek B) Bleeding neck injuries May 11, 2019 INSP VIJAY KUMAR 4
  • 5. SOFT TISSUE INJURY INJURY TO THE SKIN, MUSCLE, NERVES AND BLOOD VESSELS. May 11, 2019 INSP VIJAY KUMAR 5
  • 6. CLOSED WOUND INJURY TO THE SOFT-TISSUE BENEATH UNBROKEN SKIN May 11, 2019 INSP VIJAY KUMAR 6
  • 7. SIGN AND SYMPTOMS OF CLOSED WOUND May 11, 2019 INSP VIJAY KUMAR 7 SWELLING TENDERNE SS
  • 8. May 11, 2019 INSP VIJAY KUMAR 8 DISCOLOURATION POSSIBLE DEFORMITY
  • 9. PHT OF CLOSED WOUND Use universal precautions and secure the scene Apply RICE method Monitor the patients and check vital sign Treat for shock Transport the patient to the EMS as soon as possible. Note:- Apply ice 20 min in one hour May 11, 2019 INSP VIJAY KUMAR 9
  • 10. OPEN WOUND A Soft Tissue-Injury Resulting In Breaking Of The Skin. May 11, 2019 INSP VIJAY KUMAR 10
  • 11. TYPES OF OPEN WOUNDS Scratches and Abrasions Lacerations-Regular and Irregular Penetrations and Puncture Wounds Avulsions Amputations Crushing injury Gunshot wounds Impaled objectMay 11, 2019 INSP VIJAY KUMAR 11
  • 12. OPEN INJURIES May 11, 2019 INSP VIJAY KUMAR 12
  • 13. TYPES OF OPEN WOUNDS May 11, 2019 INSP VIJAY KUMAR 13 S C R A T C H E S A B R A S I O N S
  • 14. LACERATION May 11, 2019 INSP VIJAY KUMAR 14
  • 15. May 11, 2019 INSP VIJAY KUMAR 15 AMPUTATION PENETRATING WOUND PUNCTURE WOUND
  • 16. GUNSHOT WOUND May 11, 2019 INSP VIJAY KUMAR 16 IMPALED OBJECT
  • 17. DOUGHNUT TYPE RING PAD May 11, 2019 INSP VIJAY KUMAR 17
  • 18. PHT OF OPEN WOUND Use universal precaution and secure the scene Remove or cut the cloth by the help of trauma scissor from open wound area. Control bleeding by the help of direct pressure and use pressure points also if needed. Prevent from contamination. May 11, 2019 INSP VIJAY KUMAR 18
  • 19. Applying dressing and bandage. Cover the patient from cloth. Treat for shock Transport the patient to the EMS as soon as possible. May 11, 2019 INSP VIJAY KUMAR 19
  • 20. DRESSING Any material used to cover a wound that helps control bleeding and also aids in the prevention of additional- contamination. May 11, 2019 INSP VIJAY KUMAR 20
  • 21. BANDAGE ANY MATERIAL USED TO HOLD A DRESSING IN PLACE. May 11, 2019 INSP VIJAY KUMAR 21
  • 22. OCCLUSIVE DRESSING Any water-resistant material (plastic or waxed paper) that is applied to a wound to prevent the entry of air and loss of moisture from internal organs. May 11, 2019 INSP VIJAY KUMAR 22
  • 23. BULKY DRESSING Multiple stacked dressings made to form single dressing 2-3 cm thick, such as a thick sanitary napkin or any similar material. May 11, 2019 INSP VIJAY KUMAR 23
  • 24. APPLYING DRESSINGS AND BANDAGES Control bleeding Apply the dressing using decontamination technique. Cover the wounds completely Ensure that the dressing and the bandages are firm, flexed and comfortable but not so tight as to affect circulation Ensure there are no loose ends that can get caught Avoid covering the fingertips May 11, 2019 INSP VIJAY KUMAR 24
  • 25. HEAD OR EAR BANDAGE May 11, 2019 INSP VIJAY KUMAR 25 SHOULDER BANDAGE ELBOW BANDAGE KNEE BANDAGE
  • 26. WOUND TO THE EYE Close the BEST ONE EYE to restrict the movement of injured eye. Close the best one eye to the unconscious patient before dressing to secure the BLINDNESS of the patient. Apply the cup or card board to the EXTRUDED EYE patient and never try to enter that eye in same place.May 11, 2019 INSP VIJAY KUMAR 26
  • 27. WOUNDS TO THE EAR Never probe the ear Never pack it to stop bleeding from the ear canal Place a loose, clean dressing across the opening to absorb the fluids Do not apply pressure May 11, 2019 INSP VIJAY KUMAR 27
  • 28. INJURIES TO THE NECK Visible lacerations or other wounds can produce massive bleeding. Difficulty in speaking: loss of voice Airway obstructions can occur without foreign bodies in mouth.May 11, 2019 INSP VIJAY KUMAR 28
  • 29. Tracheal deviation Deformities and depressions Immobilize the patient if you suspect a spinal injury May 11, 2019 INSP VIJAY KUMAR 29
  • 30. ABDOMINAL INJURY SIGNS AND SYMPTOMS Pain or cramps in the abdominal area local or diffuse Guarding the abdomen or lying down in foetal position Tenderness of the abdomen Signs of shock Rigid, tense or distended abdomenMay 11, 2019 INSP VIJAY KUMAR 30
  • 31. ABDOMINAL INJURY SIGNS AND SYMPTOMS Mild discomfort progressing to intolerable pain Deep penetrating pain in the pelvis or lower back Pain radiating to a shoulder or both shoulders Vomiting blood: bright red or like coffee grounds Blood in the stool: bright red or tarry black May 11, 2019 INSP VIJAY KUMAR 31
  • 32. PRE HOSPITAL TREATMENT FOR ABDOMINAL INJURIES Use universal precautions and secure the scene. Be alert for patient vomiting. Cover all open wounds Do not replace exposed internal organs. Cover them with thick , moist sterile dressing. Keep exposed area warm by placing a dressing or towel over the occlusive dressing May 11, 2019 INSP VIJAY KUMAR 32
  • 33. PRE HOSPITAL TREATMENT FOR ABDOMINAL INJURIES Do not remove impaled objects stabilize them with bulky dressing. Constantly monitor vital signs. Place patient supine with legs in most comfortable position. Treat for shock. Transport the patient as soon as possible. May 11, 2019 INSP VIJAY KUMAR 33
  • 34. May 11, 2019 INSP VIJAY KUMAR 34
  • 35. INJURIES TO GENITALS PRE HOSPITAL TREATMENT FOR WOUNDS TO GENITALIA: Wounds To The Genitals Should Be Treated The Same As Any Other Wounds. However, Special Care And Attention Should Be Given To Protect The Patients Privacy. May 11, 2019 INSP VIJAY KUMAR 35
  • 36. May 11, 2019 INSP VIJAY KUMAR 36
  • 37. REVIEW May 11, 2019 INSP VIJAY KUMAR 37
  • 38. POST EVALUATION May 11, 2019 INSP VIJAY KUMAR 38
  • 39. May 11, 2019 INSP VIJAY KUMAR 39 Define soft tissue injury? Bulky dressing thickness is? Ice apply for min in one hour? Water resistant dressing known as?
  • 40. May 11, 2019 INSP VIJAY KUMAR 40
  • 41. May 11, 2019 INSP VIJAY KUMAR 41