14135132 shock-part-2

635 views

Published on

Published in: Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
635
On SlideShare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
11
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

14135132 shock-part-2

  1. 1.  External or internal bleeding common with trauma patients  Control bleeding quickly to prevent
  2. 2.  Risk of infectious disease from contact with the patient’s blood or body fluids  Follow standard precautions  Serious injury may prevent effective clotting  Significant blood loss will cause shock and possibly death
  3. 3.  Perform the standard assessment  Estimate severity of blood loss  Assess the patient for shock
  4. 4. Apply roller bandage.
  5. 5. Used to control bleeding Prevents contamination Dressings should be: ◦Sterile ◦Larger than the wound ◦Thick, soft, compressible ◦Lint free (no cotton balls)
  6. 6.  Gauze pads  Adhesive strips  Trauma dressings  Improvise
  7. 7.  Hemorrhage: Rapid blood loss ◦ Adult: 1 quart may lead to shock ◦ Child: 1 pint loss of blood  Dressing ◦A protective covering for a wound –  Bandage ◦A material used to hold a dressing in place
  8. 8.  Application ◦Wash hands ◦Dressing should extend over edges of wound ◦Do not touch dressing surface that is to be next to the wound ◦Cover with a bandage
  9. 9.  Holding dressings in place  Applying pressure  Prevent or reduce swelling  Provide support or stability
  10. 10.  Leave toes and fingers exposed if possible ◦Bandage too tight? Check for color, circulation, temperature  Wrap towards the heart ◦Small end of bone to large end
  11. 11.  Roller gauze  Improvised  Triangular  Adhesive / paper tape  Adhesive strips  Tourniquets are rarely recommended ◦ Damage to nerves and vessels
  12. 12. Hemophiliacs Aspirin
  13. 13.  Protruding bone  Skull fracture  Embedded object  Stick  Shrapnel
  14. 14.  Abrasion – scrape  Incision – smooth edged cut  Laceration – jagged irregular edges  Puncture – deep, narrow stab wound ◦ High rate of infection (animal bites)  Avulsion – flap of skin torn loose  Amputation – cutting off a body part
  15. 15.  Crushing ◦ Poor chance of reattachment  Guillotine ◦ Clean cut ◦ Good chance of reattachment  (fingertips of kitchen counter)  De-gloving ◦ Skin peeled off
  16. 16.  Control bleeding  Treat for shock  Recover body part  Transport
  17. 17.  Wrap in dry clean cloth ◦Do not wrap in wet dressing  Place in waterproof container  Place bag on bed of ice  Transport immediately
  18. 18.  DO NOT REMOVE !!!!!!!!!!!!  Control bleeding  Stabilize object  Shorten object only if necessary  One exception: ◦ If impaled in cheek and > l hour from help and Pencil is through & through  Control bleeding  Dressings inside and outside of cheek
  19. 19.  Do not apply pressure to eye  Place padding around object  Stabilize object ◦Paper cup  Cover both eyes ◦Explain to victim
  20. 20.  Flush 20 minutes with low pressure water ◦ Remove contacts ◦ Flush outward ◦ Roll eyeball  Loosely bandage both eyes with cold, wet dressings
  21. 21. Dust off chemical Protect yourself Then rinse 20 minutes
  22. 22. Do not replace in socket  Cover loosely with moistened sterile dressing  Pad around area  Cover with paper cup etc.  Cover uninjured eye
  23. 23.  Watery blood could mean a skull fracture  Allow victim to sit up and tilt the affected ear lower to let blood drain out  Only if no Spinal Injury Suspected  Cover ear with loose dressing but DO NOT apply pressure
  24. 24.  Knocked out tooth  Broken tooth
  25. 25.  Rinse mouth / rinse tooth if dirty  Place roll of gauze in the socket  Do not scrub or use alcohol or mouthwash on the tooth  Never touch root  Transport in cold, whole milk
  26. 26.  Broken tooth? ◦ Clean area ◦ Cold compress ◦ Remote area? Candle wax, gum  Fractured jaw? ◦ Immobilize ◦ Medical attention
  27. 27.  Suspect spine injury  Profuse bleeding  Skull or brain exposure?  Indentation in skull?  Control bleeding
  28. 28.  Depressed skull fracture? ◦ Apply pressure around edges of wound ◦ Elevate head and shoulders if appropriate  Lessens bleeding  Do not remove impaled objects ◦ Immobilize with bulky dressings
  29. 29.  Signs and symptoms ◦ Penetrating wound ◦ Point tenderness ◦ Deformity
  30. 30. ◦ Bleeding from ears or nose ◦ Leakage of clear or pink watery fluid from ears or nose (CSF fluid)  Halo effect ◦ Discoloration under eyes or behind ears ◦ Unequal pupils ◦ Profuse bleeding
  31. 31.  Monitor ABC’s  Apply dressing  Control bleeding as best as possible  Stabilize neck (elevate head if appropriate)  Do not clean open skull fracture  Do not stop CSF flow

×