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Name:- Nidhi
Roll no. – 74
Section- B
Submitted to- Dr. Alok sharma
Topic – abrasion and concussion
INTRODUCTION
An abrasion is a type of open wound that’s caused by the skin
rupture against a rough surface.
Abrasion terms damage in the epidermis of the skin . The
abrasion injury is mainly caused due to friction against a rough
surface. This results in removing the layer of skin.
The abrasion wound may cause swollen, severe pain and
sometimes it may lead to infection.
ABRASION
• Destruction of the skin-loss of superficial epithelial layers of
skin.
• Heals rapidly without scar formation.
• Abrasion is a type of mechanical injury.
• Due to a blunt force .
• Also known as GARVEL RASH.
Causative agents
• FRICTION against a rough surface
 lateral rubbing action by a blow
Fall
Finger nails
Teeth bite
The rougher the surface, and the more rapid the movement of the skin
over it, the deeper is the injury.
TYPES OF ABRASIONS
SCRATCHES
• GRAZES
PRESSURE ABRASIONS
• IMPACT ABRASIONS
SCRATCHES/ LINEAR ABRASION
• Has length but no significant width.
• Caused by SHARP/POINTED objects like:-
o Fingernails
o Pin
o Thorn
• A scratch produced from tip of a knife or razor is called as
POINT SCRATCH.
GRAZES/GLIDING/SLIDING ABRASION
• Most common type.
• Movement between skin & some rough surface in contact with it.
• Uneven, longitudinal parallel lines with epithelium headed up at the
ends of these lines, which indicates the direction in which the force is
applied.
• The furrow may be broad at one end and narrow at the other end.
• Commonly seen in road accidents.
• A glancing kick with a boot is also a graze.
PRESSURE ABRASION
• Caused by CRUSHING of the superficial layers of the epidermis.
• Associated with a bruise of the surrounding area.
• If movement of the instrument is around 90 degrees to the skin,
pressure abrasion is produced.
• Force of impact – less
• Duration – more
• Examples:-
- ligature mark in cases of hanging and strangulation.
- teeth bite marks.
IMPACT ABRASIONS
• Caused by impact with a rough object when force is
applied at right angle to the skin surface.
• Force of impact-high
• Duration-less
• Example-a person getting hit by a car.
AGE OF ABRASIONS
• Fresh – bright red
• 12 to 24 hours – Bright red scab
(blood and lymph dries up)
• 2 to 3 days – Reddish-Brown scab
• 4 to 7 days – Dark brown to Brownish-Black scab
• After 7 days – Scab dries and falls off, leaving depigmented
area with gets pigmented gradually.
Degree of abrasion
• Abrasion wounds can range from mild to severe. Most of the abrasion
will stay in mild range and it can be easily treated from home. But,
some severe abrasion requires medical treatment.
• First- degree Abrasion
• Second - degree Abrasion
• Third- degree Abrasion
First – degreeAbrasion
• If the first layer of the epidermis is affected or the
upper layer of skin peeled, this is considered a first-
degree abrasion. Even first-degree abrasion does not
cause any bleed. Rarely it will be for scrapes or grazes.
Second – degree Abrasion
• If the epidermis, as well as dermis, are damaged. Then
this is considered as second-degree abrasion. Usually,
second-degree abrasion causes mild bleeding.
Third- degree Abrasion
• Severe abrasion is termed third-degree abrasion. It is
also known as an avulsion wound. If friction and tears
occur on the skin and dermis layer, get a deeper
incision. These avulsion wounds will cause heavy
bleeding. Likewise, it requires intensive medical care.
PREVENTION OF ABRASION
• It is difficult to fully prevent an abrasion, as they are often accidental
and due to the exposures of everyday life.
1. Wearing gloves, long sleeves, plants, or other layers of clothing as
additional layers of protection for the skin.
2. Wearing safety gear such as safety goggles, closed-toe shoes, and
glasses.
3. Wearing helmets and protective pads for knees, wrists, elbows, and
hands during sports or other physical activities.
4. Knowing how to properly use tools, sharp objects, and kitchen
supplies.
TREATMENT OF ABRASION
• The primary goal for the physician while treating is to stop
bleeding. The bleeding mainly occurs due to pressure abrasion.
It can be controlled by clean cloth or cotton or any other
absorbent material.
• The next step is to clean the abrasion wound with clean warm
water or with sterile saline solutions.
• It is important to remove the foreign materials if they could be
found near the abraded skin. The wound requires some
medication depending on the depth of debris present in the
epidermis.
Treatment of Abrasion
•In some cases. The removal of foreign material from
abrasion injury may cause a deeper incision. And it
requires physician treatment.
•Once the abrasion wound was cleaned, it can be
dressed up with petroleum jelly or some antibiotic
ointments.
2.Concussion
•A concussion is a traumatic brain injury that affects your
brain function. Effects are usually temporary but can include
headaches and problems with concentration, memory,
balance and coordination.
•Concussions are usually caused by a blow to the head.
Violently shaking of the head and upper body also can cause
concussions.
Symptoms
• Headache
•Ringing in the ears
• Nausea
• Vomiting
• Fatigue or drowsiness
• Blurry vision
•Difficult in falling asleep
• Dizziness
• Lack of concentration
• Slurred speech
• Memory loss
• Behavioural change
Prevention
•Wearing protective gear during sports and other
recreational activities. Make sure the equipment fits
properly, is well maintained and is worn correctly.
•Buckling your seat belt. Wearing a seat belt may
prevent serious injury, including head injury, during a
traffic accident.
•Making your home safe. Keep your home well lit and
your floors free of anything that might cause you to
trip and fall. Falls around the home are a leading
cause of head injury.
Prevention
•Exercising regularly. Exercise regularly to strengthen
your leg muscles and improve your balance.
•Educating others about concussions. Educating
coaches, athletes, parents and others about
concussions can help spread awareness. Coaches and
parents can also help encourage good sportsmanship.
Treatment
• Cold towels on head
• Proper sleep and rest
• No use of television and phone
• No physical contact with sports
• Must be clear by doctor to participate in contact
sports to Prevent future concussion and long term
effects
B- 74 Nidhi.pptx

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B- 74 Nidhi.pptx

  • 1. Name:- Nidhi Roll no. – 74 Section- B Submitted to- Dr. Alok sharma Topic – abrasion and concussion
  • 2. INTRODUCTION An abrasion is a type of open wound that’s caused by the skin rupture against a rough surface. Abrasion terms damage in the epidermis of the skin . The abrasion injury is mainly caused due to friction against a rough surface. This results in removing the layer of skin. The abrasion wound may cause swollen, severe pain and sometimes it may lead to infection.
  • 3. ABRASION • Destruction of the skin-loss of superficial epithelial layers of skin. • Heals rapidly without scar formation. • Abrasion is a type of mechanical injury. • Due to a blunt force . • Also known as GARVEL RASH.
  • 4. Causative agents • FRICTION against a rough surface  lateral rubbing action by a blow Fall Finger nails Teeth bite The rougher the surface, and the more rapid the movement of the skin over it, the deeper is the injury.
  • 5. TYPES OF ABRASIONS SCRATCHES • GRAZES PRESSURE ABRASIONS • IMPACT ABRASIONS
  • 6. SCRATCHES/ LINEAR ABRASION • Has length but no significant width. • Caused by SHARP/POINTED objects like:- o Fingernails o Pin o Thorn • A scratch produced from tip of a knife or razor is called as POINT SCRATCH.
  • 7. GRAZES/GLIDING/SLIDING ABRASION • Most common type. • Movement between skin & some rough surface in contact with it. • Uneven, longitudinal parallel lines with epithelium headed up at the ends of these lines, which indicates the direction in which the force is applied. • The furrow may be broad at one end and narrow at the other end. • Commonly seen in road accidents. • A glancing kick with a boot is also a graze.
  • 8. PRESSURE ABRASION • Caused by CRUSHING of the superficial layers of the epidermis. • Associated with a bruise of the surrounding area. • If movement of the instrument is around 90 degrees to the skin, pressure abrasion is produced. • Force of impact – less • Duration – more • Examples:- - ligature mark in cases of hanging and strangulation. - teeth bite marks.
  • 9. IMPACT ABRASIONS • Caused by impact with a rough object when force is applied at right angle to the skin surface. • Force of impact-high • Duration-less • Example-a person getting hit by a car.
  • 10. AGE OF ABRASIONS • Fresh – bright red • 12 to 24 hours – Bright red scab (blood and lymph dries up) • 2 to 3 days – Reddish-Brown scab • 4 to 7 days – Dark brown to Brownish-Black scab • After 7 days – Scab dries and falls off, leaving depigmented area with gets pigmented gradually.
  • 11. Degree of abrasion • Abrasion wounds can range from mild to severe. Most of the abrasion will stay in mild range and it can be easily treated from home. But, some severe abrasion requires medical treatment. • First- degree Abrasion • Second - degree Abrasion • Third- degree Abrasion
  • 12. First – degreeAbrasion • If the first layer of the epidermis is affected or the upper layer of skin peeled, this is considered a first- degree abrasion. Even first-degree abrasion does not cause any bleed. Rarely it will be for scrapes or grazes.
  • 13. Second – degree Abrasion • If the epidermis, as well as dermis, are damaged. Then this is considered as second-degree abrasion. Usually, second-degree abrasion causes mild bleeding.
  • 14. Third- degree Abrasion • Severe abrasion is termed third-degree abrasion. It is also known as an avulsion wound. If friction and tears occur on the skin and dermis layer, get a deeper incision. These avulsion wounds will cause heavy bleeding. Likewise, it requires intensive medical care.
  • 15. PREVENTION OF ABRASION • It is difficult to fully prevent an abrasion, as they are often accidental and due to the exposures of everyday life. 1. Wearing gloves, long sleeves, plants, or other layers of clothing as additional layers of protection for the skin. 2. Wearing safety gear such as safety goggles, closed-toe shoes, and glasses. 3. Wearing helmets and protective pads for knees, wrists, elbows, and hands during sports or other physical activities. 4. Knowing how to properly use tools, sharp objects, and kitchen supplies.
  • 16. TREATMENT OF ABRASION • The primary goal for the physician while treating is to stop bleeding. The bleeding mainly occurs due to pressure abrasion. It can be controlled by clean cloth or cotton or any other absorbent material. • The next step is to clean the abrasion wound with clean warm water or with sterile saline solutions. • It is important to remove the foreign materials if they could be found near the abraded skin. The wound requires some medication depending on the depth of debris present in the epidermis.
  • 17. Treatment of Abrasion •In some cases. The removal of foreign material from abrasion injury may cause a deeper incision. And it requires physician treatment. •Once the abrasion wound was cleaned, it can be dressed up with petroleum jelly or some antibiotic ointments.
  • 18. 2.Concussion •A concussion is a traumatic brain injury that affects your brain function. Effects are usually temporary but can include headaches and problems with concentration, memory, balance and coordination. •Concussions are usually caused by a blow to the head. Violently shaking of the head and upper body also can cause concussions.
  • 19. Symptoms • Headache •Ringing in the ears • Nausea • Vomiting • Fatigue or drowsiness • Blurry vision •Difficult in falling asleep • Dizziness • Lack of concentration • Slurred speech • Memory loss • Behavioural change
  • 20. Prevention •Wearing protective gear during sports and other recreational activities. Make sure the equipment fits properly, is well maintained and is worn correctly. •Buckling your seat belt. Wearing a seat belt may prevent serious injury, including head injury, during a traffic accident. •Making your home safe. Keep your home well lit and your floors free of anything that might cause you to trip and fall. Falls around the home are a leading cause of head injury.
  • 21. Prevention •Exercising regularly. Exercise regularly to strengthen your leg muscles and improve your balance. •Educating others about concussions. Educating coaches, athletes, parents and others about concussions can help spread awareness. Coaches and parents can also help encourage good sportsmanship.
  • 22. Treatment • Cold towels on head • Proper sleep and rest • No use of television and phone • No physical contact with sports • Must be clear by doctor to participate in contact sports to Prevent future concussion and long term effects