Solid organs pose a greater risk of blood lost than hollow organs do. The spleen is a solid organ.
The burning process is a life threat and should be stopped immediately.
This situation requires exceptional diplomacy and gentle inquiry to explore the possibility of sexual abuse.
Soft tissue injuries are by far the most common form of trauma. Millions of patients present to emergency departments annually with soft tissue wounds.
A segment of skin that is detached or minimally attached is an avulsion.
The risk of body fluid exposure is great, and full protection of the eyes, mouth, nose, and hands is necessary.
The anterior torso is 9 + 9, and an entire arm would be 9, but only the anterior surface of the patient’s arm (about 1/2) is burned, so that would be 4.5%. Therefore 9 + 9 + 4.5 = 22.5%.
This patient may have additional injuries. You must complete your assessment before performing additional treatment. There is no indication from the primary assessment (the patient is able to talk to you) that he needs immediate high flow-oxygen.
The dermis is the layer of skin that contains nerves, vessels, and specialized structures.
To care for an electrical burn injury, the EMT should (1) never attempt to remove a patient from an electrical source unless the EMT is trained and equipped to do so, (2) never touch a patient who is still in contact with the electrical source, (3) administer oxygen by nonrebreather mask at 15 lpm, (4) monitor the patient for cardiac arrest, (5) assess the patient for muscle tenderness with or without twitching and any seizure activity, (6) always assess for an entrance and exit burn injury, and (7) transport the patient as soon as possible.
The first step in managing a burn victim is to stop the burning process. For patients with burns to the eye, irrigating with copious amounts of water for 20 minutes or until arrival at the hospital is the appropriate way to manage the injury. If only one eye is burned, irrigate in such a way that it does not expose the unaffected eye.
The subcutaneous layer is just below the dermis layer and provides shock absorption and insulation by way of adipose tissue.
It is important to bandage the hand in the position of function, leaving the fingernails visible and wrapping distal to proximal.
Burns involving the hands, feet, face, or genitalia are considered to be critical, regardless of the total body surface area involved, because of the potential loss of function.
The course or depth of the trajectory of the object that caused the puncture cannot be known with certainty.
A hematoma is similar to a contusion except that it usually involves damage to a larger blood vessel and a larger amount of tissue. It is characterized by a large lump with bluish discoloration caused by blood collecting beneath the skin.
Without an intact airway, the patient will be unable to ventilate or oxygenate. The result of this will be cellular hypoxemia and death.
Wrap the part in sterile gauze, place it in a plastic bag, and keep it cool, avoiding freezing.
Bruising to the head or neck indicates possible injury to the cervical spine or brain. Blood in the mouth, nose, or ears may also be present.
Your first priority is to stop the burning process then remove any constricting jewelry.
If the bandage is too tight, the circumferential pressure that is caused may be enough to block distal blood flow. A dressing should be bandaged snugly enough to hold the dressing in place and contribute to the stoppage of bleeding but not so tightly that it impairs all distal blood flow.
The skin achieves temperature regulation by altering the blood flow to the skin and by controlling perspiration.