Soft Tissue Injuries

Question 0

Bruise

Answer 0

Contusion

Question 1

Soft tissue injuries may be categorized as (3):

Answer 1

Wounds, opened and closed

Muscle or tendon strains

Ligament sprains

Any combination of the above

Question 2

Discoloration of the skin due to bruising

Answer 2

Ecchymosis

Question 3

Swelling

Answer 3

Hematoma

Question 4

Closed wounds that must be referred to medical aid include (3):

Answer 4

Significant ones around joints

that impair distal circulation

with nerve impairment

Question 5

5 types of open wounds

Answer 5

Abrasion
Amputation
Avulsion
Laceration
Puncture

Question 6

A scrape

Answer 6

Abrasion

Question 7

A cut

Answer 7

Laceration

Question 8

Be especially wary of puncture wounds in which areas

Answer 8

To the neck, chest, abdomen, or groin

Question 9

Avulsion

Answer 9

Full thickness of skin is lost, exposing deeper tissues

Question 10

Application of cold

Answer 10

On for 10 minutes, remove it for 5

Question 11

7 referrals to medical aid

Answer 11

Wounds longer than 3 cm through the full thickness of skin

Wounds to the palm or back of hand

Requiring sutures

Very dirty wounds

Human or animal bites

Wounds with embedded foreign materials

Significant burns:
2nd-degree covering less than 10% of the body surface
3rd-degree covering less than 2% of the body surface

Question 12

RTC Burns (2):

Answer 12

Second-degree covering more than 10% of the body surface

Third-degree covering more than 2% of the body surface

Question 13

Three guidelines when applying cold

Answer 13

Do not apply if distal circulation is impaired

Do not apply directly to the skin

On for 10, off for five minutes

Question 14

Five wounds that require sutures

Answer 14

Jagged- edges or where flesh is destroyed

Avulsion- Flap of full thickness skin

Gaping- when cleaned and difficult to close

Joints- Wounds over joints

Facial

Question 15

Cleansing of serious wounds

Answer 15

Limited to brushing away of gross contaminants

Question 16

Puncture wound soak solution

Answer 16

1 part concentrated antibacterial detergent to 20 parts water

Question 17

Cleaning inside a wound

Answer 17

Sterile guaze and normal saline

Question 18

Skin closures should remain on

Answer 18

For 7 to 10 days

Question 19

Re tetanus immunization for cleaning wounds

Answer 19

Within the past 10 years is adequate for cleaning minor wounds, 5 years for all other wounds

… Otherwise advise to get such immunization within 36 hours

Question 20

Report back for redressing

if (4 parts)

Answer 20

Dressings become wet or soiled

There is an increase in pain in the area

Tingling or a loss of sensation develops in or distal to the area

Signs of infection

… Otherwise follow up in 24 hours

Question 21

Signs of infection

Answer 21

Redness
Heat
Swelling
Tenderness
* Red streaks extending from the area (indicating blood poison)

Question 22

Dressings should be changed

Answer 22

Every two days

Question 23

Puncture wounds should be soaked

Answer 23

Either in warm normal saline or diluted antibacterial solution for 15 to 20 minutes

Question 24

Foreign object penetrating a joint

Answer 24

Must be immobilized and referred to medical attention

Question 25

Subungual hematoma

Answer 25

Blood beneath the nail bed

Question 26

Abscess treatment

Answer 26

Local application of hot or warm compresses for a day or two until the core discharges

Question 27

Refer abscess to medical aid if

Answer 27

Involves face, neck, groin, or buttocks

Patient is generally feeling sick or has a fever

f the local measures do not seem effective within 1 to 2 days

Question 28

4 types of infection-causing microorganisms are

Answer 28

Bacteria
Viruses
Fungi
Parasites

Question 29

Tetanus A.k.a.

Answer 29

Lockjaw

A serious infectious complication of a wound. It is caused by infection from bacteria that inhabit the intestine of domestic animals.

Question 30

Signs of tetanus may develop when?

Answer 30

As soon as 3 days or as late as 3 weeks. The average time is 7 days

Question 31

Patients suspected of having tetanus are in which category

Answer 31

RTC

Question 32

Established tetanus has a mortality rate of

Answer 32

40%

Question 33

Crackling beneath the skin

Answer 33

Crepitus

Mostly characteristic of gas gangrene

Question 34

Patients suspected of having gangrene are

Answer 34

RTC

Question 35

Flesh eating disease

Answer 35

Necrotizing fasciitis

Important clue to this disease is the disproportionate pain to the type of wound or injury

Question 36

Patients suspected of having necrotizing fasciitis are

Answer 36

RTC

Question 37

Management of severed parts

Answer 37

Clean off gross matter-do not scrub

Wrap in moistened, sterile gauze

Place in waterproof bag

Place in larger bag which has either cold water or ice DO NOT FREEZE THE PART

Question 38

Define syndrome

Answer 38

A set of symptoms or signs that occur together Example a classic crush syndrome