Ch 30 Soft Tissue Trauma

Question 1

Crush injury

Answer 1

Indication is a bruise
Internal organs crushed
Crushed hollow organs can cause inflammation and tissue damage

Question 2

Possible underlying fracture

Answer 2

Swelling or deformity at bruise

Question 3

Object impaled in cheek

Answer 3

Pull it out if there is perforation and you can see both ends

Question 4

Eye wounds

Answer 4

No impaled object: loose dressings
Impaled: stabilize and rigid protection (cup)
Do not secure bandage on top of cup
Dress both eyes, tend to move together

Question 5

Avulsions treating

Answer 5

Large, bulky pressure dressing
Save abused part wrap in sterile dressing moistened with sterile saline and keep cool

Question 6

Partial thickness burns

Answer 6

Blisters
Mottle appearance
Dermis is damaged

Question 7

Rule of nines

Answer 7

Each area contributes 9%
Head and neck
Each upper extremity
Chest
Abdomen
Upper back
Lower back
Buttocks
Front of each lower extremity
Back of each lower extremity

Question 8

Burn center

Answer 8

Second degree more than 10%
Burns in face, genitalia, perineum, extremities and joints
Third degree
Electrical burns
Inhalation burns
Other medical problems or trauma

Question 9

Hydrofluoric acid and alkali

Answer 9

Irrigate for as long as you can or until MD tells to stop

Question 10

Carbolic acid (phenol)

Answer 10

Wash with alcohol first followed by water

Question 11

Inhaled vapors

Answer 11

Provide oxygen and transport

Question 12

Chemical burns to eyes

Answer 12

Wash and cover with moistened pads