Chapter 9b - soft tissue

Question 1

What structures are at the epidermis?

Answer 1

Barrier to bacterioa + other organisms

Question 2

What structures are at the dermis?

Answer 2

Nerves, sweat glands, blood vessels

Question 3

Tx principle of soft tissue wound

Answer 3

PIER/PRICE/RICE

Question 4

Name the 6 types of lesion

Answer 4

Abrasion
Laceration
Avulsion
Puncture wound
Crush injury
Amputation

Question 5

Which lesion is most dangerous for infection?

Answer 5

Puncture

Question 6

Tx for minor open wound

Answer 6

Wash with saline solution for 3-5min
Disinfect periphery of wound with clear anti-septic solution using sterile gauze dressing

Question 7

What are the 3 components of polysporin?

Answer 7

Polymyxin B
Bacitracin zinc
Gramicidin

Question 8

Name the 3 different types of tetanus shots

Answer 8

Diphtheria
Tetanus
Pertussis

Question 9

Cause of tetanus

Answer 9

Bacterial infection due to bacteria getting into the wound through the skin or mucous membrane

Question 10

Other name for tetanus

Answer 10

Lockjaw because spasms and seizures

Question 11

Wound sealants - external use only + enhance adherence of steri-strip/bandage

Answer 11

Tincture of benzoin

Question 12

How many days do you need to keep the wound dry for skin glue?

Answer 12

5 days

Question 13

What is the name of the product: minor cuts and abrasions, over dry sutured wounds, after suture removal, can help to protect unbroken blisters, can help to protect the skin from friction/blisters

Answer 13

Opsite spray-sealant

Question 14

Exceptions to not removing object?

Answer 14

Cheek/jaw
Affects airway

Question 15

For ampputation wound - the amputated part should be kept in what condition?

Answer 15

dry plastic bag on ice

Question 16

Name the 6 possible MOI/etiology for burns

Answer 16

Thermal (heat)
Chemicals
Electricity
Solar radiation
Other forms of radiation

Question 17

Severity of burns depends on what (5)

Answer 17

Temperature of object
Location of burn
Casualty’s age
Under 5 and over 55 = thin skin
Medical conditions

Question 18

Superficial burn - epidermis

Answer 18

first degree

Question 19

Partial thickness - epidermis + dermis

Answer 19

second degree

Question 20

full thickness - epidermis + dermis + others

Answer 20

third degree

Question 21

What is the first step to do with thermal burns?

Answer 21

Flush with cool water up to 15 min

Question 22

tip to memorize thermal burn management

Answer 22

Put the fire out and cool the tissue

Question 23

After 15 min - what must you determine in relation to the cooling?

Answer 23

If it is beneficial or harmful

Question 24

Explain the rule of nines %BSA

Answer 24

Arm = 9%
Thorax = 18%
Leg = 18%
Head = 9%

Question 25

What is the management for Burn more than 10% BSA

Answer 25

WET dressing no longer than 15 min + DRY dressing for shock prevention

Question 26

Management for chemical burns before flushing with water?

Answer 26

Brush off dry chemicals

Question 27

Is the exit or entry wound worse?

Answer 27

EXIT