FMST 207 Manage Wounds

Question 1

What is a superficial/first degree bud ?

Answer 1

Involves the epidermis as red and painful.

Question 2

What is a partial thickness burn/second degree burn?

Answer 2

Involves the epidermis and portions of the dermis. Can appear as blisters or burn areas that glisten or wet appearing base. Intense Pain.

Question 3

What is a full thickness burn/third degree burn?

Answer 3

Involves all three layers of the skin, painful but only on the surrounding area. Skin is dry/leathery. Skin can range in color.

Question 4

What is a fourth degree/complete burn?

Answer 4

All layers of the skin, fat muscle, bone and organs.

Question 5

What is a thermal burn?

Answer 5

It’s the most common type of burn in the battlefield, weapons are designed to burn at high temperatures.

Question 6

What are electrical burns?

Answer 6

Caused by electricity, small entrance and can damage internally. Damage depends on amount of electricity and duration.

Question 7

What is radiation burns?

Answer 7

Associated with nuclear blast, radiation is hazardous. Can have systematic effects.

Question 8

What is a chemical burn?

Answer 8

Prolonged exposure to offending agents. ACIDS: pH levels from 7-0
Bases (Alkali) 7-14

Question 9

What is a circumferential burn?

Answer 9

Burns that encircles the trunk of the body, it can cause a tourniquet like effect.

Question 10

What is a critical burn?

Answer 10

A burn that quickly compromise your patient and should be recognized quickly and treated as a life threatening emergency.

Question 11

What’s the two way to estimate the burn sizes?

Answer 11

Rules of 9 and Rules of Palm.

Question 12

What the treatment for burns?

Answer 12

Get them out of the burning, maintain ABC, estimate TBSA, cover burns with dry sterile dressing, hypothermia, pain management, antibiotics, and fluid resuscitation.

Question 13

What’s the rules of ten to calculate fluid resuscitation?

Answer 13

% TBSA x 10 cc/hr and for every 10kg above 80 increase by 100 ml/hr.
(%TBSA x 10 cc/hr)+(100cc/hr(X-80kg)/10)

Question 14

How would you treat burns of the eye?

Answer 14

Irrigate/flush. Perform a rapid visual test, and cover with eye shield and use antibiotics.

Question 15

How do you treat a penetrating eye trauma?

Answer 15

Test visual acuity, stabilizes, apply eye shield. Use antibiotics and CASEVAC.

Question 16

How to you treat an impaled object in the eye?

Answer 16

ABC, do not remove, donut wrap, cup and dressing, and elevate head.

Question 17

How do you treat a protruding globe?

Answer 17

Do not push back in, bulky dressing and moist gauze. Cover with a cup and secure. Monitor and TACEVAC.

Question 18

What are the two types of soft tissue injuries?

Answer 18

Closed and Open. Open is the skin is interrupted exposing tissue. Closed is skin is not interrupted but can have bruising.

Question 19

What is an abrasion?

Answer 19

Skin is rubbed or scraped off. For example road rash or rug burns

Question 20

What is a laceration?

Answer 20

Tearing of the body tissue. Control infection, clean, and treat. (big cut)

Question 21

What is an avulsion?

Answer 21

Flaps of skin are torn loose or completely pulled off. HEMCON, treat, immobilize and pain management.

Question 22

What are some of the causes of abdominal injuries?

Answer 22

Internal hemorrhage,septic shock, and organ failure.

Question 23

How would you treat penetrating trauma?

Answer 23

Do not remove, stabilize and CASEVAC.

Question 24

How would you treat an evisceration?

Answer 24

Control hemorrhage, clean the site, moist sterile dressing, reduction, and antibiotics

Question 25

How would you assess for eviscerations?

Answer 25

Inspect, auscultate, palpate, and check for signs and symptoms.