first aid chapter 9 chest, abdominal and pelvis injuries
TRANSCRIPT
First AidFirst Aid
Chapter 9 Chest, Abdominal and Pelvis Injuries
Chest InjuriesChest Injuries
Check and recheck ABCs
Sit up or place injured side down
Encourage coughing to prevent pneumonia
Rib FracturesRib Fractures
Main Symptom:
Pain with movement, coughing or breathing.
Rib FracturesRib FracturesWhat To Do:Stabilize by having victim hold pillow or soft object against area.
Encourage deep breaths and coughing
SMA
Chest: Impaled ObjectChest: Impaled Object
What To Do:Stabilize with bulky dsg.
Do not remove object
SMA
Sucking Chest WoundSucking Chest WoundWhat To Do:Have victim take deep breath and let it out.
Seal wound with plastic
Tape in place with one corner left un-taped
Creates flutter valve
If SOB – remove and re-apply
SMA
ABD Injuries: BluntABD Injuries: Blunt
What To Do:Place on side
Expect vomiting
No food or drink
SMA
ABD Injuries: ABD Injuries: PenetratingPenetrating
What To Do:Expect internal organs to be damagedStabilize with bulky dsg.Do not remove objectSMA
ABD Injuries:ABD Injuries: Protruding OrgansProtruding Organs
What To Do:Cover internal organs with sterile or clean clothPour water over dsg to keep moistSMA
ABD Injuries:ABD Injuries: Protruding OrgansProtruding Organs
Do NOT:Try to re-insert organs
Cover tightly
Pelvis Injuries:Pelvis Injuries:
How to Recognize:Gently press sides of pelvis down and squeeze. Will be very painful
Pelvis Injuries:Pelvis Injuries:
What to Do:Treat for shockPlace padding btw legs, tie knees and ankles togetherKeep on firm surfaceSMA
Pelvis Injuries:Pelvis Injuries:
Do NOT:Roll victim
Move victim
Learning Activities 9Learning Activities 9
1. 1. Stabilize a rib fx by taping Stabilize a rib fx by taping the chest as tightly as the chest as tightly as possiblepossible. .
No
Chest Injuries
Learning Activities 9Learning Activities 9
2. 2. Stabilize an impaled object in Stabilize an impaled object in the chest with bulky padding to the chest with bulky padding to prevent movement. prevent movement.
Yes
Chest Injuries
Learning Activities 9Learning Activities 9
3. 3. Seal off a chest wound that Seal off a chest wound that has air passing in and out of has air passing in and out of the chest. the chest.
Yes
Chest Injuries
Learning Activities 9Learning Activities 9ScenerioScenerio: : Iron rod in workers chest. Iron rod Iron rod in workers chest. Iron rod
has been removed. Air is passing in has been removed. Air is passing in
and out of chest. What to do?and out of chest. What to do?
Monitor ABCs
Seal wound with plastic
SMA
Learning Activities 9Learning Activities 9
1. 1. Gently push protruding Gently push protruding organs back through organs back through the woundthe wound. .
No
Abdominal Injuries
Learning Activities 9Learning Activities 9
2. 2. A dressing over A dressing over exposed intestines exposed intestines should be dryshould be dry. .
No
Abdominal Injuries
Learning Activities 9Learning Activities 9
3. 3. Remove penetrating Remove penetrating objects from the objects from the abdomenabdomen. .
No
Abdominal Injuries
Learning Activities 9Learning Activities 9
4. 4. Blow to adb with internal Blow to adb with internal injuries suspected, place injuries suspected, place victim on side.victim on side.
Yes
Abdominal Injuries
Learning Activities 9Learning Activities 9
Stabilize protruding object with bulky dsg
Cover organs with clean cloth and pour water over cloth
Treat for shock
SMA
Scenario: 45 y/o falls with window glass. Glass breaks. He is laying on back with bloody shirt. Lacerated abd with loops of bowel protruding thru. What to do?
Learning Activities 9Learning Activities 9
1.1. Keep on firm surface.
Yes
Pelvis Injuries
Learning Activities 9Learning Activities 9
2.2. Keep knees bent and place padding btw legs.
Yes
Pelvis Injuries
Learning Activities 9Learning Activities 9
Treat for shock
Padding btw thighs, tie knees and ankles together if possible
Keep on firm surface
SMA
Scenario: Older lady falls down stairs. Lying on side. Suspect pelvis fx. C/O severe pain in pelvic area. What to do?