Transcript Abdominal & Genitourinary Injury

Abdominal & Genitourinary
Injury
EMT 100
Abdominal Injury –Closed or
Open
 Mechanism of Injury
 Discoloration/Bruising
 Swelling, Rigidity
 Pain over area
 Signs of shock
– What are they?
 Exposed organs
Abdominal Injury Treatment
 Maintain ABCs
 Treat for shock
 Control external bleeding
 Stabilize any impaled objects
 Cover exposed organs with clean, moist dressing
– Do not touch with hands or try to replace!
 Reassure
 Activate EMS
Acute Abdomen
Sudden onset of belly pain with no
obvious injury or cause
Examples of Acute Abdomen
 Appendicitis
 Pancreatitis
 Cholecystitis
 Pelvic Inflammatory
 Bleeding ulcer
Disease (PID)
 Kidney stone
Treatment – Acute Abdomen
 Position of comfort –
lying still with knees
flexed
 Treat for shock
 Reassure
 Seek medical care
Genitourinary Injury
 Assaults or straddle
 Pain, swelling, discoloration, bleeding
 Ice packs and control bleeding
– No internal bleeding control for females!
(tampons)
 Reassure
 Seek medical care
Sexual Assault
 Give emotional support as well as being
advocate
 Treat soft tissue injuries with ice packs and
external dressings to control bleeding
 Maintain evidence
– No hygiene
– No change of clothes
– No urination
 Seek medical care ASAP
Musculo-skeletal Injury
Fractures, Sprains, Strains,
Dislocations
Fractures
Closed
Open
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Pain
Swelling and discoloration
Deformity
Shock
Exposed bone
Crepitus
Fractures - Treatment
 Maintain ABC’s
 Control bleeding with
 Ice pack
loose dressing
 Treat for shock
 Do not touch exposed
bone or attempt to
push back under skin
 Reassure
 Get medical care
 Immobilize from joint
above to joint below,
ie splint
 Elevate (if possible)
Sprains
 Over-stretching or
 Ice
tearing a ligament
 Pain
 Swelling
 Discoloration
 Immobilize
 Elevate
 Reassure
 Get medical care
Strains
 Over-stretching or
 Ice
tearing a muscle
 Pain
 Minimal (if any)
swelling or
discoloration
 Immobilize
 Reassure
 Seek medical
evaluation
Dislocation
 Bones that form a joint
 Ice
are knocked out of
alignment
 Pain
 Deformity
 Discoloration
 Swelling
 Immobilize
 Reassure
 Immediate medical
care
Splinting Guidelines
 Check circulation and
 Don’t let splint push
nerve function before
and after
 Expose area
 Splint in the position
you find the injury
exposed bone back
under skin
 Pad splints
 When in doubt, splint!
Let’s Rock and
Roll!