Transcript Soft Tissue Injury

Soft Tissue Injury
Soft Tissues Injuries



They include skin, fatty tissue, muscles, blood
vessels, fibrous tissues, membranes, glands
and nerves.
The most obvious soft tissue injuries involves
the skin
It is divided into:


Closed wounds
Open wounds
Closed Wounds



It is an internal injury with no open pathway
from the outside to the injured site.
It results from blunt injuries.
It includes:



Contusion:
Hematoma
Crush injuries
Contusion




Bruise
Disruption of small blood vessels and extravasation
of blood into the skin and/or mucous membranes
that does not interrupt the skin integrity
S & S: pain, swelling and discoloration at wound
site.
It may be an indication of internal injuries and
related internal bleeding.
Hematoma

Swelling caused by the
collection of blood
under the skin or in
damaged tissues as a
result of an injured or
broken blood vessel.
Crush Injury


It is an injury caused when
force is transmitted from
the body’s exterior to its
internal structures.
Bones can be broken;
muscles, nerves and tissues
damaged and internal
organs ruptured causing
internal bleeding.
Care of patients with closed wound






ABC
Consider presence of internal bleeding, care
for shock.
Splint painful, swollen and deformed
extremities.
Be alert for possible vomiting
Monitor for shock
Transport as soon as possible
Open Wounds



It is an injury in which the skin is interrupted,
exposing the tissue beneath.
The interruption can come outside as laceration
or from inside caused by fractured bones
Types:






Abrasions
Lacerations
Punctures
Avulsions
Amputations
Crush injuries
Abrasions



A scratch or scrape
An epidermal and
dermal injury caused
by a friction, rubbing,
or scraping motion
S & S: no bleeding but
mild oozing, pain
Lacerations


A cut
Open wound from
external forces causing
a tearing or splitting of
the skin, involving the
dermis, epidermis, or
underlying structures
Puncture Wound





An open wound that tears through the skin and
destroys underlying tissues.
Can be shallow or deep
Perforated wound has both an entrance and exit
wound.
Puncture wounds bleed minimally and tend to trap
foreign material that can lead to infection.
Animal and human bites can be considered puncture
wounds and should be treated as contaminated
wounds.
Avulsion




Tearing away or tearing off of a piece or flap of skin
or other soft tissue.
A full thickness skin loss or resultant flap in which
the wound edges cannot be approximated
Also used for eye pulled form its socket or dislodged
teeth.
Deploring: A serious type of avulsion injury
resulting from high-energy shearing forces that tear
large areas of skin and subcutaneous tissue away
from the underlying vascular supply
Amputations


The surgical removal or traumatic severing of
a body part usually an extremity.
Complete amputations will have less active
bleeding than partial amputations because of
retraction and constriction of the severed
arteries.
Crush Injury
Care of patients with open wounds








Expose the wound
Clean wound surface (large pieces)
Control bleeding
Care for shock
Prevent further contamination
Bandage dressing in place after bleeding control
Keep patient lying still
Reassure the patient