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26-1 anatomy of skin layers
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26-2 major functions of skin
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26 Objectives

Soft Tissue Injury

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26-1 anatomy of skin layers *epidermis- external, watertight covering, contain pigment *dermis- inner layer of skin, contains hair follicles, pili muscles, sweat and oil glands, blood vessels, nerves *mucous membranes- mouth, nose, anus, vagina
26-2 major functions of skin 1. protect from infection 2. water kept in 3. body temperature regulated 4. nerve sensation provide CNS information
26-3 three types of soft tissue injury *closed- damage beneath skin/ mucous membranes and surface remain intact *open- breaks in surface skin or mucous membranes: contamination issues *burns- excessive energy damage from: thermal, friction, chemicals, electricity and radiation
26-4 types of closed soft tissue injury contusion-bruise, low energy ecchymosis- blue black bruise, high energy hematoma- pooling of blood under skin, severe is 1L blood crushing- amount of force applied and time applied compartment syndrome-fluid leaks into space increasing pressure
26-5 types of open soft tissue injury contamination-infectious foreign bodies abrasions-superficial layer from scrapes laceration-jagged edges by object or blunt linear (regular) stellate (irregular) incision-sharp clean cut avulsion-complete removal or flap penetrating wound-inside
26-6 Pt assessment of closed and open soft tissue injuries -BSI, scene safe -general impression -ABCs + O2 -Transport decision - Hx -Focused and Rapid exam -DCAP-BTLS -reassessment
26-7 Pt assessment of closed and open soft tissue injuries in relation to airway management
26-8 emergency medical care for closed and open injury
26-9 emergency medical care for an open wound to abdomen
26-10 emergency medical care for impaled object
26-11 emergency medical care for neck injury
26-12 emergency medical care for small animal bites, human bites, and rabies Treat all Bites the Same -dry sterile dressings, splint as needed -prompt transport Loose Animal might come back and attack again
26-13 seriousness of burns related to depth and extent
26-14 superficial, partial thickness and full thickness burns
26-15 primary assessment of burn Pt
26-16 emergency medical care for burn Pt
26-17 emergency management of CHEMICAL BURNS 1. remove excessive chemical (dry) by brushing 2. remove all clothing and any items such as jewelry 3. flush with copious amounts of water, NEVER use high pressure water could cause damage -continue flushing 15-20 minutes after Pt says burning stopped
26-17 emergency management of ELECTRICAL BURNS
26-17 emergency management of INHALATION BURNS
26-17 emergency management of RADIATION BURNS
26-18 know functions of sterile dressings and bandages function- control bleeding, protect from further damage contamination/infection sterile dressing- universal, 4x4, 4x8, adhesive, roller dressing, occlusive dressing bandages- roller, adhesive tape, rolls of gauze, triangular bandages
Created by: emt2023deal
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