TAILIEUCHUNG - Lecture Mosby's paramedic textbook (4th ed) - Chapter 38: Bleeding and soft tissue trauma

This chapter include objectives: Identify the purpose of the patient care report; describe the uses of the patient care report; outline the components of an accurate, thorough patient care report; describe the elements of a properly written emergency medical services (EMS) document; describe an effective system for documenting the narrative section of a prehospital patient care report;. | 9/11/2012 1 Chapter 38 Bleeding and Soft Tissue Trauma 2 Learning Objectives • Describe the normal structure and function of the skin. • Describe the pathophysiological responses to soft tissue injury. • Discuss pathophysiology as a basis for key signs and symptoms, and describe the mechanism of injury and signs and symptoms of specific soft tissue injuries. 3 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 1 9/11/2012 Learning Objectives • Outline management principles for prehospital care of soft tissue injuries. • Describe, in the correct sequence, patient management techniques for control of hemorrhage. • Identify the characteristics of general categories of dressings and bandages. 4 Learning Objectives • Describe prehospital management of specific soft tissue injuries not requiring closure. • Discuss factors that increase the potential for wound infection. • Describe the prehospital management of selected soft tissue injuries. 5 Hemorrhage • Hemorrhage – Occurs when disruption, or “leak,” occurs in vascular system – Sources can be external or internal 6 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 2 9/11/2012 External Hemorrhage • Results from soft tissue injury • Accounts for about million emergency department visits in . each year • Most soft tissue trauma is accompanied by mild hemorrhage – Usually does not pose threat to life – Can carry major risks of morbidity and disfigurement 7 External Hemorrhage • Seriousness of injury depends on three factors – Anatomical source of hemorrhage • Arterial • Venous • Capillary – Degree of vascular disruption – Amount of blood loss patient can tolerate 8 Internal Hemorrhage • Can result from – Blunt or penetrating trauma – Acute or chronic illnesses • Insufficient amount of circulating blood can occur in – Chest – Abdomen – Pelvis – Retroperitoneum 9 Copyright © 2013 by Jones & Bartlett Learning, LLC, an

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