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Traumatic
injuries present as many different
types of wounds. Below is a list of
the common wounds you may encounter.
Although each type of wound has
unique characteristics, your mode of
treatment is quite similar. |
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Direct
pressure is simple and effective. |
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This scraping off
of the top several layers of skin,
exposing the capillaries and nerves
to the open air is deemed an
abrasion. It produces a painful
injury that may require some
bleeding control and bandaging.
Unless the abrasions cover a large
area or other injuries are
identified, EMS is usually not
required. |
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When the skin is
cut through one or more layers, it
is a laceration. The main concern is
bleeding control. Usually, direct
pressure 8. elevation in conjunction
with sterile dressings controls the
bleeding nicely. EMS should be
called if it is difficult to stop
the bleeding or if the cut is deep
enough that more definitive
treatment is needed. |
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A bruise is
actually caused by bleeding beneath
the surface of the skin. This is
identified as a contusion. The
bleeding stops by itself because the
skin acts like a pressure dressing.
Treatment is limited to cold
compresses and elevation to reduce
swelling. EMS is usually unnecessary
for this type of injury unless other
trauma is seen. |
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When layers of
the skin and underlying tissues are
peeled back, an avulsion is the
result. These injuries are common in
motor vehicle accidents and other
trauma. Because this is an open
wound, sterile dressings and
effective bleeding control are the
best mode of treatment. |
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Internal bleeding
is usually identified by bruising,
tenderness 8. swelling. Treatment
for internal bleeding is minimal in
the non-hospital setting. Elevation,
treatment for shock, cool compresses
and ABC's is about the most you can
do. Remember, uncontrolled bleeding,
be it internal or external, can lead
to shock and eventually death. When
internal bleeding is suspected, call
for EMS immediately. For your own
safety always use appropriate PPE
and universal precautions. |
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A common
occurrence in many people's lives
are nose bleeds. Although they can
appear quite dramatic, the
possibility for a serious situation
is unlikely. Nose bleeds can occur
for a variety of reasons. The most
common is trauma, but other factors
such as altitude, medications or
infections can also lead to this
event. |
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First aid for a
nose bleed is very simple. Apply
pressure on the wound by pinching
the bridge of the nose. The bleeding
soon will subside. The important
thing to remember is to maintain the
pressure for several minutes. The
most common mistake in nose bleed
care is releasing pressure too soon.
After 5-7 minutes you can release,
but discourage the patient from
blowing their nose. If it resumes,
repeat the treatment steps. Nose
bleeds rarely require EMS
intervention. |
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Taking certain
medications like aspirin can cause
bleeding to be more serious. By
thinning the blood it can make it
more difficult for the body to form
clots. |
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