Chapter 26 Soft Tissue Trauma Flashcards Preview

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Flashcards in Chapter 26 Soft Tissue Trauma Deck (29)
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1
Q

Soft tissue

A

Include the skin fatty tissues muscles blood vessels connective tissues membranes glands and nerves

The skin is body’s largest organ at surface area is more than 25 ft.² of an average adult

2
Q

Skin

A

The skin is body’s largest organ at surface area is more than 25 ft.² of an average adult

Major function is protection water balance temperature regulation excretion shock absorption

3
Q

Soft tissue injuryies

A

Most commonly mechanical force for trauma rips crushes stretches otherwise injuries to delicate cells

Can also be injured by chemically thermally and even electrically

characterized by type in cause of injury

4
Q

Contusions

A

Is a bruise most frequently encountered type of closed wound injury

Epidermis remains intact cells and blood vessels in the dermis are damaged

pain swelling discoloration occur at one site can be delayed for 48 hours

5
Q

Inflammation

A

It’s helpful it cushions the injured area and helps tighten toxins also can be harmful as it causes tissues to occupy more space than usual

6
Q

Hematoma

A

Blood collection site of an injury

Hematoma is it involve a larger amount of tissue damage including damage to large blood vessel’s with greater internal blood loss

1 L of blood can accumulate in a hematoma

7
Q

crush Injury

A

Force can cause the internal organs to be crushed or Upchurch causing internal bleeding liver spleen normally contain consider amounts of blood if injured can cause shock

8
Q

Blast Injuries

A

Specific type of soft injury include both open and closed wounds

Blunt force trauma may cause result in closed injuries potential for massive internal damage from blast, is much higher than come in direct force trauma

Most common closed injury is rupture of hollow organs. Such as lungs eardrums

Stomach intestines and your bladder high risk of these types of injuries

9
Q

Open wound injuries

A

Abrasions lacerations punctures of oceans amputations crush injuries blast injuries high-pressure injection injuries

10
Q

Abrasions

A

Simple scrapes and scratches outer layer of the skin is damage but not all ears are penetrated

11
Q

Lacerations

A

Is a cut can be smooth or jagged

This one is often caused by an object with a sharp edge

If significant blood vessels have been touring bleeding will be considerable

12
Q

Puncture wounds

A

Result from the penetration of the skin usually caused by object such as Bullets nails ice picks splinters and knives

high velocity shrapnel Objects thrown by blast bomb materials and debris

Most significant damage will occur in the structure is beneath the skin

13
Q

Avulsions

A

Flaps of skin and tissue are torn loose or pulled off completely

Degloving avulsions the skin is stripped off like a glove

I pulled from its socket also for mobile version

Avulsed used to report the wound ex: avulsed eye

14
Q

Tertiary injuries (third level)

A

Occur if the patient is thrown by a blast occurs from both from the force of the blast and a result of the violent landing after being thrown

Can include fractures of audience amputations exposure to chemicals or toxins burns in crash injuries(fourth level)

15
Q

Treating impaled objects

A

Contact emergency department physician or a specific direction to cut object to desired length

Hold objects keep it very stable use a fine tooth saw with rigid blade support,a hacksaw or reciprocating saw should be used

16
Q

Thermal burn

A

Flame radiation excessive heat from fire steam hot liquids and hot objects

17
Q

Chemical burn

A

Various acids bases and caustics

18
Q

Electrical burn

A

Alternating current direct current and lightning

19
Q

Lightburn typically involving eyes

A

Intense light source ultraviolet light can be considered a source of radiation burns

20
Q

Radiological

A

Usually from nuclear sources ultraviolet light can be considered a source of radiation burns

21
Q

Superficial burns or first-degree burn

A

Involves only the epidermis read ending of the skin some swelling

22
Q

Partial thickness burn or second-degree burn

A

Burn through the epidermis and the dermis

Deep intense pain noticeably reddening Blisters and spotted appearance to the skin swelling and blistering for 48 hours

23
Q

Full thickness burns or third-degree burns

A

All layers of the skin are damaged charred black or brown areas that are dry and white severe pain may not feel pain at all

May require skin graphing may damage subcutaneous tissue muscle bone and underlying organs

24
Q

Burns to infants and children and adults

A

Infants children under age 5 and adults over age 55 have the most severe response to Burns and the greatest risk of death

25
Q

Minor burns

A

For thickness burns of less than 2% of the body partial thickness burns of less than 15% of the body superficial burns of 50% of the body or less

26
Q

Moderate burns

A

For thickness burns up to the temper send of the body partial thickness burns a 15 to 30% of the body superficial burns more than 50% of the body

27
Q

Critical burns

A

All burns complicated by injuries of the respiratory tract other soft tissue injuries and injuries of the bones

Partial thickness or for thickness burns involve in the face hands feet genitalia or respiratory tract

For thickness burns of more than 10% partial thickness burns of more than 30% burns complicated by Muscleskeletal injuries circumferential burns

28
Q

Classification of burn severity child less than five years old

A

Minor burns partial thickness burns of less than 10% of the body

Moderate burns partial thickness burns of 10 to 20% of the body

Critical burns for thickness burns of any extent or partial thickness burns of more than 20% of the body

29
Q

Electrical injuries signs and symptoms

A

Burn where the energy enters and exits the body, distractive nerve pathways displayed by paralysis, muscle tenderness and muscle twitching, respiratory difficulties or arrest, irregular heartbeat or cardiac arrest, elevated blood pressure or low blood pressure symptoms of shock, restlessness or irritability if conscious or loss of consciousness visual difficulties,Broken bones and seizures