2015 Trumbull Memorial Hospital Demo

Wound Care

Wound Care

Clinical Indications:  Active bleeding

Steps

Performed? Yes No

1. Use BSI precautions as indicated

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2. Observe for and control obvious bleeding

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3. Evaluate and treat all life threatening injuries first

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4. Control bleeding by (as appropriate):  Direct pressure  Tourniquet  Splinting

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5. Uncontrolled bleeding:  Assess for life threatening injuries and resuscitate if necessary  Apply tourniquet for extremity injuries  Watch for signs and symptoms of hypoperfusion

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6. Obtain history  Time of injury

 Area of occurrence and infection risk  Mechanism of injury  Amount of blood loss  Severity of pain  Patient’s medical history and medications  Tetanus immunization

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7. Wound care  Assess for size, depth, location, contamination, and type of wound  Abrasion, avulsion, contusion, incised, laceration, puncture

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 Irrigate wound if necessary  Apply appropriate dressing  Secure dressing

8. Further Evaluation and Care: Many times open wounds need further evaluation and care by a physician, including:  Neural, muscular, or vascular  Tendon or ligament compromise

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 Contamination  Foreign bodies  Medical history – diabetes, immunocompromised, etc  Vascular problems

159

EMR

EMT

AEMT

Paramedic

Extended