Chapter 9 Chest, Abdominal and Pelvis Injuries First Aid Chapter 9 Chest, Abdominal and Pelvis Injuries

Chest Injuries Check and recheck ABCs Sit up or place injured side down Encourage coughing to prevent pneumonia

Rib Fractures Main Symptom: Pain with movement, coughing or breathing.

Rib Fractures What To Do: Stabilize by having victim hold pillow or soft object against area. Encourage deep breaths and coughing SMA

Chest: Impaled Object What To Do: Stabilize with bulky dsg. Do not remove object SMA

Sucking Chest Wound What To Do: Have victim take deep breath and let it out. Seal wound with plastic Tape in place with one corner left un-taped Creates flutter valve If SOB – remove and re-apply SMA

ABD Injuries: Blunt What To Do: Place on side Expect vomiting No food or drink SMA

ABD Injuries: Penetrating What To Do: Expect internal organs to be damaged Stabilize with bulky dsg. Do not remove object SMA

ABD Injuries: Protruding Organs What To Do: Cover internal organs with sterile or clean cloth Pour water over dsg to keep moist SMA

ABD Injuries: Protruding Organs Do NOT: Try to re-insert organs Cover tightly

Pelvis Injuries: How to Recognize: Gently press sides of pelvis down and squeeze. Will be very painful

Pelvis Injuries: What to Do: Treat for shock Place padding btw legs, tie knees and ankles together Keep on firm surface SMA

Pelvis Injuries: Do NOT: Roll victim Move victim

No Learning Activities 9 Chest Injuries 1. Stabilize a rib fx by taping the chest as tightly as possible. No

Yes Learning Activities 9 Chest Injuries 2. Stabilize an impaled object in the chest with bulky padding to prevent movement. Yes

Yes Learning Activities 9 Chest Injuries 3. Seal off a chest wound that has air passing in and out of the chest. Yes

Learning Activities 9 Scenerio: Iron rod in workers chest. Iron rod has been removed. Air is passing in and out of chest. What to do? Monitor ABCs Seal wound with plastic SMA

No Learning Activities 9 Abdominal Injuries 1. Gently push protruding organs back through the wound. No

No Learning Activities 9 Abdominal Injuries 2. A dressing over exposed intestines should be dry. No

No Learning Activities 9 Abdominal Injuries 3. Remove penetrating objects from the abdomen. No

Yes Learning Activities 9 Abdominal Injuries 4. Blow to adb with internal injuries suspected, place victim on side. Yes

Learning Activities 9 Scenario: 45 y/o falls with window glass. Glass breaks. He is laying on back with bloody shirt. Lacerated abd with loops of bowel protruding thru. What to do? Stabilize protruding object with bulky dsg Cover organs with clean cloth and pour water over cloth Treat for shock SMA

Learning Activities 9 Pelvis Injuries 1. Keep on firm surface. Yes

Yes Learning Activities 9 Pelvis Injuries 2. Keep knees bent and place padding btw legs. Yes

Learning Activities 9 Scenario: Older lady falls down stairs. Lying on side. Suspect pelvis fx. C/O severe pain in pelvic area. What to do? Treat for shock Padding btw thighs, tie knees and ankles together if possible Keep on firm surface SMA