Mrs. Frasca

  Soft tissue injuries are classified as open or closed  Open:  Abrasions, lacerations, avulsions, and puncture wounds  Closed:  Contusions, hematomas, ecchymosis  Sprains, strains, tendonitis, bursitis, and stress related injuries Soft-Tissue Injuries

  Abrasions = when several layers of skin are torn loose or totally removed  Looks more like a rug burn than a cut  Ex: scraped knees from falling on concrete  Usually more painful than a deep cut because the skin is “scraped” and many nerve endings are exposed Open: Abrasions and Scrapes

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  Wash the wound to remove dirt and debris  Soap and water are effective  Apply antibiotic ointment  Helps to prevent infection and keeps the dressing from sticking  Medical attention will be needed if oozing, swelling, or pain increases Abrasions: Treatment

  A cut in the skin resulting from injury  Cuts less than.25 inches can usually be healed without stitches….deeper cuts will require a physician’s care Open: Lacerations

  Clean cut with soap and water  To stop bleeding, cover the wound with sterile gauze and apply direct pressure to the site for 15 minutes or more  Apply antibiotic ointment to prevent infection and to keep dressing from sticking to the wound  Apply dressing and wrap/compress accordingly  Change the dressing daily or as needed Lacerations: Treatment

  Injury where the layers of skin are torn off completely or a flap of skin only remains  Can cause considerable bleeding Open: Avulsions

  Clean the wound with soap and water  If a flap of skin remains, carefully replace it back in its original position  If a very large piece of skin has fallen off, place the skin in a plastic bag of ice and transport to dr.  The skin might be able to be saved  Stitches might be needed or skin grafting in very severe cases Avulsions: Treatment

  When a sharp pointed object penetrates the skin  Examples: nails, tacks, knives, needles, etc. Open: Puncture Wounds

  Find out of any part of the object is still in the wound  Determine whether any other tissue (nerves, tendons, ligaments, organs, etc.) have been injured  Might need a doctor for this  Clean the wound and apply pressure if bleeding (with sterile gauze)  Seek medical attention Puncture Wounds: Treatment

  Hematoma = blood and fluid pooled within a tissue space, a compartment, or an organ  They can form at any depth in almost any area of the body  Usually the result of a contusion Closed: Hematomas

  RICE  Padding on injury to prevent further injury Hematomas: Treatment

  See old notes in the injury section of “Intro to Muscles” Closed: Contusions and Ecchymosis