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Soft Tissue Injuries
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Soft Tissue Injury – injury to one or more tissues and/or surrounding bones and joints
Includes: skin, veins, fascia, arteries AND cartilage, tendons, ligaments, muscles (next unit) Can occur alone or accompany a fracture
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Wounds are either closed or open
Open: breaks skin or mucous membrane Closed: Does not break skin Open wounds all need sometime of first aid Control bleeding Prevent infection
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Abrasion Open wound, outer layer has been scrapped off Treatment:
Wash area with soap and scrub out dirt Flush with water Dress wound with antibiotic ointment and keep covered Keep eye out for further infection or blood poisoning (red streaks)
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Lacerations Tear in the skin Treatment: Can be minor or very deep
Can extend to muscles, nerves, and ligaments Treatment: Clean with soap and water Compression dressing Possible stitches or surgery
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Puncture Wound Pointed object directly pierces soft tissue Treatment:
Most susceptible to infection Treatment: Do not remove object Clean with soap and water Stabilize the object and dressing Get medical help If wood splinter: DO NOT soak in water (wood decomposes)
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Incision A clean, straight, knife like cut Treatment:
Can be deep and cut into other tissues Treatment: Clean with soap and water Pull edges together and hold with butterfly stitches
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Avulsions A soft tissue injury in which tissue is torn loose or missing If flap of skin is removed but can be found, save it Treatment: Clean with soap and water Use compression bandage to dress wound If you have detached skin, keep in saline soaked gauze and keep on ice
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Calluses A thickened, usually painless, area of skin caused by friction or pressure Treatment: Use pumice stone to file off the thick skin Stop friction that is causing callus
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Blisters A bubble-like collection of fluid beneath the epidermis of the skin Treatment: Clean area and place donut pad around blister to disperse pressure
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Bites Can occur from insects, animals, or humans Treatment:
Can result in puncture wounds, lacerations, or avulsions Insects can carry diseases or be poisonous Animal bites can transfer rabies Treatment: Watch for further complications
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Hematomas A blood-filled swollen area Treatment: Closed wounds
Bruising will occur Typically there is significant trauma to surrounding tissue Treatment: ICE – Ice, compression, elevation When icing, only apply ice for 20 mins, then give 1 hour rest
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Contusions Injury caused by seepage of blood into tissue, bruising
Caused by a sudden blow to the tissue, resulting in internal bleeding Treatment: ICE
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Skin Infections Many times, infections occur on the skins surface
Examples: athletes foot, ringworm, impetigo
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Dermatophytes – fungus that grows on top of skin
Examples: ringworm, yeast infection, athletes foot Ringworm and athletes foot are highly contagious Fungus likes to grow in warm, moist environments Treatment: Antifungal sprays or creams Air out BUT if competing – must cover up
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Herpes – viral infection that affects the skin
Different varieties of herpes Chicken pox, shingles, upstairs & downstairs Highly contagious Treatment: None
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Papilloma virus – causes warts
Highly contagious Common on fingers and toes Treatment: See a doctor Typically they can freeze off
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Impetigo – bacterial infection on surface of skin
Highly contagious Treatment: Antibiotics Remove from contact sports
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