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

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

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

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

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

6. 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

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

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

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

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

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

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

14. Pelvis Injuries:
Do NOT:
Roll victim
Move victim

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

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

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

18. 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

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

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

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

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

23. 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

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

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

26. 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