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Emt CH27

The document describes a case of a patient with soft-tissue injuries sustained during a bar fight, including a partial-thickness thermal burn and an abdominal laceration. It outlines the assessment and treatment priorities, such as keeping the airway open and stopping bleeding, while also discussing the rule of nines for burn assessment. Additionally, it provides answers to questions regarding the severity of the burn, methods for controlling bleeding, and treatment for closed injuries.

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94 views2 pages

Emt CH27

The document describes a case of a patient with soft-tissue injuries sustained during a bar fight, including a partial-thickness thermal burn and an abdominal laceration. It outlines the assessment and treatment priorities, such as keeping the airway open and stopping bleeding, while also discussing the rule of nines for burn assessment. Additionally, it provides answers to questions regarding the severity of the burn, methods for controlling bleeding, and treatment for closed injuries.

Uploaded by

jennikmchagas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

CHAPTER 27

ASSESSMENT IN ACTION

Emergency Care and Transportation of the Sick and Injured, Twelfth Edition
AAOS

Soft-Tissue Injuries
You are dispatched to a bar to respond to a fight. The police have cleared the scene, and it is safe for you to enter. You see a man
who is conscious and alert. His face is mottled with blisters and abrasions, and he has blood on his shirt. He tells you he was trying to
stop the fight when he was hit in the face with scalding hot coffee and then he fell backward into a chair. Physical examination shows
a jagged laceration measuring approximately 2 inches on his abdomen. It is still bleeding, and you notice bruising on the right lateral
chest. Vital signs are stable.

1. What is the classification of this burn?


A. Superficial
B. Partial-thickness
C. Full-thickness
D. Thermal

2. The priority in treating this patient is to:


A. clean any open wounds.
B. take vital signs.
C. stop the burning process.
D. keep the airway open.

3. What kind of burn is this?


A. Inhalation burn
B. Thermal burn
C. Radiation burn
D. Chemical burn

4. According to the rule of nines, what percentage of the patient’s skin surface is burned?
A. 4.5%
B. 7.5%
C. 9%
D. 18%

5. What is the priority for treating an open wound on the patient’s abdomen?
A. Clean it.
B. Flush it with sterile saline.
C. Probe it.
D. Stop the bleeding.

6. Which of the patient’s soft-tissue injuries is LEAST likely to result in infection?


A. Contusion on the right lateral chest
B. Abdominal laceration
C. Burns to the face
D. Abrasions to the face

Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com.
Emergency Care and Transportation of the Sick and Injured, Twelfth Edition
AAOS

7. Is this a severe burn? Why or why not?

8. What is the rule of nines?

9. What are the steps to take to control bleeding?

10. How should you treat a closed injury?

Answers to Assessment in Action Questions


1. Answer: B Partial-thickness
2. Answer: D keep the airway open.
3. Answer: B Thermal burn
4. Answer: C 9%
5. Answer: D Stop the bleeding.
6. Answer: A Contusion on the right lateral chest
7. Answer: Yes, it is a severe or critical burn because it involves the face.
8. Answer: The rule of nines is a system that assigns percentages to sections of the body, allowing calculation of the amount of skin
surface involved in the burn area.
9. Answer: Apply direct pressure with a sterile bandage. Maintain pressure with a roller bandage. If bleeding continues, apply a
second dressing and roller bandage over the first. If bleeding is profuse and cannot be managed with direct pressure, apply a
tourniquet to avoid further blood loss and to allow you to quickly focus on providing other treatments for shock.
10. Answer: Treat a closed injury with rest, ice, compression, elevation, and splinting.

Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com.

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