Session 5 - Explain and Manage Shock
Session 6 - Conduct Secondary Assessment of the Sick and/or Injured Person and Provide Appropriate Primary Emergency Care within the Workplace
2 of 3

Lesson 18 – Wounds are managed according to current protocols.

READ OR LISTEN

 

WOUNDS

A wound is any type of injury that breaks the skin, and severity can range from a small cut to a deep puncture wound. To prevent infection and promote healing, all wounds need care.

Scrapes:

  1. Clean the scrape by scrubbing it with mild soap, water, and a clean washcloth, being careful to remove any debris present.
  2. Apply antibiotic ointment to the entire wound, and dress the area with a bandage.

Cuts and Tears:

  1. Clean the wound with mild soap and running water.
  2. Apply direct pressure to the wound and elevate the injured part above the heart to control bleeding. Note: if the dressing becomes soaked with blood, add a new dressing on top of the current dressing rather than replacing it.
  3. Bandage the wound.


Puncture Wounds:

  1. Wash the wound under a strong stream of soapy water.
  2. Apply antiseptic solution, and bandage the wound with sterile gauze. Note: using antibiotic ointment on the wound or dressing it tightly increases the risk of infection.

Amputations:

  1. Care for the part of the body where the amputation happened 
  2. Stop the bleeding.
  3. Elevate the injured area.
  4. Wrap or cover the injured area with a sterile dressing or clean cloth until medical treatment is received.

General guidelines for cleaning and dressing a wound are as follows:

  1. Thoroughly wash the wound with mild soap and rinse with running water. Remove any debris, if necessary.
  2. Blot the wound dry with sterile gauze or a clean cloth.
  3. Bandage the wound with a sterile covering, making sure to cover the entire wound. Adhere to the bandage snugly, but do not cut off circulation.
  4. Wash your hands again after administering first aid.
  5. Watch for signs of infection to the wound, such as swelling, redness, warmth, and oozing.

Eye wounds:

Any kind of injury or trauma to the eyes should be taken seriously. Prompt medical attention for eye problems can save your vision and prevent further complications.

Chemical burns:

  1. Remain calm and keep your eyes open until they can be flushed. Closing your eyes traps the chemical in and does further damage.
  2. Flush eyes generously with water for 15 to 20 minutes. Make sure you keep your eyes open during flushing.
  3. Get immediate medical care.

Foreign objects:

  1. Don’t rub your eyes.
  2. Lift the upper eyelid up and out over the lower lid, and then roll your eyes around.
  3. Flush your eyes generously with water, and keep your eyes open during flushing.
  4. Repeat the previous steps until the object is eliminated.
  5. Follow up with a doctor to make sure all debris is gone and the eyes have not been scratched or damaged. Your doctor may evaluate you for damage by using a special eye drop that fluoresces under a certain type of light; it will help reveal any cuts or scratches in the cornea.

Bites and Stings

  1. If the insect’s stinger is still embedded in their skin, remove it by gently scraping a flat-edged object, such as a credit card, across their skin. Avoid using tweezers to remove the stinger, since squeezing it may release more venom.
  2. Wash the area of the bite with soap and water.
  3. Place a cold compress or ice pack on the area for about 10 minutes at a time to help reduce pain and swelling. Wrap any ice or ice packs in a clean cloth to protect their skin.
  4. If an allergic reaction occurs, refer to anaphylactic shock discussed in session 5.