Figure 13-10.Exposed intestine.
Fasten the bandage firmly so that the dressing will not
slip around, but do not apply more pressure than is
necessary to hold the bandage in position. Ideally, the
dressing should be folded under and then over the
intestines (envelope style).
3. Apply an occlusive material such as aluminum
foil or plastic wrap over sterile dressing and secure in
place with tape or other material. This will help keep the
sterile dressing moist.
4. Treat for shock. The casualty must be taken to a
medical facility at the earliest opportunity. Do not give
the patient anything to eat or drink. If he/she
complains of great thirst, moisten the lips with a small
amount of water, but do not allow the patient to
Summary of Wounds
Although it is not always necessary to know what
agent or object caused a wound, it is often helpful
because it may give you some idea of the probable size
of the wound, its general nature, the extent to which it
is likely to be contaminated with foreign matter, and
what special dangers must be guarded against.
The emergency treatment for all wounds consists
mainly of stopping the flow of blood, treating for
shock, and preventing infection.
For a casualty with multiple wounds, first treat the
wound that appears to be most life-threatening. Be sure
to check all possible points of the body for injury.
Your first concern is to stop the bleeding,
preferably by direct pressure, elevation, or the use of
pressure points. A tourniquet should be used only if
the other methods do not control the bleeding.
Do not spend undue time trying to clean a dirty
wound. This will be done by medical personnel. But,
apply a dressing to help prevent additional
contamination of the wound.
If a foreign object is near the surface and exposed,
you may remove it. But if the injury is caused by a knife
or other object that is still embedded, do not remove
the object. It may cause massive bleeding. Simply
apply dressings around the object.
As already explained, the primary examination
was to assess the site and the life threatening injuries to
the casualties. The secondary examination is much
more thorough and extensive. It includes a full-body
The secondary examination, a systematic full body
survey from head to toe, is usually conducted in a
relatively safe area. Be careful not to move the casualty
unnecessarily until you are satisfied that there are no
major injuries (e.g., neck or spinal injuries) not