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Released : 28 March 2016

Contra Costa County CERT Program Unit 4A – Emergency Medical Operations Bandaging and Splinting. Released : 28 March 2016. Wound Care. Objective of wound care:. Control bleeding Prevent secondary infection. Treatment of wounds :. Clean wounds – don’t scrub Apply dressing to wound

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Released : 28 March 2016

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  1. Contra Costa County CERT ProgramUnit 4A – Emergency Medical OperationsBandaging and Splinting Released: 28 March 2016

  2. Wound Care Objective of wound care: • Control bleeding • Prevent secondary infection Treatment of wounds: • Clean wounds – don’t scrub • Apply dressing to wound • Apply bandage to hold dressing in place No Hydrogen Peroxide

  3. Tourniquets • Tourniquets are an effective means of arresting life‐threatening external hemorrhage from limb injury. • Their use remains a subject of much debate. • Tourniquets are often discouraged in contemporary pre‐hospital civilian trauma care. • The Combat Application Tourniquet (C-A-T), has been found to safely and effectively occlude blood flow with a low incidence of adverse events.

  4. Tourniquets • Tourniquets effectively stop blood flow and all tissue beyond the tourniquet should be considered forfeited due to loss of oxygen to the cells. • Once applied, write date and time on the skin and leave the tourniquet in place. Israeli Bandage

  5. Rules of Dressing • In the absence of active bleeding, remove dressing and flush, check wound at least every 4-6 hours, redress as necessary • If there is active bleeding, redress over existing dressing and maintain pressure and elevation

  6. Treating Amputations • Control bleeding and elevate part • Treat for shock if present • Save tissue parts, wrapped in clean cloth • Place in baggy w/ patient’s name, date, and time • Keep tissue cool, not frozen • Keep tissue with the victim • Duct tape to body, out of victim’s sight

  7. Treating Impaled Objects • Immobilize • Don’t move or remove • Control bleeding • Clean and dress wound • Wrap

  8. Guidelines for Splinting All fracture & suspected fractures require splinting • Support the injured area • Assess color, warmth and sensation • Splint injury in the position that you find it • Don’t try to realign bones • Immobilize above and below the injury • After splinting, recheck for color, warmth, and sensation below the injury site

  9. Treating an Open Fracture DO: • Cover wound • Splint fracture without disturbing wound • Place a moist 4" x 4" dressing over bone end to prevent drying DO NOT: • Draw exposed bones back into tissue • Irrigate wound

  10. Nasal Bleeding • Causes: blunt force, skull fracture, non-trauma related conditions • Blood loss can lead to shock • Victims may become nauseated and vomit if they swallow blood Treating Nasal Bleeding • Pinch the nostrils together, lean forward • Put pressure on the upper lip just under the nose • Use hemorrhagic nasal packing such as Celox

  11. Exercise Anyone who is unconscious is “Immediate”

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