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SOFT TISSUE INJURIES. UNIT 7. SOFT TISSUE INJURIES. STRAIN TEAR TO MUSCLE OR TENDON GRADE 1, 2 OR 3 DEPENDS ON SEVERITY COVER IN SPORTS MED II. SPRAIN TEAR TO LIGAMENT GRADE 1, 2 OR 3 DEPENDS ON SEVERITY COVER IN SPORTS MED II. SUPERFICIAL INJURIES. ABRASIONS.
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SOFT TISSUE INJURIES UNIT 7
SOFT TISSUE INJURIES • STRAIN • TEAR TO MUSCLE OR TENDON • GRADE 1, 2 OR 3 • DEPENDS ON SEVERITY • COVER IN SPORTS MED II • SPRAIN • TEAR TO LIGAMENT • GRADE 1, 2 OR 3 • DEPENDS ON SEVERITY • COVER IN SPORTS MED II
ABRASIONS • CAUSED BY SLIDING OR SKIDDING ON PAVEMENT, CONCRETE, DIRT, OR SAND • OUTER LAYER OF SKIN SCRAPED OFF • “STRAWBERRY” • IMMEDIATE TREATMENT • WASH AREA WITH ANTI-BACTERIAL • FLUSH AREA WITH PEROXIDE • WATCH PEROXIDE USE! • ONLY USE TO GET DIRT OUT, NOT TO HEAL. WHY? • APPLY OINTMENT • COVER WOUND
LACERATIONS • A JAGGED TEAR IN THE FLESH • CAUSED BY TEARING MOTION • IMMEDIATE TREATMENT • CLEAN WITH SOAP AND WATER • APPLY STERILE COMPRESSION DRESSING • STITCHES NECESSARY WHEN EDGES OF LACERATION WILL NOT CLOSE OR WHEN THE WOUND IS DEEP
PUNCTURE WOUNDS • RESULTS WHEN POINTED OBJECT DIRECTLY PIERCES SOFT TISSUE • MOST SUSCEPTABLE TO INFECTION – WHY? • MAY NEED TETANUS SHOT • IMMEDIATE TREATMENT • STABILIZE OBJECT IN PLACE AND TAKE TO PHYSICIAN • IF NO OBJECT, CLEAN WITH SOAP AND WATER • COVER WITH STERILE GAUZE
INCISION • CLEAN, STRAIGHT, KNIFE-LIKE CUT • CLEAN CUTS, BUT CAN GO VERY DEEP INTO TISSUES • IMMEDIATE TREATMENT • CLEAN WITH SOAP AND WATER • PULL EDGES OF WOUND TOGETHER WITH BUTTERFLY BANDAGES OR STERILE STRIPS • STITCHES MAY BE NEEDED
AVULSION • FLAP OF TISSUE IS TORN LOOSE OR PULLED OFF COMPLETELY • IMMEDIATE TREATMENT • CLEAN AREA • USE COMPRESSION WITH STERILE DRESSING • COVER AREA • LOCATE “FLAP” IF IT IS TORN AWAY COMEPLETELY • PLACE IN SALINE MOISTENED GAUZE WRAP AND SEAL IN PLASTIC BAG • PLACE BAG ON ICE • SEND TO PHYSICIAN
CALLUSES • THICKENED, USUALLY PAINLESS, AREA OF SKIN CAUSED BY FRICTION OR PRESSURE • IMMEDIATE TREATMENT • PUMICE STONE TO FILE OFF • STOP PROBLEM CAUSING FRICTION
BLISTERS • BUILD UP OF FLUID THAT COLLECTS UNDER THE SKIN IN RESPONSE TO FRICTION • IMMEDIATE TREATMENT • CLEAN AREA • RUB WITH ALCOHOL WIPE AND AIR OUT • PLACE DONUT PAD AROUND BLISTER • DO NOT POP! • PROFESSIONAL MAY SLIT EDGE TO DRAIN, BUT ONLY IF BLISTER AFFECTS PERFORMANCE!
BITES • OCCUR FROM • INSECTS • REPTILES • ANIMALS • HUMANS • CAN RESULT IN • PUNCTURE WOUNDS • LACERATIONS • AVULSIONS • IMMEDIATE TREATMENT • CLEANSE THOROUGHLY • CONTROL BLEEDING • DO NOT SCRATCH – LENGTHENS HEALING AND CAUSES INFECTION • IF NOT MOSQUITO – SEND TO PHYSICIAN
RINGWORM • FUNGI • ITCHY, RED PATCH OF SKIN BORDERED BY A SCALY RED RING • CONTAGIOUS • TREATMENT • DO NOT SCRATCH OR TOUCH • COVER AREA AND REFER TO PHYSICIAN • NO CONTACT UNTIL DRIED/GONE
STAPHYLCOCCUS • STAPH • BACTERIA • RANGE FROM A BOIL TO A FLESH EATING INFECTION • BEGINS AS A SMALL AREA OF TENDERNESS, SWELLING AND REDNESS; OPEN SORE; BLISTER LIKE (VARIIES) • HIGHLY CONTAGIOUS • MAY DEVELOP FEVER, CHILLS, SWEATS • MRSA – MORE SEVERE • TREATMENT: • IMMEDIATE REFERRAL FOR ANTIBIOTICS • DO NOT TOUCH OR SCRATCH AREA • KEEP COVERED • NO CONTACT UNTIL GONE
TINEA PEDIS • ATHLETE’S FOOT • FUNGUS • GENERALLY OCCURS BETWEEN TOES AND BOTTOM OF FEET • CAUSED BY HEAT, MOISTURE, AND FAILURE TO CHANGE SOCKS • ALSO GET FROM SHOWER FLOORS • RED RASH WITH EXTREME ITCHINESS • TREATMENT • DO NOT SCRATCH OR TOUCH • OVER-THE-COUNTER AVAILABLE • IF OTC DOES NOT WORK, REFER TO PHYSICIAN • NO DIRECT CONTACT UNTIL DRIED/GONE
HERPES • VIRAL INFECTION • AFFECTS FACE, TRUCK, AND GENITALIA • BLISTERS, INFLAMES SKIN, AND PAIN • SOMETIMES CRUSTY YELOW SCABS • SOMETIMES FEVER • CONTAGIOUS • DISQUALIFYING CONDITION IN SPORT • TREATMENT • DO NOT SCRATCH OR TOUCH • COVER AREA AND REFER TO PHYSICIAN • NO CONTACT UNTIL GONE • IF PROPERLY TREATED, 2 WEEKS OF TREATMENT
PAPILLOMA VIRUS • RAISED, FLESH COLORED LESIONS WITH SMALL DARK SPOTS UNDERNEATH • MOST COMMON ON FEET • PLANTAR WARTS • CONTAGIOUS • TREATMENT • PROTECT WITH DONUT PAD • REFER TO PHYSICIAN • NO CONTACT UNTIL DRIED/GONE
IMPETIGO • BACTERIAL INFECTION • CONTRATCED THROUGH CONTACT • REDNESS, ITCHING, SORENESS, AND YELLOW PUSTULES • DEVELOPS IN AREAS SUBJECT TO HIGH FRICTION • HIGHLY CONTAGIOUS • DISQUALIFYING CONDITION IN SPORT • TREATMENT • DO NOT SCRATCH OR TOUCH • COVER AREA AND REFER TO PHYSICIAN • NO CONTACT UNTIL GONE
HEMATOMA • BLOOD-FILLED, SWOLLEN, CLOSED AREA • IMMEDIATE TREATMENT • ICE • COMPRESSION • ELEVATION • SOME MAY NEED REFERRAL TO PHYSICIAN
CONTUSION • “BRUISE” • BLEEDING UNDER THE SKIN • IMMEDIATE TREATMENT • ICE • COMPRESSION • ELEVATION
BURNS • FIRST DEGREE • SUPERFICIAL LAYER OF SKIN • 3-6 DAYS TO HEAL • SOAK IN COOL WATER • COVER TO PREVENT INFECTION • NO OINTMENTS UNTIL BURNING SENSATION CONTROLLED! THEY SEAL IN HEAT • SECOND DEGREE • DEEPER BURN THAT AFFECTS LOWER LAYER OK SKIN • BLISTERING • UP TO 3 WEEKS TO HEAL • SOAK IN COOL WATER • COVER TO PREVENT INFECTION • NO OINTMENTS UNTIL BURNING SENSATION CONTROLLED! THEY SEAL IN HEAT • THIRD DEGREE • BURNS INTO DEEP TISSUES • WHITE OR BLACKENED, CHARRED SKIN • NUMB, BUT NOT AS PAINFUL. WHY? • COVER TO PREVENT INFECTION • IMMEDIATELY REFER TO PHYSICIAN