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Cuts/Lacerations And Fractures. Lacerations/Cuts.
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Lacerations/Cuts Cuts and Lacerations are classified as open wounds and generally involve bleeding. A cut is caused by something sharp, such as knife or piece of glass coming into contact with the skin. A laceration is a tear injury of the skin and is caused by something jagged like barbed wire or machinery. Cuts and lacerations can cause injury to the skin and underlying tissues. Signs and Symptoms • Bleeding • Pain • Exposure of tissue and muscles • Loss of sensation • Shock • Swelling Primary Management • DRABCD • Control Bleeding • Clean the wound • Cover with a sterile non-adhesive dressing • Reassure the patient and monitor for shock
Fractures A break to any part of a bone is known as a fracture. Fractures can be caused by either direct or indirect force. For example, a snowboarder falls over and extends their arm to break and fall and, as a result, breaks their collarbone(indirect) or a batter in softball misses the ball, which then hits their arm, breaking the radius (direct). Fractures can be classified in the following ways: Complete- the bone is broken completely into two or more parts. Incomplete-the bone bends and splinters on one side but does not break right through. Comminuted-the bone is broken into many pieces Closed- the broken bone does not pierce the skin Open-the broken bone protrudes through the skin Complicated-when the broken bone damages a major nerve, blood vessel or organ. Signs and Symptoms Primary Management • Pain at and around the site - DRABCD • Swelling - Control any bleeding • Deformity - Encourage the patient not to move • Breaking noise - Gently immobilise the fracture • Limited movement - Monitor for shock - Ensure bandages do not cut off circulation