Premergency First Aid, CPR and AED Manual

7 Bleeding, Wound Care and Trauma

Abdominal wounds Abdominal wounds can include both penetrating or non-penetrating methods of injury. Penetrating, open injuries may bleed heavily or there can be little blood at the surface. Organs can be damaged and may protrude through the wound. Blunt force or certain other injuries may not break the skin but may still cause damage to internal organs. Severe bleeding can also occur. Carefully assess the condition of the patient, the MOI, and the history of the injury. Examine the patient carefully. Gently feel for pain, swelling, or a rigid abdomen. A swollen or rigid abdomen may indicate internal bleeding.

All but the most minor abdominal injuries have the potential of internal bleeding that may be severe. Include first aid for internal bleeding and shock when giving aid for an abdominal wound.

If the patient’s condition worsens and breathing becomes more difficult, a tension pneumothorax may be developing. Loosen the occlusive dressing for a moment to see if any air escapes the wound during exhalation. Reseal the dressing. Check its function.

234

www.preohs.com