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31 Cards in this Set
- Front
- Back
Layers of the Skin
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epidermis
dermis subcutaneous fascia muscle |
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epidermis
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external layer, regenerates cells
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dermis
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middle layer, containes hair follicles, seat glands, nerves, and sebaceous glands
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subcutaneous
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fatty tissue
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fascia
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layer between muscle and fat
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muscle
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lies on top of the bone
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skin functions
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first line of defense
largest organ in the body keeps bacteria out (protection) watertight nerves report sensations to the brain regulates body temperature aids in elimination of water and salts |
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closed wounds
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internal injury with no open pathway from the outside to the injured site
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types of closed wounds
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contusions
hematoma crush injury |
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contusions
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bruise; swelling and pain often present
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ecchymosis
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blood accumulation causes a black/blue discoloration
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hematoma
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pool of blood that collected in the body; larger blood vessels are damaged; ability to lose lasre amount of blood
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crushing injury
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happens when a great amount of force is applied to the body for a long period of time; can lead to internal organ rupture; can lead to the buildup of toxic chemicals in the bloodstream; internal bleeding may be severe
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emergency care of closed wounds
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BSI/Scene Safe
maintain airway, oxygenate pt treat for suspected shock splint painful, swollen, and deformed extremities transport |
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open wound
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an injury in which the skin is interrupted, or broken, exposing the tissue underneath
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types of open wounds
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abrasions, lacerations, avulsions, punctures/penetrations, amputation, crush
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abrasions
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painful injury, even though superficial, no or very little oozing blood; outermost layer of skin is damaged by shearing, scraping, or rubbing
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puncture/penetration wound
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generally caused by a sharp pointed object; may be no external bleeding; interanl bleeding may be severe; exit wounds may be present
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amputation
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injury caused by ripping or tearing away of alimb, body part, or organ; massive bleeding maybe present or bleeding my be limited
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crush injuries
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damage to soft tissue and internal organs; may cause painful, swollen, deformed extremities; external bleeding may be minimal or absent; internal bleeding may be massive; pts can quickly deteriorate and crash
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emergency care of Open Wounds
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BSI/Scene Safe
manage airway, apply oxygen expose the wound prevent contamination apply dry steril dressing to wound keep pt calm and quiet treat for suspected shock control bleeding |
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bandage/dressing technique
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BSI/Scene safe
expose area cover wound and control bleeding with dressing bandage securely reevaluate |
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amputation tx
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monitor airway, administer oxygen
control bleeding do not complete partial amputations treat for shock wrap the amputated part ina dry sterile dressing place in a plastic bag with ice or ice pack NEVER place smputated part directly on ice transport with pt is possible |
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impaled object tx
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manually stabilize objest
expose area control bleeding stabilize with bulky dressings bandage |
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conditions that may affect burn severity
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source, depth, extent and regions burned, age of pt, preexisting medical conditions
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source of burns
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thermal, chemical, electrical, light, radiation
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classification of burns
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superficial (1st degree)
partial thickness (2nd degree) full thickness (3rd degree) |
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Rules of Nines - ADULT
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head=9%
chest=9% abdomen=9% back=18% leg=18% each arm=9% each genitals=1% |
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Rules of Nines - CHILD
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head-18%
chest/abdoment=18% back=18% leg=13.5% arm= 9% each genitals=1% |
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determining critical burns
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burns with respiratory injury
full-thickness burns>10% BSA Partial-thickness burns >30% BSA burns with painful swollen, or deformed extremity moderate burns in young and old burns to face, hands, or feet burn encircling any body part |
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determining moderate burns
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full-thickness burns 2-10%
partial-thickness burns 15-30% BSA superficial burns>50% BSA |