2015 Trumbull Memorial Hospital Demo

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EMR EMT AEMT Paramedic Extended
Wound Care
Clinical Indications:
 Active bleeding
Steps Performed?
Yes No
1. Use BSI precautions as indicated ☐ ☐
2. Observe for and control obvious bleeding ☐ ☐
3. Evaluate and treat all life threatening injuries first ☐ ☐
4. Control bleeding by (as appropriate):
 Direct pressure
 Tourniquet
 Splinting
☐ ☐
5. Uncontrolled bleeding:
 Assess for life threatening injuries and resuscitate if necessary
 Apply tourniquet for extremity injuries
 Watch for signs and symptoms of hypoperfusion
☐ ☐
6. Obtain history
 Time of injury
 Area of occurrence and infection risk
 Mechanism of injury
 Amount of blood loss
 Severity of pain
 Patient’s medical history and medications
 Tetanus immunization
☐ ☐
7. Wound care
 Assess for size, depth, location, contamination, and type of wound
 Abrasion, avulsion, contusion, incised, laceration, puncture
 Irrigate wound if necessary
 Apply appropriate dressing
 Secure dressing
☐ ☐
8. Further Evaluation and Care: Many times open wounds need further evaluation and
care by a physician, including:
 Neural, muscular, or vascular
 Tendon or ligament compromise
 Contamination
 Foreign bodies
 Medical history – diabetes, immunocompromised, etc
 Vascular problems
☐ ☐
Wound Care