A wound is any physical injury involving a break in the layers of the skin. Wounds are generally classified as either closed or open.
Bleeding
Infection
Tetanus
Rabies
A closed wound is a wound where the outer layer of the skin is intact and the damage lies below the
surface.
Tender, swollen, bruised or hard areas of the body
Rapid, weak pulse
Skin that feels cool or moist or looks pale or bluish
Vomiting of blood or coughing up blood
Excessive thirst
An injured extremity that is blue or extremely pale
Altered mental state
Apply an ice pack
Elevating the injured part
Do not assume that all closed wounds are minor injuries.
Help the person to rest.
Provide comfort and reassure the person.
In an open wound, the outer layer of skin is broken. The break in the skin can be as minor as a scrape of the surface layers or as severe as a deep penetration.
Abrasions
Lacerations
Avulsion
Amputation
Puncture
General care for open wounds includes controlling bleeding, preventing infection and using dressings and bandages correctly.
Use a barrier between your hand and the wound.
Apply direct pressure.
Wash abrasions and other superficial wounds.
Apply a Povidone-iodine (PVP-I) antiseptic solution or, if available, a triple antibiotic ointment or cream.
Cover the wound with a sterile dressing.
Wash your hands immediately after giving care.
Call the local emergency number.
Put on PPE (Personal Protective Equipment)
Control bleeding by applying direct pressure or employing a pressure bandage.
Monitor airway and breathing.
In cases where the injured party is in shock, keep him or her from experiencing chills or feeling overheated.
Have the person rest comfortably and provide reassurance.
Wash your hands immediately after giving care.
Burns are injuries to the skin and to other body tissues that is caused by heat, chemicals, electricity, or radiation.
Superficial (first-degree) burns
Partial-thickness (second-degree) burns
Full-thickness (third-degree) burns
Critical burns are those burns that require immediate medical care. These are based on factors such as depth, area and location. The following are considered critical burns:
Full thickness burns that cover more than five percent of the body’s surface area.
Partial thickness burns that covers more than 10 percent of the body’s surface area or those that can be found in multiple locations.
Burns to the face, genitals, and injuries that completely encircle the hands or feet which may cause possible constriction and prevent circulation.
Burns caused by chemicals, electricity and explosives.
Burns involving someone under five years old or older than five who have thinner skin and often burn more severely.
Burns involving people with chronic medical problems such as heart or kidney ailments. People who may be undernourished. People who are exposed to burn sources who may not be able to leave the area.
Check the scene for safety.
Stop the burning by removing the victim from the source of the burn.
Check for life-threatening conditions.
Cool the burn with large amounts of cold running water.
Cover the burn loosely with a sterile dressing.
Prevent infection. Do not break blisters
Apply a triple antibiotic ointment if the person has no known allergies or sensitivities to the medication.
Take steps to minimize shock.
Comfort and reassure the victim.
Remove the chemical from the skin as quickly as possible.
Flush the burn with large amounts of cool running water.
If an eye is burned by a chemical, flush the affected eye with water until advanced medical personnel take over.
If possible, have the person remove contaminated clothes to prevent the spread of infection while you continue to flush the area.
Never go near the person until you are sure that he or she is no longer in contact with the power source.
Turn off the power at its source and be aware of any life threatening conditions.
Call the local emergency number.
Be aware that electrocution can cause cardiac and respiratory emergencies.
Care for shock and thermal burns.
Look for entry and exit wounds and give appropriate care.
Remember that anyone suffering from electric shock requires advanced medical attention.
Care for a radiation burn, i.e. sunburn, as you would for any thermal burn.
Always cool the burn and protect the area from further damage by keeping the person away from the burn source.