SOFT TISSUE INJURY

Soft tissue injuries are injuries that involve the skin tissue, muscle, nerve or blood vessel due to a forced Ruda (or a common condition known as wound).

Injury Classification:

1. Open wound
Soft tissue injury with damage / cut off the damaged skin tissue and can be accompanied by skin tissue under the skin. Open wound types:
1. Blisters
2. Cuts / slices
3. Lacerations
4. Stab wound
5. Avulsion injury (torn)
6. Amputation injuries.

2. Wound closed
Soft tissue injury without damage / breaking of the skin tissue, the damaged tissue just under the skin. Closed Injury Type:
These types of injuries are grouped in the wound closed, but some types of these injuries can be a mixture of closed and open wounds.

3. Bruising
Symptoms and signs:
 Pain
 Swelling
 The red color blue (bruise)
 tenderness.

4. Strong crush injury
5. Injuries crushed.

Closing wounds and bandages
Closing wounds
Closing the wound is a material that is placed directly above the wound. Materials used should be both powerful and absorbing large enough to cover the entire surface of the wound, such as sterile gauze.
 Closing Occlusive wound (resistant plastic)
Waterproof material and air are used on the wound to prevent the entry of air out and keep the humidity in OGAN.
 Closing thick wound (wound cover pad)
A pile of cover material thickness wound approximately 2-3 cm.

Functions cover the wound
 Helps to control bleeding
 To prevent further contamination
 Accelerate healing
 Reduce pain.

Sanitary
Bandage is the material used to maintain the cover wounds. Wrapping materials made of various cloth materials.

Function pads:
 Emphasis to help stop the bleeding
 Maintaining the wound cover in place
 Being a support to the injured body part.

A good installation will help the healing process.
Several types of pads:
 Sanitary ribbon / roll
 Sanitary triangle (mitela)
 Sanitary tube / tubuler
 Sanitary pressure.

Closure Guidelines and dressing wounds
Wound closure
 Closing the wound to cover the entire surface of the wound.
 Strive surface of the wound as clean as possible before closing the wound, unless the bleeding wound with the priority is to stop the bleeding.
 Installation of closing the wound must be done in such a way that the surface of the cover attached to the wound is not contaminated (aseptic technique).

2. Dressing
 Try to put the bandage after the bleeding stopped. Except for a pressure bandage which is working to stop the bleeding.
 Do not wrap too tight or too loose.
 Do not let the loose end of the remaining pads.
 If the dressing wounds bandaged areas should be wider than the wound area. This is done to increase the extent of body surface so that the pressure to prevent tissue damage.
 Do not cover the tip of a finger unless there is a wound in that section, this section can be a clue if we are too strong dressing is by observing the fingertips. When pale means the dressing is too strong and should be repaired.
 Special on limb dressing made from the distal to proximal direction of the heart.
 Make the dressing in the desired position such as for dressing the joints do not try to bend the joints when clad in a state of straight.
 If the dressing around the chest, tell the patient took a deep breath first, just hold your breath and tighten the bandage. If the patient does not respond, tighten when patients breathed (inhaled).
 Do not make the dressing around his neck.

Open wound treatment
1. Make sure the area looks
2. Clean the area around the wound
3. Control the circulation when there is
4. Prevent further contamination
5. Give cover the wound and dressing;
6. Lay the patient if the blood loss and a severe wound.
7. Calm patient
8. Overcome shock if any, if necessary, treat the shock position even though the shock has not occurred
9. Refer to the health facility.

Closed Injury Treatment
Special for help bruising can be done as follows:
1. Rest of the motion
2. Give me a cold compress (eg bag of ice)
3. Balut press
4. Elevate the limb.

Wound treatment with a foreign object lodged
Step - step wound treatment menancapnya accompanied by a foreign body is as follows:

1. Stabilize the embedded object manually.
2. Do not be revoked. Foreign objects lodged never be revoked, except in the cheek (which will be discussed below).
3. Part of the wound opened so obvious.
4. Control bleeding, liver - careful not to push it stuck.
5. Stabilize foreign body by using a thick cover injuries, or variations such as bandages donuts, rolls and other pads - Other.
6. Treat shock if there is
7. Keep the patient still and calm rest
8. Refer to health facility

Scalp injury
In the treatment of scalp injury helper should recognize a good situation at hand, especially related to the presence or absence of skull fractures that accompany injuries to the area.

Scalp wound treatment
1. Control bleeding with direct pressure on the wound and give the cover wounds. If you suspect there is bleeding with an open skull fracture then use a thick pad to stop the bleeding.
2. Replace pads
3. Elevate, if there was no skull fractures, spinal injuries or chest. But do not position the patient is not aware of the head - shoulders are relatively higher.

Facial injury treatment
 It stuck in his cheek
 eye injury
 abdominal injury


Symptoms and signs that may be found in the abdominal injury
1. Abdominal pain and cramps
2. Tenderness in the abdominal wall
3. Bruising
4. There is an open wound
5. Vomiting blood
6. Symptoms and signs of shock
7. The patient holds and protects the stomach
8. The patient lay with legs bent
9. In open wounds may be seen in the abdominal organs out (usually the intestines)

Note: The symptoms and signs above are not always there all.
 Treatment open wound on the abdominal wall
 Treatment covered wounds in the abdominal wall

Note: Do not give food and drink.