Full transcript
0:00starting with abrasions abrasion is what
0:03you can see in the photograph there
0:04abrasions are a scrape or a rub usually
0:08superficial so only involving the
0:10epidermal layer of the skin
0:13uh with bleeding it's going to be very
0:16light should be easily stopped with
0:18pressure
0:20we want to make sure that we're cleaning
0:22the abrasion if this is from Road Rash
0:24or maybe a bicycle injury or a trip and
0:28fall always make sure that the area is
0:31free of debris we can do that by using
0:34sterile water if available but in any
0:36case we just want to make sure that we
0:38are flushing the area and keeping it
0:40clean and dry
0:42and the treatment for an abrasion that
0:44has very little bleeding would probably
0:47be just to apply bandages
0:50incisions now incisions are defined by a
0:54cut that is smooth okay so this is going
0:57to be a smooth open injury caused by a
1:00sharp object and it's a very straight
1:02cut so just like you see in the photo
1:05there either from the kitchen knives or
1:08the provider creating a nice straight
1:11smooth cut that would be defined as an
1:13incision
1:14with incisions these could require
1:17medical emergency treatment because the
1:20bleeding could be extensive
1:22the first thing that you would want to
1:24do with an incision is stop the bleeding
1:27at all cost with that we can apply
1:30whatever we have that is handy as long
1:32as it is clean we're going to apply that
1:34to the area that has the incision apply
1:37as much pressure as you can until the
1:40bleeding stops once the bleeding stops
1:42now we're free to clean cleanse the area
1:45and if you're able to we can apply a
1:48bandage to stabilize the patient until
1:50we can get them further treatment
1:53lacerations you can see the difference
1:55here in the laceration from the incision
1:57laceration also an open injury very
2:01similar to an incision however incisions
2:04have more of a straight smooth cut
2:07whereas lacerations are going to be
2:09Jagged and they're often deeper in their
2:12intensity
2:13so with this you're going to see
2:15bleeding as you would with an incision
2:17and it might be more bleeding because
2:19it's a more of an extensive um injury
2:23here
2:24same routine we're going to try to apply
2:27pressure with whatever we have handy and
2:30you're going to apply pressure until the
2:32bleeding stops
2:33once you get the bleeding to stop now
2:36you can go in and comfortably clean the
2:39area preferably with sterile water if
2:42you have that handy or bottled water you
2:44want to flush the area of any remaining
2:46debris
2:48and because we're preparing the patient
2:50for stabilization until further
2:53treatment can occur we can apply a
2:55bandage
2:56next would be our puncture wound
2:59puncture wound just because of what you
3:01see here is why it's labeled that it's
3:04often a stab usually small with limited
3:08bleeding
3:09but once the item that has actually
3:12created that stab or that puncture if
3:14that is removed that could cause for
3:17more bleeding
3:18if you do notice that the bleeding has
3:21begun or it is extensive then we're
3:23going to follow the same protocol that
3:25we would with our incisions and our
3:27lacerations applying pressure until the
3:30blood has until the bleeding has
3:32subsided once the bleeding has subsided
3:34then we have the opportunity to cleanse
3:37the area
3:38now once we cleanse the area of excess
3:41debris if we're able to we can apply a
3:44bandage
3:45and that would be considered stabilizing
3:47the patient until further help arrived
3:50now also understand what these stabs or
3:53these puncture wounds now the patient is
3:55at risk of developing tetanus and so
3:57they may require that the patient have a
4:00booster if they haven't had a tetanus uh
4:02and within the last five years then it
4:04may be required that they have a booster
4:06injection done just to protect them
4:08against this injury