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FUNDAMENTALS OF FIRST AID
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First aid for wounds

Fundamentals of First Aid (OPMP)

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wounds called mechanical damage to tissues with a violation of the integrity of the cover. With deep wounds, not only the skin with subcutaneous tissue is damaged, but also muscles, bones, nerves, tendons, ligaments, and sometimes large blood vessels.

A wounding object can penetrate into the body cavity - the abdominal cavity, the cranial cavity, etc.; such penetrating wounds are often accompanied by damage to internal organs. When injured, bleeding, pain, and almost always gaping, i.e., divergence of the edges of the wound, necessarily occur. Wounds themselves are dangerous when bleeding from a large vessel, wounding an internal organ, especially severe pain that causes shock. In other cases, the main danger of injuries is that they serve as an entrance gate for pathogens of infectious complications, and sometimes such dangerous common infectious diseases as tetanus and rabies.

First aid for any injury - protecting the wound from secondary contamination. The surrounding skin is lubricated with an alcoholic solution of iodine and a sterile bandage is applied, strictly observing the rules of asepsis, especially avoiding touching the wound itself. In scalped wounds, the flap often does not come off completely and can be folded to the side with the subcutaneous tissue outward. In this case, the flap is carefully lifted and its skin surface is also smeared with an alcohol solution of iodine.

If the wound bleeds profusely, assistance begins with a temporary stop of bleeding. In severe wounds of the extremities, transport immobilization is necessary.

For further treatment, the wounded must be taken to a clinic or hospital to see a surgeon. The need for immediate surgical care increases with visible contamination of the wound with earth, with the possible presence of foreign bodies, poisonous or radioactive substances in the wound. The most urgent transport on a stretcher is for the wounded with symptoms of shock, severe bleeding and with such wounds that may be penetrating (for example, stab wounds of the chest, abdomen).

Persons bitten by a dog, cat or other animal should seek medical attention immediately, even if the wound is minor, to avoid contracting rabies.

Small, shallow wounds with a small area of ​​damage, with little dehiscence of the edges and no visible contamination often heal by first intention under a bandage applied with proper first aid. But even with these wounds, an appeal to the surgeon is mandatory if, 1-2 days after the wound, pain resumes in the wound, which indicates the onset of an infectious complication. This applies primarily to cuts and pricks of the fingers, which threaten the development of panaritium.

Author: Muradova E.O.

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