View source for Trunk Penetrating Injuries

==Section 6 - TRAUMA==
===6.12 TRUNK PENETRATING INJURIES===

====[[Initial Trauma Assessment and Care|INITIAL TRAUMA CARE (2.02)]]====
* Administer Oxygen via NRBM to maintain SaO2 at >95%
* Support the airway with the most appropriate adjunct.
* Prepare for immediate transport to the closest trauma facility.
* Administer [[Ancef|ANCEF]] 2 gm IV/IO for adults or 50 mg/kg IV/IO up to 2gm for pediatrics

====EXTERNAL BLEEDING====
* If chest wound present refer to Parameter 6.04 Chest Injuries.
* Apply a hemostatic (chitosan based) dressing to help stop bleeding if available. **Pack the wound with the hemostatic dressing to assist in bleeding control.
* Look for exit wounds and or additional wounds if gunshot or stab wounds are present.
* Refer to [[Analgesia and Sedation|ANALGESIA / SEDATION PRACTICE PARAMETERS (2.04)]].

====EVISCERATION====
* If evisceration present, apply a moist sterile dressing using normal saline over the exposed contents apply a large over dressing over the moist, sterile dressing protecting the abdominal contents to conserve heat.
* Look for exit wound in the flanks and back areas – dress/cover all wounds.

====IMPALED OBJECT====
* If an impaled object is present, stabilize the impaled object in place by any means possible to reduce movement or inadvertent removal of the impaled item.
* Examine the posterior (back areas) for exit wounds or protruding impaled objects.
[[Category:Trauma|0612]]