Evisceration
Extensive lacerations may allow some of the internal organs to protrude through the wound, a condition known as evisceration.
If the victim has an (open) abdominal injury:
- Establish and maintain the airway, breathing, and circulation (ABC's).
- Very carefully... expose the injury by cutting away clothing around the site without removing clothing or other material which remains attached to the wound.
- Treat for shock.
- Control bleeding and apply a dry sterile dressing.
WARNING! In severe open abdominal wounds, the intestines and organs may protrude through the abdominal wall — DO NOT to try to push the eviscerated organs and intestines back into the abdominal cavity. - A sterile dressing moistened with saline is applied over the entire wound and taped firmly along its edges.
- Apply a sterile compress, moistened with sterile water. If sterile water is not available, use clean drinking water.
- Do not use material that clings, such as paper towels, cotton, or toilet paper.
- Apply aluminum foil or plastic wrap over the compress keeping the area moist and warm.
- Hold the compress in place with a bandage, do not apply more pressure than is necessary to hold the bandage.
- Give nothing by mouth. The victim may suck on a moist towel or sponge.
- Seek immediate medical assistance.
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