What should you do if more than one wound is found during a quick patient assessment?
When encountering multiple wounds during a quick patient assessment, the following steps should be prioritized:
1. Address Immediate Life Threats:
- Check for the presence of life-threatening wounds, such as:
- Severe bleeding
- Open chest wounds
- Impaled objects in critical areas
- Control any life-threatening bleeding by applying direct pressure or using a tourniquet if necessary.
2. Quick Survey:
- Perform a rapid scan of the entire patient to identify all visible wounds.
3. Prioritize Wounds:
- Determine which wounds require immediate attention and which can be addressed later.
- Wounds that need higher priority include (but are not limited to):
- Wounds on the head, neck, and chest
- Open fractures
- Deep wounds with significant bleeding
4. Assess ABCs:
- Ensure the patient's airway is open, breathing is adequate, and circulation is maintained.
5. Control Bleeding:
- For any bleeding wounds, apply direct pressure using a clean cloth or bandage to stop or reduce blood loss.
6. Clean the Wounds:
- Rinse wounds gently with clean water or sterile saline to remove visible dirt or debris.
7. Cover the Wounds:
- Cover the wounds with clean, dry dressings to protect them from infection.
8. Manage Pain:
- Administer appropriate pain medication as per your level of training.
9. Seek Professional Help:
- As soon as possible, transport the patient to a medical facility for further evaluation and treatment.
10. Document Findings:
- Record all observations and actions taken during the initial assessment for proper handover to healthcare professionals.
11. Communicate and Coordinate:
- If there are multiple responders or healthcare providers present, communicate effectively and coordinate care to ensure the patient receives optimal treatment.
12. Continuous Monitoring:
- While waiting for professional help to arrive, continue monitoring the patient's vital signs, airway, and any changes in their condition.
By prioritizing life-threatening wounds, controlling bleeding, and ensuring that the patient's basic life functions are stable, you can help provide the best possible care until more advanced medical assistance is available.