Trauma · Chapter 19 Not started

Soft-Tissue Injuries and Burns

Bleeding control from direct pressure to tourniquets, wound care, and burn management.

Key points

Bleeding control sequence: direct pressure first; for life-threatening extremity hemorrhage that pressure can't control, apply a tourniquet high and tight and record the time.
A properly applied tourniquet hurts — tighten until bleeding stops, never loosen it in the field.
Impaled objects are stabilized in place, never removed (exception: obstruction of the airway/cheek per protocol).
Burn severity depends on depth, extent (rule of nines), location (face, hands, airway), and patient age; cool burns with clean cool water, then cover with dry sterile dressings.
Suspect airway burns with facial burns, singed nasal hair, or hoarseness — swelling can close the airway rapidly.
Open wounds get exposed, controlled, dressed, and bandaged — check circulation beyond the bandage after tying.

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