The first step is to help the injured person lie down, and it is better to be on the blanket to maintain the body temperature. This step is important because the affected area should be rested. For example, if your child has bleeding in the elbow or shoulder, moving his arm should not be allowed, and not use it to lift or carry things. Similarly, if he has bleeding in his joint or muscle, he should not walk as much as he possible until it heels.
Second, trying to control the swelling and reduce pain with muscle spasms. The most common way is by putting ice on the affected area also you can use crushed ice in a plastic bag or cloths. Moreover, it is important not to put the ice for too long. Maybe from 10-15 minutes to two hours is sufficient because leaving ice for too long can cause muscle weakness, and can also cause an increase in blood flow. When you use ice, you have to remember two important points. First, do not use ice over open wound. Second, do not use ice if the child suffer from poor circulation or poor sensation in the affected area.
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This step is very useful to help limit swelling to the injured area and keeps it from progressing to other parts of the limb. Be careful not to put direct pressure on an eye injury, and watch carefully for coolness or in case of change the color of the skin under the bandage. If any of these symptoms occur, remove the bandage quickly and re-wrap it less tightly. After that raise the injured organ to a level higher than the heart. For example, raise the affected arm or leg by using cushions or pillows to help decrease blood pressure and slow the
Emergency services may give instructions over the phone, such as move child into recovery position, or keep wound elevated, this will also give some reassurance to the child. And is helpful for the emergency services as they are aware of how the child/young person is reacting to this.
Ice- it will keep down the swelling. Apply ice with a thin piece of cloth, not more than 20 minutes to avoid frostbite.
As a result, I employed RICE as part of the initial onsite treatment. The right arm was immobilized and all weight bearing activity involving the right arm was seized immediately. Ice was applied for 10 minutes with the arm elevated above the heart, followed by the application of an ACE bandage to apply compression.
Immediately after the injury occurs, the individual needs to begin the basic steps of treatment. Although the steps seem minimal, they are crucial and must be administered. These steps consist of rest, ice, compression, elevation, and immobilization. In this injury you want to minimize the blood flow to the affected area. Resting reduces the risk of further injury. Ice should be applied 24 to 48 hours after the injury and will not only reduce swelling but any of the acute pain. Compression will reduce bleeding and reduce swelling, just as elevation will use gravity to reduce bleeding and reduce swelling by allowing fluids to flow away from the site of injury. There are many misconceptions about the way to apply ice,
Rest the patient by safely transferring him/her off the field and situate them in a comfortable stance, stabilising the injury to reduce bleeding. The athlete must not use the injured site for a minimum of 48-72 hours as it may cause additional haemorrhage and injury. Next, apply ice accompanied with a form insulating material onto the injured site for 20 minutes every hour for the first 72 hours to decrease pain, bleeding and swelling. Compression involves wrapping the injured area using a bandage, ensuring that it is not too tight or loose. This stabilises the injury and minimises bleeding and swelling. Elevation requires the injured site to be raised above the heart to decrease the amount of bleeding, swelling, throbbing and pain. The injury can be kept elevated using a soft cushion and must be aloft whenever possible. The athlete must be referred to a doctor or a physiotherapist as soon as possible after managing the injury. This will establish the severity and any rehabilitation needed as well as tips on treatment
OBSERVE: When observing the injured area, compare both limbs to determine any signs, deformity, swelling, inflammation etc.
Tie the tourniquet around the patient’s arm at about 7 to 10 cm above the venipuncture site.
Use moist heat to help reduce pain and swelling as told by your health care provider.
The area of the injury must be observed for how well the circulation to this area is. While preparing for treatment, nurses can use a chart called the “Braden Scale” which determines different factors that contributed to the injury, which will give them a better idea about which treatment plan they should follow. In DeWitt’s “Medical-Surgical Concepts and Practices” it describes the scale having 6 factors that can contribute to a pressure injury as in “sensory perception, moisture, activity, mobility, nutrition, and friction and shear” (DeWitt, 2013). It is easier to prevent pressure injuries than it is to treat them, that is why constant interventions are created to decrease the incidences of pressure injuries. A patient with an arterial pressure injury, depending on the severity will have a reduction in pressure over the area. Once the damage is done, the next measure is to relieve the pain and begin to start treatments. One simple way to help alleviate the pain is to dangle the affected area. This causes the blood to pull towards the feet increasing the blood flow to the lower extremities. One of the more tolerable treatments for an arterial pressure injury is to loosely wrap the affected area after receiving the cleaning. Other simple suggestions are to stop smoking, maintenance of high blood pressure, proper care if diabetic and change in diet.
Taking the advisable dosages each few hours will enable you to to continue your day-to-day activities. A heating pad positioned around the region with the organ may also be useful in minimizing the discomfort you happen to be enduring.
Step 2-I would restore the blood circulation using chest compression at a rate of 100 per min. I will have to perform 30 compressions using both hands.
Just like hot pack ice is used for only about 15-20 minute. A not so common form of treatment is laser or light therapy. “Laser of light therapy involves using light at a specific wavelength to help improve the healing process of injured tissue” (Sears). The photons of light carry energy and applied to the injured tissue and that helps the cellular process. “Kinesiology taping used for various function such as; muscle inhibition, Muscle facilitation, Bruising and swelling management, Pain relief” (Sears). Kinesiology taping is applied to the skin and should be left on the skin for a few days but the patient must be very careful with it. It is a new treatment so it is not used very often. “Whirl pool is a form of hydrotherapy, it improves circulation, maintains clean wounds, and controls inflammation” (Sears). Whirl pool treatment sessions involves placing the wounded area in the pool and letting the water swirl around cleaning out the wound and loosening up the patient’s muscles which helps improves the patient’s circulation to their muscles.
Pain is considered a positive symptom. It prevents overuse of the traumatized area. Increased blood flow is caused by heat. In addition, swelling keeps the injured site immobile, but prolonged swelling can decrease the ability to move muscles (Hydrotherapy; Swelling). Anti-inflammatory drugs can decrease swelling and heat, but they also reduce pain. This lessening of pain can lead to over usage of the injured site causing further harm. Because of the extra fluids the blood vessels are put under pressure thus stalling the flow of blood and lymphocytes. A safe way to remove the excess fluids naturally is by using hot and cold; however, heat can prolong inflammation causing certain secondary tissue damage (“Hydrotherapy”). This is where hydrotherapy comes
Scientists have discovered new ice patches near the poles of the moon indicating the axis had shifted many years ago. The good news is that it will help us understand our structure and evolution. The bad? Nothing really.
For OTA's and OT's it is a big challenge dealing with patients that have sever burns. These patients re going through both physical and psychological pain. It is a very slow process when it comes to the therapy for an acute born patient because first they must go through some type of healing process. To prevent the patient from hypotropical scars they must go through compression therapy. Compression garments are custom fitted to insure the patient is as comfortable as possible in the healing period. Compression garments re also key in getting patient back to retraining on ADL's. It is highly recommended to keep the skin lubricated to prevent patients from itching and cracking skin. The proper splint should be fitted for the patient as well