Figure 8-1. Applying dressings to stabilize an impaled object.
Do not anchor the bandage to the impaled object (that is, do not wrap
the bandage around the object) or cause pressure on the object while
applying the bandage.
(2) If the wound is on a limb, recheck the casualty's circulation below the
bandage. If circulation was not impaired before the bandage was applied but is now
impaired, loosen and retie the bandage. Then recheck the circulation. If circulation is
still impaired, evacuate the casualty as soon as possible.
h. Immobilize the injured area. Apply a splint or sling if appropriate. Make
sure the splint or sling does not cause additional movement of the impaled object.
Take measures to prevent or control shock.
Evacuate the casualty to a medical treatment facility.
IDENTIFY CLOSED SOFT TISSUE INJURIES
In closed soft tissue injuries, the surface of the skin is not broken. Although soft
tissue injuries can and do occur on any part of the body, they are common on
extremities. Two common closed soft tissue injuries are contusions and hematomas.
a. Contusions. Contusions (bruises) are usually caused by a blow from a
blunt instrument (from a stick, for example) or by the body impacting with an object
(falling to the ground, for example). The site of the injury normally turns "black and
blue." The discoloration (ecchymosis) is caused by blood from the injury which is
trapped and, with time, changes color. The site of the injury often swells due to the
presence of blood and fluid leaking from the injured tissue cells (edema). Pain usually
accompanies the injury.