Marine First Aid Level 4 (VTQ)

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Course Content

Penetration injuries

Video 106 of 206
1 min 58 sec
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Treating Penetration Injuries: A Step-by-Step Guide

Understanding Penetration Injuries

Penetration injuries are serious and can be caused by various objects, such as bullet wounds or fragments of metal that have entered the body. These injuries often involve both an entry wound and an exit wound, with the exit wound typically being more severe.

Key Point: Penetration injuries require immediate attention due to the risk of severe internal and external bleeding.

Initial Assessment of the Injury

The first step in treating a penetration injury is to assess the bleeding. **Determine the type and severity of bleeding**—whether it is arterial, venous, or manageable within standard first aid techniques. This will guide your decision on whether to apply a tourniquet.

Using Haemostatic Agents

If the bleeding is significant but not immediately life-threatening, consider using a haemostatic agent like **WoundClot**. Here's how:

  • Apply WoundClot over the external wound.
  • Roll a piece of WoundClot into a small square and place it directly in the wound.
  • Cover the entire area with another piece of WoundClot to initiate the healing process.

**WoundClot** will absorb blood and form a gel-like plug, helping to control bleeding and start the healing process.

Applying a Trauma Dressing

After applying the haemostatic agent, the next step is to secure the wound with a **trauma dressing**. Trauma dressings are effective in absorbing blood and maintaining pressure on the wound.

  • Place the trauma dressing over the WoundClot-covered injury.
  • Ensure the dressing is tight enough to apply pressure but not so tight that it restricts circulation.
  • Monitor the dressing to ensure no blood seeps through.

Ongoing Monitoring and Emergency Care

After applying the dressing, continue to monitor the injury. If blood continues to seep through the dressing, you may need to consider applying a tourniquet.

Important: Penetration injuries are serious, and you should contact emergency services immediately.

Treating for Shock

Once the wound is stabilised, it's crucial to treat the patient for shock, which often accompanies severe injuries. Keep the patient calm, warm, and monitored until emergency services arrive.

Final Considerations

**Effective first aid** for penetration injuries involves quick assessment, the use of haemostatic agents, and proper dressing. Always seek professional medical help as soon as possible.