Emergency Medicine Test Prep

Category - Abdominal and Genitourinary Trauma

A 30 year old man having penetrating abdominal trauma by knife and his small bowel are protruded out through the wound site all of the following are correct regarding the evisceration of abdominal organs except ?
  1. Careful cleaning and evaluation of eviscerated organ
  2. Covering of protruding abdominal contents with sterile dressing
  3. Reinserting the organ in the prehospital setting
  4. Surgery
Explanation
Answer: C - Abdominal eviscerations are a surgical emergency. The protruding organ requires careful cleaning and evaluation prior to reinsertion. Do not attempt to reinsert the organs in the prehospital setting. Cover any protruding abdominal contents with a sterile dressing moistened with sterile saline and place an occlusive dressing over the top.
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