Emergency Nursing Intervention!

[alrex_27]

i cant find a good answer in my textbook so i prefer to ask it here! what the heck are the emergency nursing intervention with a person stabbed somewhere in the abdominal area?

hope to here some reply!:nuke: thanks in advance guys!!!

[babynurselsa, RN]

Always start with your ABCs. Think of appropriate interventions from there.

What will you need to do (rapidly) to determine the stability of this patient? Are they conscious? Where is the location of the wound(s)? How much bleeding? What are you going to do for it?

Hope this gives you some ideas.

Good luck

[alrex_27]

Ok. i also thought of ABC's..anyway thanks for the help!:nuke:

[Altra, BSN, RN]

For a person who presents to the ER w/an abdominal wound ...

ABCs ... are vital signs stable? Is that "abdominal" wound high enough that it's really thoracic ... is there a possibility of a pneumothorax? If so, that's the first priority. What's the BP? Even if the pt. isn't bleeding much outside the body, there can be considerable blood loss in the abdominal and/or pelvic cavities. If so ... large bore IV access (if not already established), fluid, and blood as soon as it's available. Keep assessing VS every 2-5 minutes.

Once their vitals are stable they'll go to CT scan to assess the damage. If there is any protrusion of abdominal structures the wound can be temporarily covered with a wet dressing.

HTH :)

[alrex_27]

:nuke:Its not in the ER but rather in an ambulance.

I was assigned in the RedCross Ambulance and we were given a scenario that if we'll encounter such situation, what are the nursing intervention we must untertake?:nuke:

thanks guys..

[Altra, BSN, RN]

:nuke:Its not in the ER but rather in an ambulance.

I was assigned in the RedCross Ambulance and we were given a scenario that if we'll encounter such situation, what are the nursing intervention we must untertake?:nuke:

Interventions are the same ... ABCs, do what you have to do to maintain vital signs, cover wound w/a wet dressing if there's evisceration & get pt. to a hospital pronto. An abdominal wound is not something that can be fixed in the field.

[babynurselsa, RN]

Think a couple Large bore IVs also.

[UM Review RN, ASN, RN]

So now I'm curious. If the patient actually still has the knife or whatever in the abdomen, you don't take it out, right?

[babynurselsa, RN]

nope, leave it alone.

[emtb2rn, BSN, RN, EMT-B]

ABC's, stabilize the weapon in place using gauze, kling and creativity. High flow O2, backboard (collar is possible, depends on the situation). If you've got medics, they'll start pushing fluids. Also wanna get the pt trauma naked, make sure there aren't any other stab wounds or injuries. As mentioned below, check VS every couple of minutes. By now, you should be well on your way to a trauma center.

[PANurseRN1]

So now I'm curious. If the patient actually still has the knife or whatever in the abdomen, you don't take it out, right?

Don't touch the knife!

[jov]

And if this is a criminal act, save the knife/clothes for evidence.