Marine Online
This section should give a short
introduction to
cups
crush injury
foreign bodies in the eye
and dental injury
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the extent of the injury depends on the
cause cuts can be cleaned or dirty clean
cuts are the result of very sharp
objects that easily cut through skin
tissue muscles and tendons dirty cats
are often torn and contaminated by dirt
oil or chemicals all crew members should
have had recent tetanus shots as this is
not an ideal condition to treat while at
sea
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any major bleeding must be stopped
before treating the wound the following
elements must be considered during the
examination what is the structure of the
wound
the following two questions must be
correct
for an asset it can be given is their
movement distal to the injury is their
feeling distal to the injury is it a
clean injury
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in order to treat cuts stop the bleeding
and elevate the bleeding part clean the
wound with sterile saline solution 9
milligrams per milliliter or hydrogen
peroxide if hydrogen peroxide is used
wince with saltwater solution
close the wound either with tape sterile
strips or by stretches bandage the wound
if there are signs of tendon damage the
tendon must be suited by a surgeon
before closing the wound if so put on a
dressing until qualified treatment can
be administered if blood penetrates the
bandage this must be changed frequently
if the bandage is clean and dry it can
be left unchanged until the stitches are
removed daily observation is necessary
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the consequences of a crush injury
depends
of the damage and how much force the
wound has been exposed to the effect on
the tissue after a crush injury is that
a large number of cell membranes will
rupture and cell contents will leak into
the tissue
this will cause oedema swelling within
the tissue a number of small and large
blood vessels will puncture and cause a
fusion of blood crushed tissue will
cause some of the tissue cells to die
in order to examine a crush injury your
aims are to find out how extensive the
injury is if the skin is punctured and
if the casualty is in pain
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when treating a crush injury you should
elevate damaged part and put a compress
to the wound disinfect the damaged area
it may be necessary to remove or cut
away dead tissue local anaesthetic may
be necessary it is not recommended to
suture an open wound immediately this
can easily cause infection as dead
tissue may still be present in the wound
adequate treatment is to cover the
injured area with a compress with
saltwater solution
close to the wound with a dry compress
on top change the bandage at least once
daily if necessary remove dead tissue
when the wound after some days appears
sterile it may be suited
a speck of dust loose eyelash or even a
contact lens can literally float on the
white of the eye and is usually easily
removed however anything that sticks to
the eye penetrates the eyeball or rests
on the colored part of the eye should
not be touched
there may be
blurred vision
pain or discomfort
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redness and portering of the eye eyelid
screwed
spasm
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in order to treat foreign bodies in the
eye your aim is to prevent injury to the
eye your aims are to find out how
extensive the injury are if the skin is
punctured and if the casualty is in pain
gently separate the eyelids with your
finger and thumb examine every part of
his I asked him to look right left up
and down if the foreign body is sticking
to or embedded in the I cover the
affected eye with an iPad and a bandage
then take or send the casualty to a
hospital if you can see a foreign body
on the white of the eye wash it out for
the glass or an eye bath and clean water
pour water on inner corner of eye let
the water drain onto a towel if this is
unsuccessful providing the foreign body
is not stuck in place lift it off with a
moist swab or the damp corner of a
tissue or clean handkerchief if the
object is under the upper eyelid ask the
patient to grasp the eyelashes and pull
the lid over the lower lid blinking
under water may also make the object
float clear
when the patient has a dental injury the
area surrounding the tooth will be red
and an abscess may appear next to the
tooth or towards the chin
this is often a painful situation for
the patient a dental injury may be
treated as follows antibiotics
pain reliever
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an abscess may have to be punctured and
treated
biotics a root filling is not to be done
on board
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