What is abdominal evisceration?

Evisceration: Some penetrating abdominal wounds can result in evisceration, a protrusion of the organs outside the abdominal wall. There are two main causes for evisceration. The first is a large wound that extends through the peritoneum, causing a sudden eruption of abdominal contents.

How do you treat an abdominal evisceration?

The eviscerated bowel should be covered with moistened sterile dressings. It is critical to avoid the temptation to re-insert the eviscerated bowel back into the abdominal cavity. Most experts recommend that antibiotics be initiated in the emergency department before the patient is transported to the operating theater.

Is abdominal evisceration life threatening?

Pathophysiology. Abdominal trauma can be life-threatening because abdominal organs, especially those in the retroperitoneal space, can bleed profusely, and the space can hold a great deal of blood.

What type of dressing should you apply to an abdominal evisceration?

 Keep eviscerated organs saturated and warm since organ dehydration and heat loss occurs rapidly with an open abdominal cavity.  An occlusive dressing consists of plastic wrap or sheeting.

What happens if your intestines are exposed?

Because the intestines are not covered in a protective sac and are exposed to the amniotic fluid, the intestines can become irritated, causing them to shorten, twist, or swell.

What is traumatic evisceration?

Traumatic evisceration is a common fi nding with penetrating trauma, particularly after knife stab wounds. There are limited case-reports of evisceration after blunt wounding patterns in the literature.

What is the most common cause of abdominal trauma?

[11] reported motor vehicle crashes (MVCs), fall from height and assaults to be the most common causes of blunt abdominal trauma. The penetrating trauma is mainly caused by gunshot, stab, and other objects that enter the peritoneal cavity.

What are the five most reliable signs & symptoms of blunt abdominal trauma?

The most reliable signs and symptoms in alert patients are as follows:

• Pain.
• Tenderness.
• Gastrointestinal hemorrhage.
• Hypovolemia.
• Evidence of peritoneal irritation.

What type of dressing should be placed over an evisceration first?

Infection, bleeding, and drying of the organs are all concerns. The Wildernes EMT’s prehospital care of this injury must include bandaging over the injury with a moist, sterile gauze dressing. The organs must be kept warm and moist, and they should not be touched.

What should you do if the casualty’s internal organs are protruding through an abdominal wound?

Cover protruding intestines with plastic wrap, a non-stick dressing or if not available, a wet dressing could be used. Monitor vital signs. Seek medical aid immediately.