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081-831-1025 (SL1) - Perform First Aid for an Open Abdominal Wound

Standards: Applied a dressing to the wound following the correct sequence without causing further injury to the casualty. The dressing was secure and protected the wound without putting pressure on the bowel.

Conditions: You see a casualty who has an open abdominal wound. 
The casualty is breathing. 
Necessary equipment and materials: 
casualty’s first aid packet and
material for an improvised dressing
(clothing or blankets).

Standards:
Applied a dressing to the wound following
the correct sequence without causing further
injury to the casualty. 
The dressing was secure and protected
the wound without putting pressure on the
bowel.

Performance
Steps

1.   Position the casualty by placing the casualty on
his back with the knees up (flexed).

2.   Uncover the wound unless clothing is stuck to the
wound or in a chemical environment.

CAUTION

Uncovering
the wound in a chemical environment or
removing stuck clothing could cause
additonal harm

3.   Pick up any organs that are on the ground.

a.
Use a clean, dry dressing
or the cleanest material available
and gently pick up the organs
without touching them with your bare
hands.

b.
Place the organs on top
of the casualty’s abdomen.

4.   Apply the casualty’s field dressing.

Note.  If the
field dressing is not large enough to
cover the entire wound, the inner
surface of the plastic wrapper from
the dressing may be used to cover the
bowel before the dressing is applied. 
Other improvised dressings can
be made from clothing, blankets, or
the cleanest material available.

a.
Apply the dressing, white
side down, directly over the wound.

WARNING

Do
not apply pressure to the wound or
other exposed internal parts

b.
Wrap the tails around the
casualty’s body completely covering
the dressing if possible.

c.
Loosely tie the tails
into a nonslip knot at the
casualty’s side.

d.
Check to make sure the
tails are tied firmly enough to
prevent slipping without applying
pressure to the bowel.

Note.  Field
dressings can be covered with
improvised reinforcement materials
(cravats, strips of torn cloth) for
additional support and protection.  The improvised bandages should be tied on the casualty’s
side-the one opposite to where the
dressing is tied.

Note.      
Do not cause further
injury. Observe the following:
Do
not touch exposed organs with bare
hands.
Do
not push organs back inside the
body.
Do
not probe, clean, or remove any
foreign object from the wound.

Note.  Watch the
casualty closely for life-threatening
conditions, check for other injuries,
and seek medical aid.

WARNING

Do
not give food or water to the
casualty. 
(Moistening the casualty’s lips
is allowed.)

Evaluation Preparation: 

Setup:  Use the same
field dressing repeatedly. 
Have another soldier act as the
casualty. 
Use a moulage or otherwise simulate
the abdominal wound.  You can have a canteen of water available and have the
casualty say that he is thirsty while
testing step 4.

Brief
Soldier:  Tell the soldier to do, in order, all necessary first aid
steps to treat the casualty’s wound. 
When testing step 2, you can vary the
test by telling the soldier that clothing is
stuck to the wound or that a chemical
environment exists.

 

Performance
Measures

GO

NO
GO

1.   Positioned the casualty.

—

—

2.   Uncovered the wound.

—

—

3.   Picked up organs.

—

—

4.   Applied the casualty’s field dressing.

—

—

5.   Performed steps 1 through 4 in the correct
sequence.

—

—

6.   Watched the casualty closely for life-threatening
conditions and checked for other
injuries, if necessary.  (See the Task 081-831-1000.)

—

—

Evaluation
Guidance: 
Score the soldier GO if all
performance measures are passed. 
Score the soldier NO GO if any
performance measure is failed. 
If the soldier scores NO GO, show
what was done wrong and how to do it
correctly.

 

References

 

Required

Related

 

 

FM
4-25.11

 


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