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Injuries to the Tissues Role of ATC 1. Recognize different types of injuries 2. Distinguish between levels of injury severity 3. Apply appropriate first aid and ongoing treatment Levels of Organization Cells Organ Systems Tissues Organs Cells • Basic structural and functional unit of ALL living organisms. • Cells divide to form tissues (specialization) • Divide through meiosis and mitosis • Meiosis – sex cell division • Mitosis – all other cell division Types of Cells Blood cells Nerve Cell Cardiac Muscle Cell Skeletal muscles are stimulated by nerve impulses carried by motor neurons. The axon (A) that carries the impulse to little pads called motor end plates (B). Types of Cells Types of Cells Tissues • A collection of similar cells that work together to perform a particular function • Interstitial fluid – tissue fluid that occupies tiny spaces between cells • Dehydration = not enough tissue fluid • Edema (swelling) = too much tissue fluid Types of Tissue 1. Epithelial Tissue (Skin) – lines outside and inside of the body and organs abrasions l lacerations contusions Types of Tissues 2. Connective Tissue “holds” things together provide framework – Examples: • Soft – Adipose (fatty) – Tendons – Ligaments • Hard – Osseous (bone) – Cartilage Types of Tissues 3. Nerve Tissue – the communication highway from the CNS to the muscles, organs, and other various systems • Composed of Neurons – Nerve cells Types of Tissues 4. Muscle Tissue – allows muscles to produce movement and power • Types – Skeletal (attaches to bones) – Cardiac (causes heart to contract) – Smooth (organs) Superficial Injuries to Epithelial Tissue • Abrasions – outer layer has been scraped off • Laceration – jagged tear in the flesh • Puncture Wounds – penetration of a sharp object • Incision – clean, straight cut • Avulsion – tissue is torn loose or pulled off • Callus – thickened area of skin • Blister – build-up of fluid under the skin • Bites – occur from insects, reptiles, animals, and humans Injuries to Tissues A. B. C. D. Skin Infections and Conditions • Tinea Pedis – (athletes foot) caused by fungus • Hematomas – a blood-filled swollen area (goose-egg) • Contusions – Injury received by a blow causing bleeding in the tissue (bruise) Contusions Hematoma Contusions: Treatment and Care Immediate Treatment (RICER) • Rest • Ice – applied for 20 minutes • Compression – ace bandage • Elevation • Range of Motion Follow-up Treatment • Continue to ice • Mild stretching • Protect area = donut-shaped pad over injury Muscular System •Over 600 muscles in the body •All produce movement 3 Types of Muscle Tissue – Cardiac – Smooth – Skeletal Skeletal Muscles • Point of origin • Point of insertion • Attached to bones by tendons Movements of Skeletal Muscles Plantar Flexion Dorsiflexion Pronation Abduction Supination Adduction Flexion and Extension Injuries to Muscle Tissue • Muscle Strain – overstretching or tearing of the muscle – Usually where the tendon meets the muscle – Common sites: hamstrings, hip flexor, quadriceps, gastrocnemius – Classified in degrees: 1st, 2nd, 3rd Treatment RICE Stretching • Myositis Ossificans – condition in which calcium is produced within the muscle after a blow Treatment Send to physician for x-ray Use donut-shaped pad over area when returns • Tendonitis – inflammation of a tendon – caused by repeated stress & repetitive motions – microtears in tendon sheath Treatment RICE mild stretching Healing Process