OFA Wound Care & Bleeding Control 4 — Questions and Answers
Question 1: What does the acronym 'RICE' stand for in managing soft-tissue injuries such as contusions?
- Rest, Ice, Compression, Elevation (Correct answer)
- Remove, Irrigate, Cover, Evaluate
- Reduce, Immobilize, Clean, Elevate
- Rest, Irrigate, Compress, Examine
Correct answer: Rest, Ice, Compression, Elevation
RICE (Rest, Ice, Compression, Elevation) is the standard first-aid protocol for managing soft-tissue injuries to reduce swelling and pain.
Question 2: What is an avulsion injury?
- A clean straight-edged cut from a sharp object
- A scraping injury that removes the surface of the skin
- Tissue that is torn partially or completely away from the body (Correct answer)
- A wound caused by a penetrating sharp object
Correct answer: Tissue that is torn partially or completely away from the body
An avulsion is a traumatic tearing away of skin or deeper tissue, sometimes leaving a flap attached; avulsed tissue should be preserved if possible.
Question 3: When a partially avulsed piece of skin or tissue is present, what should the first aider do with it?
- Cut away the flap to clean the wound
- Discard the tissue in a biohazard bag
- Gently reposition the flap and cover with a moist sterile dressing (Correct answer)
- Leave the tissue exposed to air to dry
Correct answer: Gently reposition the flap and cover with a moist sterile dressing
Partially avulsed tissue may be reattached surgically; repositioning it gently and keeping it moist preserves viability during transport.
Question 4: Internal bleeding is suspected after a worker is struck in the abdomen. Which sign would NOT typically indicate internal bleeding?
- Rigid or distended abdomen
- Increasing pulse rate and falling blood pressure
- Visible spurting blood from the abdomen (Correct answer)
- Pale, cool, clammy skin
Correct answer: Visible spurting blood from the abdomen
Internal bleeding occurs inside the body, so there is no visible external spurting blood; signs are systemic (shock symptoms) and localized (abdominal rigidity).
Question 5: What is the recommended first-aid position for a victim suspected of having internal abdominal bleeding?
- Sitting upright at 90 degrees
- Prone (face-down)
- Lying flat with knees bent (semi-flexed) to relax abdominal muscles (Correct answer)
- Left lateral recovery position
Correct answer: Lying flat with knees bent (semi-flexed) to relax abdominal muscles
Lying flat with knees bent reduces tension on the abdominal wall, making the victim more comfortable and potentially reducing further injury.
Question 6: Which of the following correctly describes the management of a nosebleed (epistaxis) in the workplace?
- Tilt the head back and apply pressure to the bridge
- Have the victim sit leaning slightly forward and pinch the soft part of the nose for 10–15 minutes (Correct answer)
- Pack the nostril tightly with cotton and have the victim lie flat
- Apply ice directly inside the nostril
Correct answer: Have the victim sit leaning slightly forward and pinch the soft part of the nose for 10–15 minutes
Leaning slightly forward prevents swallowing blood; pinching the soft part of the nose (not the bridge) for 10–15 minutes allows clotting.
Question 7: A factory worker's fingertip is completely amputated. How should the amputated part be transported to the hospital?
- Place it directly in a bag of ice water
- Wrap it in a moist sterile gauze, place in a sealed plastic bag, and keep cool near ice without direct contact (Correct answer)
- Leave it at the scene; reattachment is not possible
- Soak it in saline for 30 minutes before transport
Correct answer: Wrap it in a moist sterile gauze, place in a sealed plastic bag, and keep cool near ice without direct contact
Amputated parts are wrapped in moist sterile gauze, sealed in a plastic bag, and kept cool but not frozen to preserve tissue viability for possible reimplantation.
OFA Wound Care & Bleeding Control 4
What does the acronym 'RICE' stand for in managing soft-tissue injuries such as contusions?