Page 390 - 2021 IDMT Digital

TRENCHFOOT and IMMERSION FOOT
Introduction:
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• ,PPHUVLRQ IRRW DQG iPPHUVLRQ V\QGURPH FRPH IURP SURORQJHG LPPHUVLRQ RI WKH ORZHU
H[WUHPLWLHV LQ ZDWHU RU PXG
• %RWK RFFXU ZKHQ DPELHQW WHPSHUDWXUHV DUH DERYH IUHH]LQJ
• 1HUYH GDPDJH RFFXUV ZKHQ HQYLURQPHQW FDXVHV VNLQ EUHDNGRZQ DQG WLJKW IRRWZHDU
FRPELQHG ZLWK LPPRELOLW\ FDXVHV YDVRFRQVWULFWLRQ
Subjective:
• 6LJQV DQG 6\PSWRPV
o &RPSOHWH DEVHQFH RI VHQVDWLRQ OHDGLQJ WR ³ZDONLQJ RQ DLU´ IHHOLQJ
o $IWHU UH-ZDUPLQJ H[WUHPLW\ EHFRPHV KRW YHU\ SDLQIXO VZROOHQ
Objective:
• 3K\VLFDO ([DP
o 6NLQ LV ZKLWH \HOORZ RU PRWWOHG HGHPD LV SUHVHQW
o $IWHU UH-ZDUPLQJ H[WUHPLW\ LV KRW DQG UHG
o 9LEUDWRU\ VHQVH XVXDOO\ DEVHQW SURSULRFHSWLRQ XVXDOO\ SUHVHQW
o 6HYHUDO GD\V DIWHU UH-ZDUPLQJ YHVLFOHV EXOODH KHPRUUKDJLF EOLVWHUV DQG
VNLQ VORXJKLQJ GHYHORS PD\ GHYHORS JDQJUHQH
Assessment:
• 'LIIHUHQWLDO
o 'LDJQRVLV LV JHQHUDOO\ PDGH RQ FOLQLFDO JURXQGV EDVHG RQ WKH FRQWH[W RI WKH
LQMXU\ VLJQV DQG V\PSWRPV
Plan:
• 'U\ SDWLHQW DQG NHHS FRUH WHPSHUDWXUH ZDUP WUHDW FR-H[LVWHQW K\SRWKHUPLD ZKLOH
NHHSLQJ H[WUHPLWLHV FRRO DYRLG PDVVDJLQJ RU UHZHWWLQJ
• 5HFRPPHQGHG PHWKRG LV NHHSLQJ H[WUHPLWLHV HOHYDWHG DQG H[SRVHG WR D FRRO IDQ WKLV
WUHDWPHQW VKRXOG EH FRQWLQXHG XQWLO SDLQ DQG VZHOOLQJ KDV UHVROYHG PD\ WDNH GD\V
Patient Education:
• (QVXUH SURSHU ILWWLQJ ERRWV SULRU WR GHSOR\PHQW
• &KDQJH VRFNV WLPHV SHU GD\ LQ VZHDW\ RU ZHW HQYLURQPHQWV
• 5HFRPPHQG ERRWV EH UHPRYHG FRPSOHWHO\ IRU D PLQLPXP RI KRXUV RXW RI HYHU\
IHHW VKRXOG EH FRPSOHWHO\ GU\ DQG ZDUP DQG SUHIHUDEO\ H[SRVHG WR DLU GXULQJ WKRVH
SHULRGV
Preceptor Directive:
• Red Directive: Immediate Evacuation; Contact Preceptor ASAP

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