In the case of an abdominal wound with suspected life-threatening internal bleeding or protruding organs, which action is recommended?

• A. Leave the patient alone
• B. Push protruding organs back into the abdomen
• C. Apply direct pressure to the wound to stop bleeding
• D. Call EMS, do not apply direct pressure, and cover organs with moist dressings

Answer: (D)

Abdominal trauma with organs protruding is a life-threatening situation where protecting the exposed tissues and getting professional help fast is the priority. Pushing the organs back inside is dangerous because it can cause further tissue damage, bleeding, and infection. The recommended action is to call for emergency medical services and, while awaiting help, cover the exposed organs with clean, moist dressings to keep them from drying and to reduce contamination. Then place a dry, sterile dressing over the moist layer to hold it in place. Do not apply direct pressure to the organs themselves. Keep the person still, monitor for signs of shock, and avoid giving food or drink until professionals arrive.