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Genital injury
Alternate Names : Scrotal trauma, Straddle injury, Toilet seat injury
First Aid
- Reassure the victim and try to keep them calm. As first aid is administered, be sensitive to the victim's privacy -- shield the injured area.
- To control bleeding, use direct pressure. Place a clean cloth or sterile dressing on any open wounds. If the vagina is bleeding severely, pack the area with sterile gauze or clean cloths unless a foreign body is suspected.
- Apply cold compresses to help reduce swelling.
- If the testicles have been injured, support them with a sling made from towels and applied like a diaper.
- If an object is embedded in a body opening or wound, leave it alone. Taking it out may cause further damage.
- Seek medical attention.
Do Not
- DO NOT overlook the possibility of internal bleeding.
- DO NOT volunteer your opinions about the circumstances.
- DO NOT accuse or confront the victim.
- DO NOT disturb possible evidence of assault or abuse, unless a medical emergency exists. If you suspect assault or abuse, do not allow the victim to change clothes, bathe, or shower.
- DO NOT allow the victim to walk, unless absolutely necessary.
- DO NOT attempt to remove a foreign body yourself.
Call Immediately for Emergency Medical Assistance if
- There is any pain or swelling in the genital area
- The foreign body was sharp
- There is bleeding
- There is concern about sexual abuse
- The patient is unable to urinate
- The urine is bloody
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Review Date : 9/30/2009
Reviewed By : David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; Scott Miller, MD, Urologist in private practice in Atlanta, Georgia. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
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