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Abdominal evisceration — DIPIMC MCQ

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ModeratePre-Hospital TraumaAbdominal eviscerationDIPIMCDipIMC

A 27-year-old has a laceration to the abdomen with a loop of bowel protruding through the wound. He is alert and his observations are currently stable.

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Cover the exposed bowel with a saline-moistened dressing and do not replace it.

Eviscerated bowel should be covered with a saline-moistened, non-adherent dressing and kept warm, without any attempt to replace it, to prevent further contamination and ischaemia. Replacing the bowel risks injury and infection. A dry dressing adheres to and damages the exposed viscera.

Reference: JRCALC Clinical Guidelines