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| Alternative Names: | Scrotal trauma; Straddle injury; Toilet seat injury
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| First Aid: | 1. 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.
2. 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.
3. Apply cold compresses to help reduce swelling.
4. If the testicles have been injured, support them with a sling made from towels and applied like a diaper.
5. If an object is embedded in a body opening or wound, leave it alone. Taking it out may cause further damage.
6. Seek medical attention.
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| 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.
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| 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: 8/8/2001
Reviewed By: David R. Knowles, M.D., Department of Urology, New York-Presbyterian Hospital Columbia Campus, New York, NY. Review provided by VeriMed Healthcare Network.
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The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2002 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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