In abdominal trauma, what is recommended for an exposed eviscerated bowel?

• A. Ensure patent airway
• B. Spinal motion restriction per Skills List (S-104)
• C. Cover eviscerated bowel with saline pads
• D. Keep warm

Answer: (C)

When dealing with an exposed eviscerated bowel, the priority is to protect the tissue from contamination and drying while you arrange transport. The best action is to cover the bowel with sterile, saline-moistened dressings. This keeps the tissue moist, reduces the risk of infection, and helps preserve viability. Do not apply dry dressings, and do not attempt to push the bowel back inside. Use sterile technique and cover gently without applying pressure. Remember to manage airway, breathing, and circulation as with any trauma, and keep the patient warm, but the specific step for the exposed bowel is moist, sterile coverage.