In abdominal trauma, which step is specifically used for an eviscerated bowel?

• A. Cover with a dry gauze
• B. Return the bowel to the abdomen
• C. Apply heat to the abdomen
• D. Cover eviscerated bowel with saline pads

Answer: (D)

When tissue is eviscerated, the priority is to protect it by keeping it moist and clean. Cover the exposed bowel with sterile saline-moistened dressings to maintain a moist environment, which helps preserve tissue viability and reduces the risk of contamination. Do not try to replace the bowel back inside, as this requires surgical care. Also avoid applying heat to the area, since heat can worsen tissue damage, and do not use dry gauze, which can desiccate and injure the tissue. After covering with moist dressings, secure with a bulky dressing and transport promptly for definitive care.