In a patient with an open wound through which several organs are protruding, what should you do first?

• A. Apply direct pressure to the organs
• B. Rinse and cover the wound
• C. Summon more advanced medical personnel
• D. Attempt to replace organs

Answer: (C)

The first priority is to get advanced medical help on the scene as quickly as possible. When organs are protruding through an open wound, it’s a life-threatening emergency that requires surgical care beyond basic first aid. You should not try to push the organs back or apply direct pressure to them, and you shouldn’t rinse the wound or delay calling for help. As you wait for EMS, protect the protruding tissues with sterile, moist dressings if available, keep the patient warm, and monitor their condition while ensuring the scene is safe. Getting professional back-up on board takes precedence because time-sensitive surgery and sterile management are needed to improve outcomes.