During emergency care, a patient presents with a prolapsed uterus with tissue protruding. What is the recommended immediate first aid for the exposed tissue?

• A. Cover with wet, sterile dressing
• B. Push the tissue back inside
• C. Apply a dry gauze dressing
• D. Apply heat to the abdomen

Answer: (A)

The key idea is protecting and preserving exposed tissue while awaiting definitive care. When tissue from a prolapsed uterus is protruding, the priority is to prevent further injury and infection by keeping it moist and clean, not by pushing it back in or applying heat.

Cover the exposed tissue with a wet, sterile dressing to maintain moisture and protect it from contaminants. If sterile supplies aren’t available, use a clean cloth moistened with saline or clean water and keep the tissue moist. Do not attempt to push the tissue back inside; that can damage blood supply and worsen the injury. Dry dressings should be avoided because they can desiccate the tissue and increase harm. Heat should not be applied, as it can worsen tissue damage and promote infection. After dressing, keep the patient calm and arrange prompt transport for medical care.