What is the best immediate action for an eviscerated abdomen in the field?

• A. Return Organs to Abdomen Immediately
• B. Do Not Replace Exposed Organs; Cover With Sterile, Moistened Dressing And Secure; Transport Promptly.
• C. Cover With Dry Cloth And Wait For Evacuation
• D. Massage Organs Back In

Answer: (B)

In the field, the priority with an eviscerated abdomen is to protect the exposed organs without manipulating them. Do not try to place the organs back inside the abdomen—doing so can cause further tissue damage and bleeding and can contaminate the contents. The best action is to cover the exposed organs with sterile, moistened dressings and secure them in place, keeping the tissues moist and protected from contamination. Then arrange rapid transport to a hospital for definitive care.

This approach minimizes desiccation and infection risk while avoiding additional injury. The other options either risk further damage by pushing organs back in, leave tissues drying out, or involve manipulating the organs inappropriately.