Which is the best initial treatment for an abdominal evisceration in the field?

• A. Replace the organs back into the abdomen immediately.
• B. Clean the protruding organs with antiseptic solution before covering.
• C. Keep the protruding organs warm and moist.
• D. Allow them to dry before covering with gauze

Answer: (C)

In abdominal evisceration, the priority is to prevent the exposed organs from drying out and losing heat while awaiting definitive care. The best initial action is to cover the protruding organs with sterile dressings that are moist with saline, keeping them warm and moist. This protects tissue viability, reduces the risk of infection, and buys time for transport to the hospital. Replacing the organs in the field isn’t done because it can cause further injury and is better left to surgery. Do not clean the organs with antiseptics in the field, and do not let them dry before covering, as drying increases tissue damage and infection risk.