Types of Wounds
- Skin scrapped against rough surface
- Top layer of skin wears away
- Often exposed to dirt and foreign materials = increased risk for infection
- Sharp or pointed object tears tissues- result in wound with jagged edges.
- Wound with smooth edges.
- Can easily occur during activity but could be fatal.
- Could introduce tetanus bacillus to bloodstream.
- Skin is torn from body = major bleeding
- Place avulsed tissue in moist gauze (saline), plastic bag and immerse in cold water.
- Take to hospital for reattachment.
- Use universal percautions: All wounds should be treated as though they have been contaminated with bloodborne pathogens.
- First step should ALWAYS be to put on gloves!
- To minimize infection clean wound with copious amounts of soap, water and sterile solution.
- Sterile dressing
- Antibacterial Ointments are effective in limiting bacterial growth and preventing wound from sticking to dressing.
Are Stitches Necessary?
- Deep lacerations, incisions and occasionally punctures.
- May be needed if the wound edges cannot be easily pushed back together.
- Decision should be made by a physician.
- Stitches should be used within 12 hours.
- Can use steri-strips if stitches are not required.
What's the Big Deal with Infections?
- Infections that start in the skin may spread to cause more serious infections.
- Tetanus: bacterial infection causing fever and convulsions
- Most wound infections can be treated with antibiotics
- Staphylococcus aureus has become resistant to some antibiotics.
- MRSA Methicillin-resistant staphylococcus aureus is more difficult and infections can become more severe.