WOUND CARE

Types of Wounds

ABRASIONS

  • Skin scrapped against rough surface
  • Top layer of skin wears away
  • Often exposed to dirt and foreign materials = increased risk for infection

LACERATION

  • Sharp or pointed object tears tissues- result in wound with jagged edges.

INCISION

  • Wound with smooth edges.

PUNCTURE WOUNDS

  • Can easily occur during activity but could be fatal.
  • Could introduce tetanus bacillus to bloodstream.

AVULSION WOUNDS

  • 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.

WOUND CARE

Immediate Care

  • 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.

Dressing

  • 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.

WOUND INFECTION

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.
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