Wound Care

By: Malik Hackney

Abrasion

  • skin scarped against rough surface
  • top layer of skin wear away
  • increase rick for infection

Laceration

  • sharp or pointed objects tears tissues- results in would with jagged edges.

Incision

  • wounds with smooth edges

Puncture Wounds

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

Avulsion

  • Skin is torn from body = major bleeding
  • Place avulsed tissue in moist gauze (saline), plastic bag and immerse

Different Type of Bleeding

}Arterial

◦Serious, Bright Red, Spurting

◦ WARNING- LOTS OF BLOOD!

}Venous

◦Dark Red, Steady Flow

}Capillary

◦Slow, Oozing, Higher Risk of infection

Controlling External Bleeding

1.Direct pressure

◦Pressure on wound with gauze

◦Do not remove if blood comes through – add more gauze

2.Elevation

◦Elevate above heart if possible – slows bleeding

◦Continue pressure

3.Pressure points

◦apply pressure to an artery to decrease blood flow to an area

◦Brachial artery (upper arm)

◦Femoral artery (top of thigh)

Wound Care

}Immediate Care:

◦Use UNIVERSAL PRECAUTIONS: 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

Wound Care

}Are sutures (stiches) 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

◦Sutures should be used within 12 hours

◦Can use steri-strips if stiches are not required