Wounds Chapter 7 Arkansas State University创伤7 阿肯色州立大学.pptVIP

Wounds Types of Open Wounds Abrasion – scrape Incision – smooth edged cut Laceration – jagged irregular edges Types of Wounds #2 Puncture – deep, narrow stab wound High rate of infection (animal bites) Should heal from inside out Avulsion – flap of skin torn loose Amputation – cutting off a body part Open Wounds: What To Do Wear gloves and expose wound Control bleeding Clean wounds To prevent infection Wash shallow wound gently with soap and water (betadine) Wash from the center out / Irrigate with water Severe wound? Clean only after bleeding has stopped Wound Care Do not close wound with steri-strips Use roller bandages (or tape dressing to the body) Keep dressings dry and clean Change at least daily More frequently if wet or dirty Use antibiotic ointments for shallow wounds only Wound Care #2 Do not apply: Mercurochrome, merthiolate, or iodine (p.121) Do not make dressing air tight If dressing sticks? soften with warm water prior to removal Signs of Wound Infection Swelling, redness, pain, warmth Fever / chills Swollen lymph nodes Red streaks Tetanus (lock jaw) Receive injection in first 72 hours Throbbing Pus When To Seek Medical Attention** Indicates High Chance of Infection Arterial or other uncontrolled bleeding Deep incisions, lacerations, avulsions **Large or deep punctures Severe injury in “bend” Wound gapes open (stitches) Large or deeply imbedded objects **Significant debris (bike wreck, chainsaw, tattoo **Animal bites, ragged wounds When To Seek Medical Attention #2 If scarring would be significant Eyelids (prevent drooping) Slit lips Extremely dirty Injury to bone, joint, tendon Any situation in doubt (ear ring) If no tetanus shot in past 10 years 5 years for dirty wound Significant infection Amputations Crushing Poor chance of reattachment Guillotine Clean cut Good chance of reattachment (fingertips of kitchen counter) De-gloving Skin peeled off Amputation: What To Do Control bleeding Treat for shock Recover body part Transport To Care For Am