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Principles Of Management Of Accidental Wounds: Q&A
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Principles Of Management Of Accidental Wounds: Q&A
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Principles Of Management Of Accidental Wounds: Q&ALearning objectives:
1. Apply the principles of wound healing to the management of
open/traumatic wounds.
2. Describe methods for the management of open/traumatic wounds
What is the objective in the care of accidental wounds Right Ans - - to
convert the "open" wound into a surgically clean wound that can be closed.
(ideally within 6-12 hours).
- If that is not possible, to work towards a wound environment that will
ultimately heal on its own, or favour wound reconstruction
what are further aims of accidental wounds Right Ans - •Healed wound
•No scar
•Normal function
•No infection.
what are accidental wounds Right Ans - - Wound first-aid
- Definintive care of the wound
- Wound reconstruction
what is the classification of wounds Right Ans - - closed wounds
- open wounds
what are closed wounds Right Ans - - crushing injuries (e.g. like in bite
wounds) and contusions.
what are open wounds Right Ans - - include lacerations or skin loss.
- when did the wound happen, how did the wound happen etc
, what also need to be considered in the classification of wounds Right Ans -
•Duration
•Degree of contamination
•Cause of tissue damage (aetiology)
•Depth of tissue damage
why is the duration of the wound important Right Ans - Bacterial
multiplication
'Golden period' if you go beyond the golden period then you are pretty much
guaranteed to get an infection
what are the classifications of duration Right Ans - - Class I
- Class II
- Class III
what is a class I duration wound Right Ans - - clean lacerations 0 to 6 hours
duration with minimal contamination
what is a class II duration wound Right Ans - - wounds of 6-12 hours'
duration with significant contamination
what is a class III duration wound Right Ans - - wounds of 12 hours'
duration of longer with gross contamination.
what are the classifications for the degree of contamination Right Ans -
•Clean (surgical incision in aseptic conditions)
•Clean contaminated wounds (e.g. opening the intestine)
•Contaminated wounds (accidental wounds)
•Dirty or infected wounds (accidental wounds)
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