1- wound management

Question 1

define abrasion

Answer 1

loss of epidermis and some dermis
- blunt trauma/shearing

Question 2

Define Avulsion

Answer 2

Tearing of tissues from attachments
- Degloving

Question 3

Define incision

Answer 3

Straight clean cut caused by sharp object

Question 4

Define Laceration

Answer 4

Tearing of wound creating irregular defect

Question 5

Define Puncture

Answer 5

Penetrating wound
- Deep damage may be substantial even if superficial is minimal

Question 6

Describe the vascular supply of the skin

Answer 6

Direct cutaneous artery & vein
Subdermal plexus = terminal branches of the direct cutaneous arteries within the panniculus & subcutis

Question 7

What is the golden period?

Answer 7

first 6-8 hours between contamination at injury and bacterial infection

Question 8

What substance should be used for lavage?

Answer 8

Hartmann’s / Copious sterile lactated ringers

Question 9

List 3 Factors that influence bacterial contamination of a wound

Answer 9

Vascular supply
Devitalised tissue
Foreign body?
Type of contamination
Type of bacteria