Early wound management

Question 1

4 of Wilsons remote recomendations

Answer 1

Restrict movement
garden hose lavage
control hemorrhage
attend the case if there is a suspect fracture

Question 2

4 of Wilsons remote recomendations

Answer 2

Restrict movement
garden hose lavage
control hemorrhage
attend the case if there is a suspect fracture

Question 3

2 parts of initial patient assessment?

Answer 3

Systemic assessment

wound assessment

Question 4

3 big systemic systems to assess/

Answer 4

Cardiovascular
respiratory
BCS

Question 5

What is the golden period

Question 6

3 forms of wound assessment

Answer 6

visual exam
digital exam
diagnostic imaging

Question 7

4 parts to a visual exam

Answer 7

location
extent
age
condition

Question 8

For a digital exam you should probable do what 3 things?

Answer 8

Sedate
Sterile lube in the wound
Clip and prep

Question 9

Objective of a digital exam?

Answer 9

Explore the wound and the involved structures

Question 10

main goal if diagnostic imaging?

Answer 10

Assess the bone!

Question 11

3 goals of wound debridement?

Answer 11

Remove contamination
remove devitalized tissue
eliminate infection

Question 12

3 forms of debridement

Answer 12

Sharp dissection
Curettage
irrigation

Question 13

What is the ideal pressure for wound lavage?

Answer 13

7 psi

Question 14

3 types of lavage instruments?

Answer 14

garden hose
syringe
pulsavac

Question 15

2 properties lavage solutions should ideally have?

Answer 15

Nonirritating

bactericidal

Question 16

4 examples of lavage solutions

Answer 16

saline
lactated ringers
providone iodine
chlorohexidine

Question 17

How does provodone iodine function at 1% 0.5%?

Answer 17

1% - bactericidal and non irritating

>0.5% - histotoxic and inhibits neutrophil migration

Question 18

With 1% solution of provodone iodine you should use?

Answer 18

1:10 dilution

Question 19

When does chlorohex become histotoxic? bactericidal?

Answer 19

0. 02

0. 05

Question 20

What dilution for chlorohex should be used for the 0.05% solution

Answer 20

1:40

Question 21

What are 3 other lavage solutions that can be used

Answer 21

Chlorohecidine TrisEDTA (0.0005%) (can be used in synovial structures)

0. 25% neomycin
1. 1% gentocin

Question 22

3 places where antibiotics should be used in wounds?

Answer 22

Cellulitis
open synovial structures
severe muscle injury

Question 23

2 parts of initial patient assessment?

Answer 23

Systemic assessment

wound assessment

Question 24

3 big systemic systems to assess/

Answer 24

Cardiovascular
respiratory
BCS

Question 25

What is the golden period

Question 26

3 forms of wound assessment

Answer 26

visual exam
digital exam
diagnostic imaging

Question 27

4 parts to a visual exam

Answer 27

location
extent
age
condition

Question 28

For a digital exam you should probable do what 3 things?

Answer 28

Sedate
Sterile lube in the wound
Clip and prep

Question 29

Objective of a digital exam?

Answer 29

Explore the wound and the involved structures

Question 30

main goal if diagnostic imaging?

Answer 30

Assess the bone!

Question 31

3 goals of wound debridement?

Answer 31

Remove contamination
remove devitalized tissue
eliminate infection

Question 32

3 forms of debridement

Answer 32

Sharp dissection
Curettage
irrigation

Question 33

What is the ideal pressure for wound lavage?

Answer 33

7 psi

Question 34

3 types of lavage instruments?

Answer 34

garden hose
syringe
pulsavac

Question 35

2 properties lavage solutions should ideally have?

Answer 35

Nonirritating

bactericidal

Question 36

4 examples of lavage solutions

Answer 36

saline
lactated ringers
providone iodine
chlorohexidine

Question 37

How does provodone iodine function at 1% 0.5%?

Answer 37

1% - bactericidal and non irritating

>0.5% - histotoxic and inhibits neutrophil migration

Question 38

With 1% solution of provodone iodine you should use?

Answer 38

1:10 dilution

Question 39

When does chlorohex become histotoxic? bactericidal?

Answer 39

0. 02

0. 05

Question 40

What dilution for chlorohex should be used for the 0.05% solution

Answer 40

1:40

Question 41

What are 3 other lavage solutions that can be used

Answer 41

Chlorohecidine TrisEDTA (0.0005%) (can be used in synovial structures)

0. 25% neomycin
1. 1% gentocin

Question 42

3 places where antibiotics should be used in wounds?

Answer 42

Cellulitis
open synovial structures
severe muscle injury