General Wound Care Strategies

Question 1

Imbedded objects?

Answer 1

Stay in place

May be tamponade bleeding

Question 2

Vegetative matter?

Answer 2

(Cactus spine, splinter, thorn)

Soak up fluid - can lead to secondary infections

Question 3

What is specific of vegetative matter?

Answer 3

cactus spine, splinter, thorn, plastic
CANNOT BE SEEN ON X-RAY

Consider CT or MRI

Glass or Metal can be seen on x-ray

Question 4

What should be used to irrigate wounds?

Answer 4

Copious amounts of NS

Question 5

Low potential for infection wounds you can use…

Answer 5

Low pressure irrigation (bulb syringe)

Question 6

Significantly contaminated wounds you need?

Answer 6

High pressure irrigation

Question 7

what can be used to help control wound?

Answer 7

EPI

Question 8

Shouldn’t use epi on…

Answer 8

Avulsions due to dec blood flow

Contaminated wounds dec WBC

Fingers, nose, toes, or Hoes

Question 9

Hair removal around wounds you should use…

Answer 9

Clippers or scissors
No shavers (shavers can call micro abrasions and secondary infections)

Question 10

Tetanus is found in

Answer 10

in the ground/soil of animal feces

Question 11

tetanus..

Answer 11

tracks along the nervous system through the BBB and lead to tetany of the muscles (including respiratory)

Question 12

Tdap on a clean or minor wound?

Answer 12

Tdap if more than 10 years

Question 13

Tdap on a messy wound?

Answer 13

Tdap if more than 5 years

Question 14

Uknown vac hx? on very messy wounds?

Answer 14

Tdap and TIG

TIG helps today - given next to wound

Tdap helps longtime - distance away from wound