Traumatic/Burn Wounds

Question 1

What should you check for Bite wounds?

Answer 1

• Infection
• Antiseptics/antimicrobial
• Check lymph nodes adjacent
• Follow up 24-48 hours

Question 2

Human bite wounds

Answer 2

• 3rd most common
• high risk of infection 10-20%
• Hepatitis, HIV

Question 3

Bite Treatment

Answer 3

• Short term antiseptics
• Irrigation (PLWS, syringe, catheter)
• Aggressive debridement: Necrotic and non viable tissue
• Medical management - systemic complications

Question 4

Superficial Burn depth

Answer 4

Pink/red with erythema
Blanching
Sensation and intact - painful 
3-4 days to heal
No scarring or contracture

Question 5

Partial thickness Burn Depth

Answer 5

Superficial - into papillary dermis
- Pink/moist w/ blistering
- Blanching present and painful, intact sensation
- Low risk of scarring 
Deep - into reticular dermis
Absent blanching 
Diminished sensation to insensate
3-9 weeks to heal may need surgical intervention

Question 6

Full thickness Burn (3rd degrees)

Answer 6

Vary in appearance (white brown red black)
Leathery looking
Blanching is absent, sensation is absent
Needs SURGICAL intervention w/ healing \
Scarring is typical and skin contracture is likely

Question 7

Partial Thickness Management PT

Answer 7

Irrigate, Cleanse, Irrigate/Debride blisters and dead skin

Antimicrobial ointment, impregnated gauze, dry gauze and elastic netting

Question 8

Full thickness PT management

Answer 8

• Prep for grafting
• cleansing techniques and dress until ready for surgical intervention
• early ROM and splinting
• contracture and functional limitation prevention

Question 9

Skin Grafts

Answer 9

• Dressed with soaked gauze and irrigated frequently

- Splinting incorporated for protecting and often finished off with compression, elevation and changed every 1-2 days

Question 10

Typical burn wound treatment

Answer 10

Ointment
Impregnated gauze
Gauze Wrap
Netting to hold in place

Question 11

Scar management

Answer 11

• Compression (23 hrs a day during maturation phase, 5-40mmHg, no compression during hygiene
• Massage Lacking evidece
• Silicone polymer gel
• Exercise- Function, goals, phase of healing, do not disrupt graft, stretching (slow elongation) = Over aggressive can lead to heterotrophic ossification