Wound closure

Question 1

What is Jenkins’ rule?

Answer 1

Mass closure of a midline wound, using suture length at least 4x length of wound and bites 1cm wide no more than 1cm apart.

Question 2

What is the ideal suture to wound length ratio

Answer 2

6:1

Question 3

How do you close the peritoneum?

Answer 3

You don’t need to

Question 4

Which is the most important layer to close in the abdominal wall?

Answer 4

sheath

Question 5

What suture technique should be used when closing the abdomen?

Answer 5

continuous

Question 6

What knot should beused when closing the abdomen?

Answer 6

aberdeen (self locking)

Question 7

How much tension should be on an abdominal wound?

Answer 7

don’t close unser tension

Question 8

flap vs graft

Answer 8

flap uses its own blood supply

graft relies on location’s blood supply

Question 9

How to treat carbon monoxide poisoning?

Answer 9

100% oxygen

COHb half life 250mins room air
40 mins with 100% oxygen

Question 10

Which zone is changing with progression of burn

Answer 10

zone of stasis

Question 11

CO affinity for HB

Answer 11

250 times higher than o2

Question 12

adult rule of 9s

Answer 12

head - 9
front 18
back 18
leg 18
arm 9
groin 1

Question 13

paeds rule of 9

Answer 13

head 18
leg 14
arm 9
front 18
back 18