Wound Management Flashcards
major inorganic soil component responsible for promoting infection
Clay
most common mechanism for traumatic wounds
blunt force
higher rates of infection.
history of diabetes, visible contamination, length greater than 5 cm, and non–head-and-neck location
Approximate Risk of Wound Infection After ED Closure
Head and neck
1–2
Upper extremity
4
Lower extremity
7
High-pressure irrigation
defined as pressures greater than 7 pounds per square inch or 48 kPa
wound is i ately closed by approximating its edges, with the main advantage being a reduction in healing time in comparison with other closure methods
primary closure
highly contaminated or infected wounds
Secondary wound closure
highly contaminated wounds and animal bites, and while commonly described and recommended, there is little evidence documenting the effectiveness for traumatic wounds seen in the ED
delayed (or tertiary) closure
Contraindications to hair apposition closur
long lacerations (e.g., >10 cm), grossly contaminated wounds, uncontrolled bleeding, wounds that gape open and cannot be closed without significant tension, and hair strands adjacent to the wound that are less than 3 cm in length.
After woun