Wound Management

Question 1

major inorganic soil component responsible for promoting infection

Answer 1

Clay

Question 2

most common mechanism for traumatic wounds

Answer 2

blunt force

Question 3

higher rates of infection.

Answer 3

history of diabetes, visible contamination, length greater than 5 cm, and non–head-and-neck location

Question 4

Approximate Risk of Wound Infection After ED Closure

Answer 4

Head and neck
1–2

Upper extremity
4

Lower extremity
7

Question 5

High-pressure irrigation

Answer 5

defined as pressures greater than 7 pounds per square inch or 48 kPa

Question 6

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

Answer 6

primary closure

Question 7

highly contaminated or infected wounds

Answer 7

Secondary wound closure

Question 8

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

Answer 8

delayed (or tertiary) closure

Question 9

Contraindications to hair apposition closur

Answer 9

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