Wound management

Question 1

Biggest concern in limb lesions

Answer 1

Joint or tendon involvement

Question 2

IS there lots of collateral damage with lacertion?

Answer 2

No

Question 3

Name 5 types of wounds

Answer 3

Laceration
Avulsion/degloving
puncture
Blunt trauma
Thermal burns

Question 4

Biggest concern with avulsions

Answer 4

Direct tissue loss

Collateral damage

Question 5

Biggest concern with puncture? (3)

Answer 5

Extent of injury undetermined
Predisposed to infection
Predisposed to foreign body

Question 6

What do you always do before pulling a nail?

Answer 6

Radiograph to see direction of entry

Question 7

What do you always do before pulling a nail?

Answer 7

Radiograph to see direction of entry

Question 8

Result of blunt trauma injuries?

Answer 8

Soft tissue injuries

Question 9

3 big components of thermal burns?

Answer 9

Smoke inhalation (biggest)
Protein and fluid loss
Sepsis (bigger in humans)

Question 10

2 places we see thermal burns?

Answer 10

Fire

Radiation injury

Question 11

Give 2 examples of chemical burns?

Answer 11

Serum scald

Copper tox

Question 12

What is in copper tox?

Answer 12

Copper sulfate

Question 13

Differentiate between high and low velocity gun shot injuries

Answer 13

Low velocity has the tumble effect where it redirects and causes damage all over
High velocity severely damages everything but also brings in a massive shockwave.

Question 14

Major blunt trauma case (HBC) what is the first thing you do?

Answer 14

Evaluate all major body systems before you put any effort into outside of animal

Question 15

Example of vascular injury?

Answer 15

Cast complications sliding up and causing huges damage

Question 16

Give an example of septic injury?

Answer 16

Clostridial myositis

Question 17

4 non site considerations of infection risk?

Answer 17

Aseptic technique
Tissue handling
Suture material
Immune status

Question 18

Describe a clean surgery

Answer 18

Elective surgeries, aseptic technique
NO viscus violated
No drain

Question 19

Are prophylactic antibiotics needed for clean surgeries?

Answer 19

Only for inexperienced surgeons

Question 20

Are prophylactic antibiotics needed for clean surgeries?

Answer 20

Only for inexperienced surgeons

Question 21

Infection rate from clean surgery

Answer 21

2.5%

Question 22

Describe clean-contaminated surgery

Answer 22

Hollow viscous surgery

minimal contamination

Question 23

prophylactic antibiotics in clean surgery target?

Answer 23

Likely pathogens

Question 24

Clean contaminated surgery often you put in a?

Answer 24

Drain

Question 25

Infection rate for clean contaminated surgery

Answer 25

4.5%

Question 26

Prophylactic antiobiotics in clean contaminated surgery targets?

Answer 26

Likely pathogens

Question 27

Describe a contaminated surgery?

Answer 27

GI, fresh wounds

Question 28

Infection rate for contaminated surgeries

Answer 28

5.8%

Question 29

Antibiotic therapy for contaminated surgery

Answer 29

Best guess or would culture

Question 30

Describe dirty wounds

Answer 30

> 4 hours old

GI rupture

Question 31

Infection rate of dirty surgeries

Answer 31

18%

Question 32

What is essential for dirty surgery?

Answer 32

Antibiotics where as in contaminated they are therapeutic and any lower they are prophylactic

Question 33

What is in the triad of considerations for wound management?

Answer 33

Surgeon factors
Patient factors
Surgery site factors

Question 34

2 surgeon factors

Answer 34

Aseptic technique

Patient management technique

Question 35

2 patient factors

Answer 35

Age

Metabolic status

Question 36

What are surgery site factors?

Answer 36

Clean
Clean-contaminated
Contaminated
Dirty