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Wounds
Open Wounds
A break in the skins surface resulting in external bleeding May allow bacteria to enter the body, causing an infection
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Incision
Smooth edges
Avulsion
Flap of skin torn loose
Amputation
Cutting or tearing off of body part
Wound Cleaning (1 of 2)
Scrub hands with soap and water. Clean wound.
For shallow wound:
Wash with soap and water. Flush with clean water under pressure.
Wound Cleaning (2 of 2)
Clean wound (contd).
For wound with higher infection risk:
Clean wound. Seek medical care for additional cleaning.
Use tweezers to remove remaining embedded debris. Apply direct pressure to control bleeding.
Covering a Wound
Apply thin layer of antibiotic ointment.
Small wounds only
Cover with a sterile dressing. Do not pull off sticky or blood-soaked dressing. Change any wet or dirty dressings.
Signs of Infection
Swelling and redness around the wound Sensation of warmth Throbbing pain Pus discharge Fever Swelling of lymph nodes Red streaks leading from wound toward heart
Tetanus (1 of 2)
Caused by toxin-producing bacterium Travels to nervous system Causes muscle contraction (lockjaw) No known antidote to toxin Tetanus vaccine and boosters can prevent the disease.
Tetanus (2 of 2)
Seek vaccine and/or booster if:
Never immunized No tetanus booster in past 10 years Dirty, contaminated wound and no booster in past 5 years
Amputations
Guillotine
Clean-cut, complete
Crushing
Crushed or mashed off
Degloving
Skin is peeled off.
Chuck Stewart, MD
Place dressings:
Between cheek and teeth On outside of cheek
Closed Wounds
Caused by strike with blunt object Skin is not broken, but tissue and blood vessels are crushed. Types of closed wounds:
Bruises and contusions Hematomas Crush injuries
Still bleeding after 15 minutes of pressure Long or deep and needs stitches Over a joint Impairs function of eye, eyelid, or lip Removes all layers of skin Animal or human bite
Involves damage to underlying nerves, tendons, joints, or bones Over a possible broken bone Crushing injury Object embedded in wound Caused by a metal object or a puncture wound
Sutures (Stitches)
Within 6 to 8 hours of injury Benefits:
Faster healing Reduce infection and scarring
Gunshot Wounds
Bullet causes injury by:
Laceration and crushing Shock waves and temporary cavitation
Legal Aspects
Keep accurate record of observations. Preserve evidence, such as shells or casings. Do not touch or move anything unless it is necessary. All gunshot wounds must be reported to police.