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Wound bed, wound edge and periwound skin should be examined before the initial treatment plan is devised. It should also be re-assessed at each visit or each dressing change. For wound bed, the following parameters are assessed: Tissue type; presence and percentage of non-viable tissue covering the wound bed; Level of exudate; Presence of infection
Secondary blast wounds may be lethal and therefore many anti-personnel explosive devices are designed to generate fast-flying fragments. Most casualties are caused by secondary injuries as shrapnels generally affect a larger area than the primary blast area, because debris can easily be propelled for hundreds or even thousands of meters.
The International Red Cross wound classification system is a system whereby certain features of a wound are scored: the size of the skin wound(s); whether there is a cavity, fracture or vital structure injured; the presence or absence of metallic foreign bodies. A numerical value is given to each feature (E, X, C, F, V, and M).
Timing is important to wound healing. Critically, the timing of wound re-epithelialization can decide the outcome of the healing. [11] If the epithelization of tissue over a denuded area is slow, a scar will form over many weeks, or months; [12] [13] If the epithelization of a wounded area is fast, the healing will result in regeneration.
Chronic wound healing may be compromised by coexisting underlying conditions, such as venous valve backflow, peripheral vascular disease, uncontrolled edema and diabetes mellitus. If wound pain is not assessed and documented it may be ignored and/or not addressed properly. It is important to remember that increased wound pain may be an ...
A gunshot wound (GSW) is a penetrating injury caused by a projectile (e.g. a bullet) shot from a gun (typically a firearm). [ 11 ] [ 12 ] Damage may include bleeding , bone fractures , organ damage, wound infection , and loss of the ability to move part of the body . [ 2 ]
Abdominal CT showing left renal artery injury. Blunt abdominal trauma (BAT) represents 75% of all blunt trauma and is the most common example of this injury. [3] Seventy-five percent of BAT occurs in motor vehicle crashes, [4] in which rapid deceleration may propel the driver into the steering wheel, dashboard, or seatbelt, [5] causing contusions in less serious cases, or rupture of internal ...
Hydrocolloid dressings are used to treat uninfected wounds. [6] Dressings may be used, under medical supervision, even where aerobic infection is present; the infection should be treated appropriately. [citation needed] The dressing is applied to a cleaned wound. Hydrocolloid patches are sometimes used on the face for acne.