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Pressure ulcers can trigger other ailments, cause considerable suffering, and can be expensive to treat. Some complications include autonomic dysreflexia, bladder distension, bone infection, pyarthrosis, sepsis, amyloidosis, anemia, urethral fistula, gangrene and very rarely malignant transformation (Marjolin's ulcer – secondary carcinomas in chronic wounds).
The treatment of wounds depends on whether they are external or internal. External wounds bleed outside through a skin break. They need an external wound management (read below). Internal wounds bleed inside, but some of them can pour blood outside through a natural hole. They need an internal wound management (read below).
[7] [8] Testing and follow-up treatment for healthcare workers who experienced a needlestick injury was estimated at $5,000 in the year 2000, depending upon the medical treatment provided. The American Hospital Association found that a case of infection by blood-borne pathogens could cost $1 million for testing, follow-up, and disability payments.
Lacerations – irregular tear-like wounds caused by some blunt trauma. Lacerations and incisions may appear linear (regular) or stellate (irregular). The term laceration is commonly misused in reference to incisions. [9] Abrasions (grazes) – superficial wounds in which the topmost layer of the skin (the epidermis) is
The RICE method is an effective procedure used in the initial treatment of a soft tissue injury. [6] Rest It is suggested that the patient take a break from the activity that caused the injury in order to give the injury time to heal. Ice The injury should be iced on and off in 20 minute intervals, avoiding direct contact of the ice with the skin.
The abrasion should be cleaned and any debris removed. A topical antibiotic (such as neomycin or bacitracin) should be applied to prevent infection and to keep the wound moist. [3] Dressing the wound is beneficial because it helps keep the wound from drying out, providing a moist environment conducive for healing. [4]
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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.