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Principles Of Wound Management – Q&A (100% Accurate)
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Principles Of Wound Management – Q&A (100% Accurate)
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Principles Of Wound Management – Q&A (100%Accurate)
What is one of the most common procedures in EM? Right Ans - Acute
traumatic wound management
What are the primary objectives of wound care? Right Ans - 1. Preserving
viable tissue and removing nonviable tissue
2. Restoring tissue continuity and function
3. Optimizing conditions for the development of wound strength
4. Preventing excessive inflammation
5. Avoiding infection and other impediments to healing
6. Minimizing scar formation
Wounds extending beneath the epithelium heal by...? Right Ans - scar tissue
What are the stages of wound healing? Right Ans - 1. Inflammation: A
beneficial response that serves to remove bacteria, foreign debris and
devitalized tissue - biological debridement.
2. Epithelialization: Most sutured wounds develop an epithelial covering
impermeable to water within 24-48 hours.
3. Fibroplasia: By the 4th or 5th day newly transformed fibroblasts synthesize
collagen initiating the stage of scar formation known as fibroplasia.
4. Contraction: Wound strength is a balance b/w the lysis of old and new
collagen "welding" the wound edges together. The amount of scar tissue is
influenced by physical forces. Contraction is the movement of skin edges
toward the center of the defect, primarily in the direction of the underlying
muscle.
5. Scar Maturation: Significant gains in tensile strength do not begin until
approximately the 5th day following injury. Strength rapidly increases for 6-
17 days then more slowly for another 10-14 days, then almost imperceptibly
for another 2 years.
Does the strength of scar tissue match that of unwounded skin? Right Ans -
no
What is the Golden Period? Right Ans - the maximum time after injury that
a wound can be closed without significant increased risk of infection
, The risk of wound infection rises with...? Right Ans - time that elapses b/w
injury and repair
What is included in the PE? Right Ans - •ALWAYS DOCUMENT
NEUROVASCULAR STATUS DISTAL TO WOUND!!!!
•The magnitude and direction of the injuring forces and the volume of tissue
on which the force is dissipated determine the type of wound sustained.
What are the 6 wound categories? Right Ans - 1. Abrasions
2. Lacerations
3. Crush wounds
4. Puncture wounds
5. Avulsions
6. Combination wounds
What is the primary determinant of wound infection? Right Ans - amount
of bacteria and dead tissue in the wound
What materials rarely produce wound infections? Right Ans - glass or
bullets
What are the 2 primary methods of wound cleaning? Right Ans - 1.
mechanical scrubbing
2. irrigation
What is the mainstay of wound cleaning? Right Ans - irrigation
What helps reduce the rate of infection during irrigation? Right Ans -
increased pressure
Preparation for wound closure Right Ans - •Clean, irrigate, drape,
anesthatize.
•Remove hair as needed.
•Explore wound, do not use finger.
•Debride the wound.
•Excise devitalized tissue.
•Control hemorrhage.
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