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Open Wounds

A break in the skins surface resulting in


external bleeding
May allow bacteria to enter the body,
causing an infection
Types of Open Wounds
Abrasion
Laceration
Incision
Puncture
Avulsion
Amputation
Abrasion
Laceration
Incision
Puncture
Avulsion
Amputation
Care for Open Wounds
Management of a traumatic wound include:

Protect yourself with medical exam gloves.


Expose the wound.
Control bleeding.
irrigation with water ,wash with soap and water
removal of foreign bodies
tetanus vaccination
and application of moist wound dressings
Wound Cleaning
Shallow wounds
Wash with soap and water and flush with clean water.

Wound with high risk of infection


Seek medical care for wound cleaning.
If in remote area, clean as best you can.

Remove small objects with sterile tweezers.


Wounds That Require
Medical Attention
Uncontrolled Possibility of a scar
bleeding Eyelid cut
Deep wounds
Large or deeply Slit lip
embedded objects Internal bleeding
Foreign matter in Uncertain how to
wound treat
Human or animal
bite Need a tetanus shot
When to Seek Medical Care
To clean high-risk wounds
For wound closure
Victim has not had a tetanus booster in past 10 years
Victim has a dirty wound and has not had tetanus
booster in 5 years
Must receive booster within 72 hours
Covering a Wound
Cover with thin layer of antibiotic ointment.
Cover with a sterile 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 the wound toward
the heart
Signs of infection

Red streaks
Care for Infected Wound (1 of 2)
Keep area clean.
Soak in warm water or apply warm, wet packs.
Elevate the infected portion of the body.
Care for Infected Wound (2 of 2)

Apply antibiotic ointment.


Change the dressings daily.
Seek medical help if infection persists or
becomes worse.
Tetanus
Tetanus bacterium enters a wound that contains
little oxygen and produces powerful toxin.
No known antidote to the toxin once it enters
bloodstream.
A tetanus vaccine can completely prevent the
disease.
Amputations
In many cases,
amputated extremity can
be replanted.
Types
Guillotine
Crushing
Degloving
Care for Amputations
Control bleeding.
Treat for shock.
Recover amputated part.
Wrap part in gauze, place in a bag, and keep bag cool.

Transport the part with the victim.


Blisters
A collection of fluid
in a bubble under
outer layer of skin.
Repeated rubbing of
small area will
produce a blister.
Care for Blisters
If blister on foot is open or very painful:
Clean with soap and water.
Drain fluid from blister with a sterilized needle.
Apply layers of moleskin or molefoam.
Apply antibiotic ointment.
Impaled (Embedded) Objects
Many kinds of objects can become impaled and
cause significant internal damage:
Pencils
Screwdrivers
Knives
Glass
Steel rods
Fence posts
Care For Embedded (Impaled) Objects
Expose area.
DO NOT remove the object.
Control bleeding around the object.
Stabilize the object.
Slivers
Can be painful and irritating

Usually easily removed with tweezers

After removal, clean with soap and water and apply


adhesive strip.
Closed Wounds
Results when a blunt object strikes the body
Skin is not broken but tissue and blood vessels are
crushed.
Types of closed wounds:
Bruises and contusions
Hematomas
Crush injuries
Gunshot Wounds
A bullet causes injury in two ways:
Laceration and crushing
Shock waves and temporary cavitation
Initial care for gunshot wounds is roughly the
same as for any other wound.
Questions