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Wounds and their Managment!!

Any break in the continuity of tissue is known as Wound.There are 4 types of wounds.

1.Tidy: This type of wound has

  • Low Debris
  • No infectious Process
  • Fast Healing Process
  • Clean

2.Untidy: This type of wound has

  • Pussy Discharge
  • Infectious Process (Bacterial Activity)

3.Open: This type of wound has exposure to External Environment.

Examples:

  • Blunt Trauma
  • Stabbing injury
  • Bullet injury
  • Laceration

4.Close: This type of wound has no Exposure to External Environment.

  • Bruises
  • Contusions

USA Classification of Wounds

  1. Clean Wound
  2. Clean Contaminated Wound
  3. Contaminated Wound
  4. Dirty Wound

Clean Wound:

This type of wound occurs in Elective Surgeries like in Gall Bladder Surgery, in which all Aseptic Measures are taken.

Managment:

  • Wash Wound
  • Wound Care
  • Clean Wound
  • Antibiotics (Prophylactically)

Clean Contaminated Wound:

This type occurs in Emergency Surgeries like in case of Appendectomy,in which Less Aseptic Measures are taken.

Managment:

  • Antibiotics
  • Wound Care
  • Clean Wound

Contaminated Wound:

This type occurs in Penetrating Trauma of More than 4 Hours like in Stabbing Injuries.In this type No aseptic measures are taken.

 

Managment:

  • Debridement
  • Antibiotics (Prophylactically)
  • Wound Care

Dirty Wound:

This type occurs in Trauma or Contaminated Wound for more than 5 hours.There is Highest Bacterial Activity due to which Pus collection occurs.

Managment:

  • Debridement
  • Antibiotics (Prophylactically)

 

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