7:24 AM
Aftab Ahmad Khan Yousafzai
Definition:
It is the break in the continuity of tissue and sequalae.
Classification of Wounds:
1) Acute Wounds
Closed Wounds
A) Bruises:
Whenever there is blunt trauma or fall it will result change in colour of the skin initially bluish then become greenish and black.
B) Hematoma:
It is accumulation of blood in tissues which usually needs evacuation because of pressure symptoms.
Open Wounds
A) Abrasion/ Friction:
When the skin surface is rubbed off against any surface will result in abrasion.
B) Laceration:
It can be incised (as occurs in surgical blade incision or knife) or penetration wound which occurs in the blunt trauma (with nail or glass).
C) Bite Wounds:
As occurs in dog bite, camel bite etc.
D) Complex Wounds:
These includes Crush wounds as occur in Road Traffic Accidents.
Injuries to specific tissues
a) Bone b) Muscles c) Nerve d) Blood Vessels e) Fats
Management of Acute Wounds
Closed Wounds Management
Bruise:
Bruise usually disappear by itself. It is a self limiting disease. And the clearance time is variable.
Hematoma:
It is usually evacuated.
Open Wounds Management
Lacerated Wounds:
The dead tissue is removed, if there is an injury to nerves, vessels so they are repaired and wound is closed. patient is given Tetanus Vaccine and Antibiotics.
Bite Wounds:
Damaged and Necrotic tissue is excised while muscles, nerves and vessels are repaired. In case of rabid animal bite, Rabies Vaccines are given (0, 3, 7, 14, 28th days).
Abrasion/ Friction:
Usually there is a skin loss which require skin Grafting.
Complex Wounds:
Usually these wounds do not heal by primary intention. there is odema, exudate and extensive necrotic tissue so the wound is thoroughly cleaned and left open to give time to subside the odema or inflammation. When the wound appear healthy then it is closed. Tetanus Vaccines, Antibiotics and daily dressing are needed.
It is the break in the continuity of tissue and sequalae.
Classification of Wounds:
- Acute Wounds
- Chronic Wounds
 |
| Wound |
1) Acute Wounds
- Closed Wounds
- Open Wounds
 |
| Acute Wound |
Closed Wounds
A) Bruises:
Whenever there is blunt trauma or fall it will result change in colour of the skin initially bluish then become greenish and black.
 |
| Bruises |
B) Hematoma:
It is accumulation of blood in tissues which usually needs evacuation because of pressure symptoms.
 |
| Hematoma |
Open Wounds
A) Abrasion/ Friction:
When the skin surface is rubbed off against any surface will result in abrasion.
 |
| Abrasion/ Friction |
It can be incised (as occurs in surgical blade incision or knife) or penetration wound which occurs in the blunt trauma (with nail or glass).
 |
| Laceration |
C) Bite Wounds:
As occurs in dog bite, camel bite etc.
 |
| Bite Wound |
D) Complex Wounds:
These includes Crush wounds as occur in Road Traffic Accidents.
 |
| Complex Wound |
Injuries to specific tissues
a) Bone b) Muscles c) Nerve d) Blood Vessels e) Fats
Management of Acute Wounds
Closed Wounds Management
Bruise:
Bruise usually disappear by itself. It is a self limiting disease. And the clearance time is variable.
 |
| Bruise |
Hematoma:
It is usually evacuated.
 |
| Hematoma |
Open Wounds Management
Lacerated Wounds:
The dead tissue is removed, if there is an injury to nerves, vessels so they are repaired and wound is closed. patient is given Tetanus Vaccine and Antibiotics.
 |
| Lacerated Wound |
Bite Wounds:
Damaged and Necrotic tissue is excised while muscles, nerves and vessels are repaired. In case of rabid animal bite, Rabies Vaccines are given (0, 3, 7, 14, 28th days).
 |
| Bite Wound |
Abrasion/ Friction:
Usually there is a skin loss which require skin Grafting.
 |
| Abrasion/ Friction |
Complex Wounds:
Usually these wounds do not heal by primary intention. there is odema, exudate and extensive necrotic tissue so the wound is thoroughly cleaned and left open to give time to subside the odema or inflammation. When the wound appear healthy then it is closed. Tetanus Vaccines, Antibiotics and daily dressing are needed.
 |
| Complex Wound |
