Wounds
A wound is a tear or break in the skin following an
accident. The deeper the wound the more likely it is to bleed and to get
infected as it can' t be properly cleaned. You must stop the bleeding and, as
far as possible, prevent infection from occurring.
Types of
wounds:
Abrasion: this is
usually a superficial wound with peeling
of skin.
Cut, eg. by a
knife or other sharp cutting instrument:
This is usually accompanied by profuse bleeding and the deeper structures
may also be cut.
Torn, eg, by
barbed wire or by a blunt instrument: The
edges of the wound are irregular and there is bruising.
Punctured,
eg,. by a knife, nail or bullet: This wound is small but deep so that important organs may be damaged.
Treatment
Make the patient sit or lie down.
Handle the injured part gently.
Wash the wound with clean water and
soap. Always clean away form the wound.
Remove as much dirt or foreign
matter as possible.
Wash the wound with antiseptic
lotion.
Stop any bleeding by using direct
pressure or by applying a tourniquet.
Apply antiseptic solutions ( dettol)
and dust wound with sulphonamide powder.
If the wound is gaping, apply strips
of adhesive plaster to bring the edges together.
Apply a clean dressing and bandage.
If necessary treat for shock.
Give pain reliever, if policy
permits.
Support the arm in a sling when
necessary.
You must
always refer the patient to the hospital in the following cases:
If the wound is large and needs
stitching
If there is severe bleeding
If there is shock or the patient is
unconscious.
If there is a foreign body embedded
in the wound.
In all deep wounds of the chest and
abdomen.
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