1. Wounds Types of Open Wounds Abrasion – scrape
Incision – smooth edged cut
Laceration – jagged irregular edges

2. Types of Wounds #2 Puncture – deep, narrow stab wound
High rate of infection (animal bites)
Should heal from inside out
Avulsion – flap of skin torn loose
Amputation – cutting off a body part

3. Open Wounds: What To Do Wear gloves and expose wound Control bleeding
Clean wounds
To prevent infection
Wash shallow wound gently with soap and water (betadine)
Wash from the center out / Irrigate with water
Severe wound? Clean only after bleeding has stopped

4. Wound Care Do not close wound with steri-strips
Use roller bandages (or tape dressing to the body)
Keep dressings dry and clean
Change at least daily
More frequently if wet or dirty
Use antibiotic ointments for shallow wounds only

5. Wound Care #2 Do not apply:
Mercurochrome, merthiolate, or iodine (p.121)
Do not make dressing air tight
If dressing sticks? soften with warm water prior to removal

6. Signs of Wound Infection
Swelling, redness, pain, warmth
Fever / chills
Swollen lymph nodes
Red streaks
Tetanus (lock jaw)
Receive injection in first 72 hours
Throbbing
Pus

7. When To Seek Medical Attention ** Indicates High Chance of Infection
Arterial or other uncontrolled bleeding
Deep incisions, lacerations, avulsions
**Large or deep punctures
Severe injury in “bend”
Wound gapes open (stitches)
Large or deeply imbedded objects
**Significant debris (bike wreck, chainsaw, tattoo
**Animal bites, ragged wounds

8. When To Seek Medical Attention #2
If scarring would be significant
Eyelids (prevent drooping)
Slit lips
Extremely dirty
Injury to bone, joint, tendon
Any situation in doubt
(ear ring)
If no tetanus shot in past 10 years
5 years for dirty wound
Significant infection

9. Amputations Crushing Guillotine De-gloving Poor chance of reattachment
Clean cut
Good chance of reattachment
(fingertips of kitchen counter)
De-gloving
Skin peeled off

10. Amputation: What To Do Control bleeding Treat for shock
Recover body part
Transport

11. To Care For Amputated Part:
Wrap in dry clean cloth
Do not wrap in wet dressing
Place in waterproof container
Place bag on bed of ice
Transport immediately

12. Blisters Prevention Duct tape (hike up mountain) Donut shaped moleskin
Spenco second skin
Do not remove “roof”
“hanging roof”

13. Open or Painful Blister
Clean blister site
To drain a blister:
Sterilize needle
Make several holes at blister base
Apply antibiotic ointment and dressing
Change daily
Check for infection

14. Impaled Object Do not remove Control bleeding Stabilize object
Shorten object only if necessary
One exception:
If impaled in cheek and > l hour from help
Dressings inside and outside of cheek
(frog gig)
Houston, TX, Dec. 2000
Child with pencil

15. Impaled Eye Cover both eyes Seek medical attention
Do not apply pressure to eye
Place padding around object
Stabilize object
Paper cup
Cover both eyes
Explain to victim
Seek medical attention

16. Fish-hook Removal Do not remove if near eye or other problem areas
Tape in place, transport
Otherwise:
Ice area
Push hook through
Cut off barb and back hook out

17. Gunshot Wounds What To Do Check ABCD’s Expose , finding entry and exit
Control bleeding
Apply dressing / bandage
Treat for shock
Keep victim calm and quiet
Transport

18. Prevention of Gunshot Wounds
Hunter’s Education
Unloaded and loaded guns
Unlocked guns