1. OBJ: I WILL DIFFERENTIATE BETWEEN COMMON OPEN WOUNDS OBJ: I WILL PERFORM BASIC WOUND MANAGEMENT PROCEDURES OBJ: I WILL IDENTIFY TYPES OF SKIN INFECTIONS IN ATHLETICS Skin Wounds Warning: Some pictures are graphic

2. What would you do?

3. Skin Wounds Wound – trauma to tissues that causes a break in that tissue

4. 5 Types of Skin Wounds 1. Abrasions  Skin is scraped against a rough surface  Top layer of skin is worn away  Prone to infection – mixed with dirt and debris

5. Abrasion Share your story… Tell the class about a time that you got an abrasion

6. 5 Types of Skin Wounds 2. Laceration  Sharp or pointed object tears tissues  Jagged or rough edge cut

7. Laceration Share your story… Tell the class about a time that you or someone you know got a laceration

8. 5 Types of Skin Wounds 3. Incision  Smooth edges  Often when a hit occurs over a sharp bone  Above the eye

9. Incision Share your story… Tell the class about a time that you or someone you know got an incision

10. 5 Types of Skin Wounds 4. Puncture  An object penetrates or sticks into the skin  Can be fatal and cause tetanus infection  Nail or cleat sticking in the skin

11. Puncture Share your story… Tell the class about a time that you or someone you know got a puncture wound

12. 5 Types of Skin Wounds 5. Avulsion  Skin is torn away and usually major bleeding  Sometimes tissue can be reattached

13. Avulsion Share your story… Does anyone know someone who had an avulsion wound? Describe a situation where someone would get an avulsion.

14. Skin Wounds Videos http://www.youtube.com/watch?v=XAJ_QXRVSZ8 http://www.youtube.com/watch?v=yB590CwJYb0 Watch the following videos: 1. In each situation, what steps were taken to care for the wound? 2. If a person is not bleeding heavily, how should you respond to a wound?

15. Immediate Care Must be cleaned, medicated, and covered Clean with soap and water initially Decrease chance of infection

16. Wound Dressings or Coverings Dressing should be changed daily If wound is draining, it must be changed often to decrease bacteria growth Antibiotic ointments are recommended Good care will reduce inflammation

17. Closing a Wound Deep lacerations, incisions, punctures, and avulsions may require sutures or stitches All deep wounds should be evaluated by a doctor Sutures should be done as soon as possible  Needs to be within 12 hours of injury

18. Closing a Wound If no sutures are required, steri-strips or butterfly bandages may be used

19. Signs of Infection Signs are the same as those for inflammation  Pain, heat, redness, swelling Pus may form (buildup of white blood cells) May have a fever Most infections treated by antibiotic medications

20. Types of Infections: MRSA MRSA : methicillin-resistant staphylococcus aureus  Bacteria found on skin (type of Staph infection)  Resistant to antibiotics (difficult to treat)  Recognize early  Skin infections may spread and become life threatening https://www.youtube.com/watch?v=GWt9nDqcpSM

21. Types of Infections: Tetanus Tetanus  Bacterial infection  Causes fever and convulsions (muscle spasms)  Often associated with puncture wounds  Childhood vaccine; booster shot every 10 years

22. Wound Scenarios 1. A basketball player gets a cut above his eye after being elbowed. It is bleeding profusely.  What type of wound is it? What would you do to control the bleeding and close the wound? 2. What would you need to close wounds at a wrestling tournament to protect yourself and others? 3. How would you clean and cover a large abrasion?

23. Review: Oral Assessment What is the type of skin wound? What is the immediate treatment for most skin wounds? Which type may require stitches? What are four signs of infection?

24. Skin Wound Movie With a group of 3, create a short movie which shows an incident resulting in a skin wound. 1. Include knowledge on the type of skin wound using the body crayons and play dough. 2. Include knowledge and application of the care needed to treat the wound 3. Include knowledge on four signs of an infection Movie clip should be between 2 to 5 minutes in length. See rubric for more details.

25. Individual Assignment Quiz 1. What is the type of skin wound? (in order 1-5) 2. What is the immediate treatment for most skin wounds? 3. Which four types may require stitches? 4. What are four signs of an infection? 5. What stage of healing occurs in the first 2 days after an injury? 6. In what stage of healing would a person apply heat, get a massage, or weight a brace to provide support? 7. When would a person apply ice to an injury? 8. Why would a person apply ice to an injury? 9. When would a person apply heat to an injury? 10. Why would a person apply heat to an injury? 1.2.3.. 4. 5.