Wound classification SlideShare

Cutaneous wound healing

Skin wounds. Classification 1. Soft Tissue Injuries o Trauma that happens to the skin is visually exposed o Categorized as a skin wound o Defined as a break in the continuity of the soft parts of body structures caused by a trauma to these tissues o Mechanical forces include: o Friction, scraping, compression, tearing, cutting, penetratin Parts of the wound Wound edge Wound corner Surface of the wound Base of the wound Cross section of a simple wound Skin surface Subcutaneus tissue Superficial fascia Muscle layer Base of the wound Wound edge Surface of the wound Wound cavity 6 7. CLASSIFICATION OF WOUNDS 7 8. 1. Based on the origin I. Mechanical: 1. Abraded wound 2

Skin wounds. Classification - SlideShar

Classification of wounds 1. CLASSIFICATION OF WOUNDS BY : DR JOSHUA JEEVAN HEAD OF WOUND CARE UNIT HOSPITAL SERI MANJUNG PERAK, MALAYSIA MODERN WOUND CARE NEGERI SEMBILAN 17 & 18HB NOV 2018 2. DEFINITION OF WOUND •is a type of injury •to the integument •the underlying structures WOUND CARE MANUAL KKM ,FIRST EDITION 201 Wounds 1. TOPIC: Option 1 - First Aid Assessment Task Number: 4 By Jana Ovski 2. Nature of the wound- Types of wounds Fluid from wound • Document the amount, type and odor • Light, moderate, heavy • Drainage can be clear, sanguineous (bloody), serosanguineous (blood-tinged), purulent (cloudy, pus-yellow, green) Odor Most wounds have an odor Be sure to clean wound well first before assessing odor (wound cleanser, saline) • Describe as faint, moderate. Approximately 30 million surgical procedures are performed every year in the United States. Each incision, however small, produces a surgical wound, with a potential for infection and other complications, depending on various risk factors. An accurate classification system established for surgical wounds aids in assessment and pre- and post-operative care planning

Wound: classification, healing and principle of managemen

Collagen (chronic wounds, bed sores, surgical wounds, 2nd degree or high burns) Hydrocolloid (burns, light to moderately draining wounds, necrotic wounds, wounds under compression wraps, pressure and venous ulcers) Wound vac. Uses a vacuum dressing to promote healing. Infection control Classification of Wounds •1) Clean Wound: - Operative incisional wounds that follow nonpenetrating (blunt) trauma. •2) Clean/Contaminated Wound: - uninfected wounds in which no inflammation is encountered but the respiratory, gastrointestinal, genital, and/or urinary tract have been entered Physiology of a wound and wound healing. Wound classification-Acute wound- is any surgical wound that heals by primary intention or any traumatic or surgical wound that heals by secondary intention. An acute wound is expected to progress through the phases of normal healing, resulting in the closure of the wound

wound healing &ulcer classification - SlideShar

  1. Factors Affecting Wound Healing Hypoxia, Anemia, and Hypoperfusion The level of vasoconstriction is exquisitely responsive to fluid status, temperature, and hyperactive sympathetic tone as is often induced by postoperative pain Mild to moderate normovolemic anemia does not appear to adversely affect wound oxygen tension and collagen synthesis.
  2. CLASSIFICATION OF TRAUMATIC WOUNDS (according to mechanism of injury) Traumatic wounds are also classified according to the mechanism of injury: · Abrasion Wound. If the partial thickness of the skin is scratched off or scraped away through any mechanism like friction then it is said to be an abrasion. Abrasion is the least complicated type of.
  3. Wound Classification Why is this important? Drives treatment plan and expected outcomes Length of time to heal Preventing and treating factors affecting wound healing A wound is a result of the disruption of the normal structure, skin function and skin architecture. A chronic wound does not does not progress through the normal stages of healing
  4. The medico legal aspects of such wounds are: 1. Stab wounds are majorly homicidal or suicidal. Accidental wounds are very infrequent. 2. The depth of the wound shall signify the penetration force. 3. Age of the injury can be estimated. 4. Shape of the wound helps to classify the type and class of weapon. For example, the length, width and.
  5. Wound healing is the restoration of the normal anatomic continuity to a disrupted area of tissue. An understanding of the normal process of wound healing is essential to make sound decisions in the management of wounds. Correctly using the principles of wound management helps avoid premature wound closure and its potential complications
  6. An essential guide to wound care for nurses and healthcare professionals. This manual includes chapters on wound assessments, tissue types, wound dressings, pressure injury staging, cleansing and debridement, and more

Gustilo-Anderson classification. grade 1: clean wound <1 cm in length. grade 2: wound 1-10 cm in length without extensive soft-tissue damage, flaps or avulsions. grade 3: extensive soft-tissue laceration (>10 cm) or tissue loss/damage or an open segmental fracture. open fractures caused by farm injuries. injuries requiring vascular intervention INTRODUCTION. A wound is a disruption of the normal structure and function of the skin and soft tissue architecture [].An acute wound demonstrates normal physiology, and healing is anticipated to progress through the expected stages of wound healing, whereas a chronic wound is defined as one that is physiologically impaired [].To ensure proper healing through the expected stages, the wound bed. Wounds and Wound. Care. Reference: Perry & Potter Mary J. Aigner RN, MSN, FNPC I. Different Types of Wound - by Cause Ulcers: considered chronic wounds hard to heal Diabetic Venous Arterial Pressure. Prevention is easier than healing! Traumatic or Unintentional acute wounds Minor Wounds (1526-27) - Handout Skin Tears Abrasions Bruises Cut The Society for Vascular Surgery Lower Extremity Threatened Limb Classification System: Risk stratification based on Wound, Ischemia, and foot Infection (WIfI). J Vasc Surg. 2014;59 (1):220034.e1-2. . It contains the key limb status elements needed to gauge the severity of limb threat 2 Classification . Description . Infective Risk (%) Clean (Class I) Uninfected operative wound. No acute inflammation. Closed primarily. Respiratory, gastrointestinal, biliary, and urinary tracts not entered. No break in aseptic technique. Closed drainage used if necessary < 2. Clean-contaminated (Class II

Wounds - SlideShar

(OBQ05.233) A 24-year-old man who sustained a gunshot wound to the abdomen ten hours earlier was brought to the emergency department. On physical examination he was found to have 4 of 5 weakness in his bilateral lower extremities. Radiographs are shown in Figure A. Computed tomography of the lumbar spine showed retained missile in the vertebral body and paraspinal soft tissues, but not within. While each system uses a different approach to classify a wound, similarly each system classifies the wound according to depth, presence of ischemia, and presence of infection. Regardless of which classification system is used, it is essential that the system be used consistently across the healthcare team and be recorded appropriately in the. a. If there is a wound on the lower extremities complete a lower leg assessment. 5. Assessment for wound healing by primary intention a. Location of incision. 1 Wound healing is impaired in clients with an albumin of less than 35 g/l or a pre-albumin of less than 180 mg / L (female) or less than 215 mg / L (male) wound).2 The more complex Cierny-Mader classification system was developed to help guide surgical management, but is generally not used in primary care.3 Etiology The most common pathogens in.

Types of wounds and management

3C BEST PRACTICE GUIDELINES: BEST PRACTICE GUIDELINES: EEFFECTIVE SKIN AND WOUND MANAGEMENT OF NON-COMFFECTIVE SKIN AND WOUND MANAGEMENT OF NON-COMPPLEX LEX BBURNSURNS Supported by an educational grant from B Braun The views presented in this document are the work of the authors and do not necessarily reflect the opinions of B Braun. Fo Purulent, sanguineous, serosanguineous and serous are 4 different types of wound drainage that consist of a combination of pus, blood and other fluids. Drainage varies in color, texture and severity. The type and amount of drainage are key indicators of wound severity, as well as if your wound is infected or in the healing process Alginate dressings are made to offer effective protection for wounds that have high amounts of drainage, and burns, venous ulcers, packing wounds, and higher state pressure ulcers. These dressings absorb excess liquid and create a gel that helps to heal the wound or burn more quickly. Containing sodium and seaweed fibres, these dressings are able to absorb high amounts of fluid, plus they are. Wound, a break in the continuity of any bodily tissue due to violence, where violence is understood to encompass any action of external agency, including, for example, surgery. Within this general definition many subdivisions are possible, taking into account and grouping together the various forms of violence or tissue damage. Britannica Quiz Wound care First aid • If the patient arrives at the health facility without first aid having been given, drench the burn thoroughly with cool water to prevent further damage and remove all burned clothing. • If the burn area is limited, immerse the site in cold water for 30 minutes to reduce pain and oedema and to minimize tissue damage

The fact that your body is able to create a scab over the wound, heal it and restructure the tissue without infections means phases of wound healing takes place just fine. serenesurface July 27, 2012 . @turkay1-- We learned about the stages of healing in class recently. Actually, scarring is a normal part of the healing process Wound infection is defined by the US Centre for Disease Control and Prevention (CDC) as surgical site infection (SSI). This is further defined as: Superficial incisional SSI - infection involves only skin and subcutaneous tissue of incision. Deep incisional SSI — infection involves deep tissues, such as facial and muscle layers Classification of Fungicide. Classification of Fungicide. Fungicides:-These are chemicals used to kill fungi.Types of Fungicides (A) Sulphur Fungicide:- It is divided into two types e.g. Elemental sulphur and Lime sulphur. 1. Elemental sulphur:-It is also divided into two parts.(a) Dust:-it is used as dust @ 25kg/ha.(b)Wettable powder:-it is more popular and used as spray @ 2.5% eg

The success of wound management largely depends on the type and quality of the dressings used. To be able to choose the right kind of the surgical dressings one must be aware of the types of available dressings, their qualities and usefulness, The quality of a surgical dressing depends on the type of the fibre used to prepare the dressing Arterial ulcers often form on the outer side of the ankle, feet, heels, or toes. They can form in other areas, too. These ulcers are painful and have a punched out appearance. Other symptoms. A wound is defined as a disruption in the continuity of the epithelial lining of the skin or mucosa resulting from physical or thermal damage. According to the duration and nature of healing process, the wound is categorized as acute and chronic [1, 2]. An acute wound is an injury to the skin that occurs suddenly due to accident or surgical injury

Surgical Wounds: Classification, Complication Risk Factors

Clinical Guidelines (Nursing) : Wound assessment and

  1. One of the most popular systems of classification is the Wagner Ulcer Classification System, which is based on wound depth and the extent of tissue necrosis . 20 Several authors have noted a disadvantage of this system in that it only accounts for wound depth and appearance and does not consider the presence of ischemia or infection. 13,2
  2. Collagen. Finally, there are collagen wound dressings. These types of dressings are most commonly used for chronic wounds with a slow or stalled healing time. They are also be used on pressure sores, transplant sites, surgical wounds, ulcers, burns, or injuries that cover a large area of your body 2
  3. Wound management 1: phases of the wound healing process. 08 November, 2015. Understanding how wounds heal enables nurses to apply the appropriate treatment and management techniques at each phase to support the healing process. Abstract. This is the first in a six-part series on wound management. It describes the stages of the wound healing.
  4. Cutaneous wound healing is an essential physiological process consisting of the collaboration of many cell strains and their products. 1 Attempts to restore the lesion induced by a local aggression begin very early on in the inflammatory stage. In the end, they result in repair, which consists of the substitution of specialized structures brought about by the deposition of collagen, and.
  5. Background: Superior mesenteric artery (SMA) injuries are rare and devastating injuries incurring very high mortality rates. It is the purpose of this study to review our experience with these injuries, to analyze Fullen's classification based on anatomical zone and injury grade for its predictive value, and to correlate the American Association for the Surgery of Trauma-Organ Injury Scale.
  6. 2 WOUND HEALING & MANAGEMENT THE WOUND Injury to any of the tissues of the body, especially that caused by physical means and with interruption of continuity is defined as a wound.1Though most often the result of a physical cause, a burn is also considered a wound. Both follow the same processes towards the restoration to health - otherwise know

Dirty wounds are those that are old or infected with >10 5 organisms per gram of tissue. 1,2 A wound greater than 12 hours old is generally considered in this category. 1; STAGES OF WOUND HEALING. In addition to wound classification, the phase of wound healing should be determined. Wound healing occurs in 3 phases, each of which overlaps in. Tagged: wound management. This essay will discuss my experience of wound management, while working alongside my mentor on a rehabilitation unit, for a 72-year-old patient who was admitted to the unit for the management of a Grade 3 sacral sinus pressure ulcer. The patient has multiple sclerosis (MS) and is wheelchair bound Apart from this rather crude classification, many efforts have been made to categorize foot ulcers according to extent, size and depth, location, presence of infection, and ischemia. The Meggitt-Wagner classification is one of the most popular validated classifications for the foot ulcers (Table 2) Any wound between the nipple line (T4) and the groin creases anteriorly, and from T4 to the curves of the iliac crests posteriorly is potentially a penetrating abdominal injury. If the wound was caused by a projectile, then a penetrating abdominal injury could result from an entry wound in almost any part of the body Classification. A hernia is defined as the protrusion of part or whole of an organ or tissue through the wall of the cavity that normally contains it. For the inguinal herniae, there are two main subtypes that can occur: Direct inguinal hernia (20%) - Bowel enters the inguinal canal directly through a weakness in the posterior wall of.

Incisional hernia: These occur when a piece of tissue protrudes through a surgical wound that has not healed properly. Classification according to cause and severity Hernias can also be classified. The Gustilo open fracture classification system is the most commonly used classification system for open fractures.It was created by Ramón Gustilo and Anderson, and then further expanded by Gustilo, Mendoza, and Williams. This system uses the amount of energy, the extent of soft-tissue injury and the extent of contamination for determination of fracture severity. Progression from grade 1 to. The invention relates to a wound dressing comprising a microbial-derived cellulose for treatment of specific types of chronic wounds, including pressure sores, venous and diabetic ulcers. The wound dressing is capable of donating liquid to dry substances is also capable of absorbing exudating wounds Wound healing is a natural physiological reaction to tissue injury. However, wound healing is not a simple phenomenon but involves a complex interplay between numerous cell types, cytokines, mediators, and the vascular system. The cascade of initial vasoconstriction of blood vessels and platelet aggregation is designed to stop bleeding. This is followed by an influx of a variety of. Chapter 12 Inflammation and Wound Healing Sharon L. Lewis Unless someone like you cares a whole awful lot, nothing is going to get better. It's not. Dr. Seuss Learning Outcomes 1. Describe the inflammatory response, including vascular and cellular responses and exudate formation. 2. Explain local and systemic manifestations of inflammation and their physiologic bases


Wound Definition,Types & Classification - Learning Kerne

All about Wounds(Types, Classifications, Treatments etc.) O SlideShare utiliza cookies para otimizar a funcionalidade e o desempenho do site, assim como para apresentar publicidade mais relevante aos nossos usuários Skin necrosis Classification of the wounds 2. According to the bacterial contamination 18. Clean wound Clean-contaminated wound Contaminated wound Heavily contaminated wound Classification of the wounds 2. Depending on the depth of injury 19. Superficial Partial thickness Full thickness Deep wound + bone, opened cavities, organsetc

Open Fracture Antibiotics prophylaxisMyiasis: Nursing Intervention

Proia©/DUMC 1 Inflammation and Introduction to Wound Healing Alan D. Proia, M.D., Ph.D. February 14, 201 Surgical Wound: Class III. Class III surgical wounds are considered to be contaminated due to the fact that a foreign object has come in contact with the wound or caused a wound that required. Clean wounds have no foreign materials or debris inside, whereas contaminated wounds or infected wounds might have dirt, fragments of the causative agent, bacteria or other foreign materials. Wound origin can be either internal or external. Internal wounds result from impaired immune and nervous system functions and/or decreased supply of blood. 4.2 Wound Healing and Assessment. Wound healing is a dynamic process of restoring the anatomic function of living tissue. Since damage to the body's tissue is common, the body is well adapted to utilizing mechanisms of repair and defence to elicit the healing process. Normal wound healing is profoundly influenced by the type of injury and by.

Types of Injuries and their Medico-Legal aspect

  1. Wound Assessment and Documentation. By the WoundSource Editors. The stages of wound healing proceed in an organized way and follow four processes: hemostasis, inflammation, proliferation and maturation. Although the stages of wound healing are linear, wounds can progress backward or forward depending on internal and external patient conditions
  2. ated or clean the wound is, the risk of infection, and where the wound is located on the body
  3. By Lindsay D. Andronaco RN, BSN, CWCN, WOC, DAPWCA, FAACWS Wound exudate and how to properly assess and manage it has been a long standing clinical challenge in wound care. Assessing the exudate color, odor, volume, viscosity, and if it is causing maceration of the periwound skin are all important to note when creating a care plan for the patient. If there is not proper management of the.
  4. Pressure ulcers are wounds that develop once a pressure injury causes blood circulation to be cut off from particular areas of the body. Damage to affected tissues can be categorized into four stages
  5. Surgical drains are implants that allow removal of fluid and/or gas from a wound or body cavity. This broad definition includes nasogastric tubes, urinary catheters, vascular access ports, and ventriculoperitoneal shunts. However, covering all of these types of drains is beyond the scope of this review, which concentrates on drains used for.
  6. of Wound Healing An understanding of the basic physiology of wound healing provides the clinician with the framework necessary to implement the basic principles of chronic wound care Heather Orsted is a Clinical and Educational Consultant, Calgary, Alberta. David Keast is Centre Director, Agin

Wound Management in Animals - Emergency Medicine and

  1. imum amount of time, with no separation of the wound edges and with little scar formation. 2. Secondary healing: The wound's deep layers are closed, but the superficial (top) layers are left open to heal from the inside out
  2. Whether wounds are closed by primary intention, subject to delayed primary closure or left to heal by secondary intention 1, the wound healing process is a dynamic one which can be divided into three phases.It is critical to remember that wound healing is not linear and often wounds can progress both forwards and back through the phases depending upon intrinsic and extrinsic forces at work.
  3. -All other wounds must be left open, inspected every 24 hours, if the wound clean & tidy it can be sutured or skin grafted, this is called delayed primary closure Management (continue) 6- Stabilization of the fracture: Important in reducing the likelihood of infection & assisting recovery of the soft-tissue

Wound Care: A Guide to Practice for Healthcare Professional

By Samantha Kuplicki, MSN, APRN-CNS, AGCNS-BC, CWS, CWCN, CFCN Surgical site infections (SSIs) are the most common hospital-acquired infections, accounting for 20% of total documented infections each year and costing approximately $34,000 per episode. SSIs are responsible for increased readmission rates, length of stay, reoperation, patient morbidity and mortality, as well as increased overall. Type of wound used for: Wounds with moderate to heavy discharge; works well for arterial ulcers. This type of wound dressing is highly absorbent and can hold as much as 20 times its weight in moisture. It is especially useful in wicking moisture out of deep tunneling areas of a wound. 7. Hydrogel Dressings Wound definition is - an injury to the body (as from violence, accident, or surgery) that typically involves laceration or breaking of a membrane (such as the skin) and usually damage to underlying tissues. How to use wound in a sentence tance of appropriate screening and wound classification and explain when patients should be referred for specialist care, targeted education, or therapeutic shoes or insoles. They provide a comprehensive review of treatment approaches, including devices for foot lesion off-loading and aggressive wound debridement through mechanical, enzymatic ideal time of soft tissue coverage controversial, but most centers perform within 5-7 days. outcomes. infection rates of open fracture depend on zone of injury, periosteal stripping and delay in treatment. incidence of fracture related infection range from <1% in grade I open fractures to 30% in grade III fractures

The classification formula was tested in 135 examinations in 86 patients with 96 stumps in Lund. A new proportional definition of stump length was used. Eighty per cent were ordinary in length and shape. Ten of 59 were conical before one year compared to 12 of 42 after more than one year following amputation. Pain was a problem in 20% Pathogens Commonly Associated with Wound Infections and Frequency of Occurrence [ 8] (Open Table in a new window) Pathogen. Frequency (%) Staphylococcus aureus. 20. Coagulase-negative staphylococci A wound culture is a sample of fluid or tissue that taken from the wound. It is sent to a lab and tested for the germ that is causing the infection. How is a wound infection treated? Treatment will depend on how severe the wound is, its location, and whether other areas are affected. It may also depend on your health and the length of time you. Phase 2: Defensive/Inflammatory Phase. If Phase 1 is primarily about coagulation, the second phase, called the Defensive/Inflammatory Phase, focuses on destroying bacteria and removing debris—essentially preparing the wound bed for the growth of new tissue. The 4 phases of wound healing. Healing begins with Hemostasis Securing drains to the skin. 2-0 Silk. Repairing sutures for blood vessels. 6-0 Prolene. Vessel graft sutures for AAA, Femoral-Popliteal graft, or Carotid Artery grafts. 5-0, 6-0 Prolene or Gortex. Bowel repair sutures and for hemostasis in ligation of vessels or for tying over bolsters. 3-0 Silk. Achilles tendon repair

It is yellowish powder which is thermo-stable and slightly soluble in water. It is used topically for treatment of wounds and skin, eye, ear and reproductive tract dis­eases. In birds it is given orally for prevention of coccidiosis. It is given in pig feed @100- 500 ppm or 50-500 G/900 kg or 100 mg/L water for prevention of swine enteritis A head injury is any injury that results in trauma to the skull or brain.The terms traumatic brain injury and head injury are often used interchangeably in the medical literature. Because head injuries cover such a broad scope of injuries, there are many causes—including accidents, falls, physical assault, or traffic accidents—that can cause head injuries Mathes and Nahai Classification . Mathes and Nahai's (1997) classification of fasciocutaneous flaps based on the type of deep fascial perforator ( Fig. 2.3 ) is similar to Cormack and Lamberty's classification of flaps: their Type A is a direct cutaneous flap, in which the vascular pedicle travels deep to the fascia for a variable distance then pierces the fascia to supply the skin (e.g. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Data sources include IBM Watson Micromedex (updated 1 July 2021), Cerner Multum™ (updated 1 July 2021), ASHP (updated 30 June. A diabetic foot ulcer is an open sore or wound that occurs in approximately 15 percent of patients with diabetes and is commonly located on the bottom of the foot. Of those who develop a foot ulcer, 6 percent will be hospitalized due to infection or other ulcer-related complication. Diabetes is the leading cause of non-traumatic lower extremity.

Wound Myiasis (Maggot Infestation) Myiasis is defined as the infestation of live vertebrates (humans and/or animals) with dipterous larvae. The order Diptera is a large order of insects that are commonly known as true flies. Wound myiasis occurs when fly larvae infest open wounds of a mammalian host. Majority of flies that are likely to cause. Your wound will continue to grow stronger through this stage. 4. Maturation. Maturation or remodeling is the end stage of the wound healing process. It takes place soon after your wound has closed up. This stage may continue for a couple of years and involves repair of the dermal tissues to improve their tensile strength. During this stage.

Gustilo Anderson classification Radiology Reference

Purulent drainage is a type of liquid that oozes from a wound. Symptoms include: thick consistency. milky appearance. green, yellow, brown, or white color. distinct odor. Some pale, thin. A Direct Current Moto r, DC is named according to the connection of the field winding with the armature. Mainly there are two types of DC Motors. One is Separately Excited DC Motor and other is Self-excited DC Motor. The self-excited motors are further classified as Shunt wound or shunt motor, Series wound or series motor and Compound wound or. Open Fractures. An open fracture, also called a compound fracture, is a fracture in which there is an open wound or break in the skin near the site of the broken bone. Most often, this wound is caused by a fragment of bone breaking through the skin at the moment of the injury. An open fracture requires different treatment than a closed fracture. The ASTM E1137/E1137M standard was re-examined in 2014, but no corrections were made to include differences in the behavior of wire-wound and thin-film resistors. This standard continues to operate with two tolerance classes (grade A and grade B), both defined for a temperature range of −200°C to +650°C (−328°F to +1,200°F), regardless.

Hand nerve repair

The instrument helps to evaluate the wound such as how deep the wound is. The direction of wound can also be assessed using this tool. As the instrument is inserted in the wound or cavity, excessive usage can trigger pain and cause pain in patients. These are some of the basic surgical instruments and their uses Wound healing is classically divided into hemostasis, inflammation, proliferation, and remodeling.Although a useful construct, this model employs considerable overlapping among individual phases. A complementary model has recently been described where the many elements of wound healing are more clearly delineated. The importance of this new model becomes more apparent through its utility in. Wound off-loading. Plantar shear stress, which is the horizontal component of ground reaction forces, and, to a lesser degree vertical plantar pressure are major causative factors in the development and poor healing of DFUs. 16 Relieving plantar pressure and shear stress from a DFU is a vital part of wound care, as it promotes healing and prevents recurrence. 11 Off-loading can be achieved by. A hospital-acquired infection, also known as a nosocomial infection (from the Greek nosokomeion, meaning hospital), is an infection that is acquired in a hospital or other health care facility. To emphasize both hospital and nonhospital settings, it is sometimes instead called a healthcare-associated infection. Such an infection can be acquired in hospital, nursing home, rehabilitation. Wound care principles include improving perfusion into the limb, treating infection, avoiding pressure on a wound, debridement, and adequate nutrition. Debridement of devitalized or infected tissue by scalpel, collagenases, or even maggots 55 promotes wound healing. Antibiotics may be required to treat infection to prevent osteomyelitis

Penetrating trauma is an injury caused by a foreign object piercing the skin, which damages the underlying tissues and results in an. open wound. . The most common causes of such trauma are gunshots and stab wounds. Clinical features differ depending on the injured parts of the body and the shape and size of the penetrating object A chest injury, also known as chest trauma, is any form of physical injury to the chest including the ribs, heart and lungs.Chest injuries account for 25% of all deaths from traumatic injury. Typically chest injuries are caused by blunt mechanisms such as direct, indirect, compression, contusion, deceleration, or blasts - caused by motor vehicle collisions or penetrating mechanisms such as. There is an incidence rate of 24.6 cases per 1000 persons for cellulitis. In a large epidemiologic study about skin, soft tissue, joint and bone infections, 37.3% of patients were identified as having cellulitis. There are 32.1 to 48.1 visits per 1000 population for skin and soft tissue infections. Visits for abscess and cellulitis increased. INTRODUCTION. The most common types of chronic wounds worldwide are venous leg ulcers (VLUs), diabetic foot ulcers (DFUs), and pressure ulcers. More than 40 million new chronic wounds are reported annually.1 Most leg ulcers (at least 70%) are the result of chronic venous insufficiency2 and others are due to mixed venous and arterial disease.3 Estimated to occur in 1-2% of the population. Healing is the interaction of a complex cascade of cellular events that generates resurfacing, reconstitution, and restoration of the tensile strength of injured skin. Healing is a systematic process, traditionally explained in terms of 4 overlapping classic phases: hemostasis, inflammation, proliferation, and maturation


2. Travel under the skin to the left side of the wound and bring out the needle at the same distance, so approximately 2 centimeter (0.79 in) out from the wound site. 3. Turn the needle around 180 degrees with the help of the tissue forceps and hold it with the needle holder. This will make the next step easier Wound lavage serves two purposes. Irrigation of the wound washes away both visible and microscopic debris. This reduces the bacterial load in the tissue, which helps decrease wound complications. The lavage also allows better examination of underlying tissues.Assuming the solution is nontoxic, the most important factor in wound lavage is use of large volumes to facilitate removal of debris Diabetic foot ulcers, as shown in the images below, occur as a result of various factors, such as mechanical changes in conformation of the bony architecture of the foot, peripheral neuropathy, and atherosclerotic peripheral arterial disease, all of which occur with higher frequency and intensity in the diabetic population.{file40038}{file400.. Le Fort fractures are fractures of the midface, which collectively involve separation of all or a portion of the midface from the skull base.In order to be separated from the skull base, the pterygoid plates of the sphenoid bone need to be involved as these connect the midface to the sphenoid bone dorsally. The Le Fort classification system attempts to distinguish according to the plane of injury

Pressure ulcers