By Joseph E. Grey, Keith G. Harding
This fresh identify within the ABC sequence appears on the therapy and administration of wounds and therapeutic technique - it is the excellent relief for college kids, nursing employees, health center medical professionals and GPs.
Covers the review, prognosis and administration of all wounds - from disturbing to continual. Giving useful suggestion on dressings and units utilized in the administration of wounds.
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Additional resources for ABC of Wound Healing
They are useful in patients who are adequately mobile. An elasticated tubular bandage (one to three layers) may be useful to treat and prevent venous leg ulcers. Ulcers Treatment Venous Appropriate compression bandages Venous ulcer with eczema Medicated bandage such as zinc paste bandage containing calamine, coal tar, or ichthammol Arterial Pentoxifylline, iloprost Vasculitic Iloprost, glyceryl trinitrate, calcium antagonists, corticosteroids Exudating cavity Vacuum assisted closure Ulcer secondary to lymphoedema Compression bandages, intermittent pneumatic compression device Ulcer with slough and non-viable or necrotic tissue Any form of debridement (sharp, mechanical, autolytic (honey), enzymatic, or biosurgery (maggots)) Necrobiosis lipoidica Psoralen and ultraviolet light therapy, pentoxifylline Non-surgical and drug treatments to consider in the treatment of chronic ulcers Single layer compression bandages Class (level of compression) 3a (light (14-17 mm Hg)) 3b (moderate (18-24 mm Hg)) 3c (high (25-35 mm Hg)) Indication Examples To treat simple VLU Elset, Litepress To treat VLU and ulcers secondary to lymphoedema As for class 3b plus gross varicose veins in moderate sized legs To treat extensive VLU, ulcers 3d (extra-high (36-50 mm Hg)) secondary to lymphoedema, extensive varicose veins, and post-thrombotic venous insufficiency in patients with very large and oedematous legs Tensoplus Forte, Coban Tensopres, Setopress, Surepress Elastic web bandages (blue line or red line webbing) VLU = venous leg ulcer.
Superficial wound swabs are not always representative of the pathogenic organisms invading deeper tissue Microbiological analysis Type of analysis Gram stain Quantitative culture Semiquantitative culture Suitable samples Advantages Disadvantages Tissue, pus, or swab transported immediately to laboratory Tissue, pus, dermabrasion specimens, absorbent pad specimens Instant results; good correlation with quantitative counts Counts > 105 organisms or colony forming units per gram of tissue predict wound infection Practical; can be carried out on swab specimens; some correlation with quantitative analysis Poor sensitivity; no antibiotic sensitivity pattern All specimens Quantitative analysis Bacterial load greater than 100 000 organisms or colony forming units per gram of tissue or mm3 of pus is a predictor of wound infection.
They have polymicrobial aetiology, and the classic Lancefield group A haemolytic streptococci may be present in only 15% of cases. After adequate resuscitation, appropriate antibiotics and prompt surgical debridement of affected areas may be life saving, and the patient would need a period of intensive support. Significant tissue destruction can occur in minutes, highlighting the importance of rapid debridement, and subsequently large body surface areas may require surgical reconstruction, most often with split skin grafts.