Wound Healing

• Wound is inspected and classified as per the type of wounds.
• If it is in the vital area, then:
• The airway should be maintained.
• The bleeding, if present, should be controlled.
• Intravenous flids are started.
• Oxygen, if required, may be given.
• Deeper communicating injuries and fractures, etc should be looked for.

“Importance of studying wound healing for healthcare professionals: Questions explained”

• If it is an incised wound, then primary suturing is done after thorough cleaning.
• If it is a lacerated wound, then the wound is excised and primary suturing is done.
• If it is a crushed or devitalized wound, then there will be edema and tension in the wound.
  • So after wound debridement or wound excision by excising all devitalized tissue,the edema is allowed to subside for 2–6 days.
  • Then, delayed primary suturing is done.
• If it is a deep devitalised wound, after wound debridement it is allowed to granulate completely.
  • Later, if the wound is small secondary suturing is done.
• In a wound with tension, fasciotomy is done so as to prevent the development of compartment syndrome.
• Antibiotics, flid and electrolyte balance, blood transfusion,tetanus toxoid (0.5 mL intramuscular to deltoid muscle), or anti-tetanus globulin (ATG) injection.
• Wound debridement (wound toilet, or wound excision) is liberal excision of all devitalized tissue at regular intervals.