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31 Cards in this Set
- Front
- Back
Secondary Complications |
•Local / systemic infections-abx |
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Wound Healing |
•Hemostasis and Inflammation |
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Types of Wounds-know difference |
•Contusion |
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Contusion def |
bruise Rupture of sq vessels and extravasation of erythrocytes |
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Contusion signs |
•No break in skin |
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Hematoma def |
big bruise Rupture of a deeper and larger vein or artery
usually benign depending on location |
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Crush Injury |
•Composite injury involving 2 or more tissue types usually involves bones |
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•Assess ___ in crush injuries |
neuro/circulation status and function |
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------ can develop in crush injuries |
Compartment syndrome hours later |
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Abrasion |
•Friction benign-leave open unless deep |
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Avulsion |
•Stretching or tearing away of the soft tissues, creating a full thickness loss flapping of skin |
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•Avulsion Shearing forces |
•48-96 hours later will declare themselves
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•Degloving |
avulsion to extreme-torn completely away underlying tissue too |
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Laceration |
•Trauma w/ sharp object |
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Puncture what to do |
*Heightened risk of infection-wood more than bullet/glass •debride |
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Bite |
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Amputation |
•Digits |
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Reimplantation factors |
Sharp, guillotine like > crush/avulsion
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Determinants of Wound Healing |
•Age |
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Wound Assessment |
•History |
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Wound Management |
•Systemic support |
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Dressings |
•Primary closure-stitches or dermabond |
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Alterations in Healing |
•Keloids / excess scarring |
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Fingertip Injuries |
•Crush – distal phalanx |
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GSW |
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Compartment Syndrome when know
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•6-8 hours – 48-96 hours |
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Compartment Syndrome signs |
•pain not relieved by narcotics 4-6hrs to intervene before loose extremity |
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Compartment syndrome pressure _______ require fasciotomy |
Pressures > 30-60 require fasciotomy |
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Strain def |
•Overstretching at point of attachment to tendon |
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Sprain def |
•Joint exceeds normal limit and damages ligaments |
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compartment syndrome _______intervene before loose extremity after signs show up |
4-6hrs to intervene before loose extremity |