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== Wound ==
A '''wound''' is classified as damage to [[human]] or [[animal]] [[skin]]. Wounds can be either open or closed. Examples of open wounds include cuts, lacerations or puncture injuries. Contusions, hematomas or crush injuries are examples of closed injuries.
A wound is classified as damage to the human skin. Wounds can be either open or closed. Examples of open wounds include cuts, lacerations or puncture injuries. Contusions, hematomas or crush injuries are examples of closed injuries.


===Open===
===Open===
*Incision:  Clean cut wounds caused by a knife, glass or razor usually fall into this type of injury. The wound edges are cut cleanly with no ragged edges.
*Incision:  Clean cut wounds caused by a knife, glass or razor usually fall into this type of injury. The wound edges are cut cleanly with no ragged edges.
*Laceration:  This type of wound has tear-like edges and is caused by blunt force trauma. {{Image|Finger laceration.png|right|150px|Laceration of the left index finger approximately 10 days after the injury occurred. The wound was treated with silver nitrate but was no sutured.}}  
*Laceration:  This type of wound has tear-like edges and is caused by blunt force trauma. {{Image|Finger laceration.png|right|150px|Laceration of the left index finger approximately 10 days after the injury occurred. The wound was treated with silver nitrate but was not sutured.}}  
*Abrasions:  The upper most edges of the epidermis is scraped off. This type of injury is usually caused by the skin surface sliding across a rough surface.  
*Abrasion:  The upper most edges of the epidermis is scraped off. This type of injury is usually caused by the skin surface sliding across a rough surface.  
*Puncture:  The skin is punctured by a sharp object such as a nail or sewing needle.
*Puncture:  The skin is punctured by a sharp object such as a nail or sewing needle.
*Penetration:  When an object such as a knife enters and exits the skin.
*Penetration:  When an object such as a knife enters and exits the skin.
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===Closed===
===Closed===


*Contusions:  This type of wound is commonly known as a bruise. Blunt force trauma damages tissue under the skin.
*Contusion:  This type of wound is commonly known as a bruise. Blunt force trauma damages tissue under the skin.
*Hematomas:  Blood vessels are damaged causing blood to collect under the skin.
*Hematoma:  Blood vessels are damaged causing blood to collect under the skin.
*Crush injury:  Extreme force is applied over an area causing damage. Slamming a finger in a car door or dropping a heavy object onto a foot are examples of crush injuries.<ref> {{cite web | url = http://nursingcrib.com/nursing-notes-reviewer/types-causes-of-open-wounds/ | title = Types & Causes of Open Wounds | accessdate = 2011-11-28 | date = 2008-10-15}}</ref> <ref> {{cite web | url = http://www.fpnotebook.com/Surgery/DER/Wnd.htm | title = Wound: Wound Healing | accessdate = 2011-11-28 | date = 2008-10-15}}</ref>
*Crush injury:  Extreme force is applied over an area causing damage. Slamming a finger in a car door or dropping a heavy object onto a foot are examples of crush injuries.<ref> {{cite web | url = http://nursingcrib.com/nursing-notes-reviewer/types-causes-of-open-wounds/ | title = Types & Causes of Open Wounds | accessdate = 2011-11-28 | date = 2008-10-15}}</ref> <ref> {{cite web | url = http://www.fpnotebook.com/Surgery/DER/Wnd.htm | title = Wound: Wound Healing | accessdate = 2011-11-28 | date = 2008-10-15}}</ref>


===Wound treatment===
===Wound treatment===


A medical professional will usually evaluate the wound and stop bleeding. The date, time and mechanism of injury will be documented. A patient history will be obtained. The wound is investigated to determine whether muscle, tendons, nerves, blood vessels or bone were damaged.
A medical professional will usually evaluate the wound and stop [[bleeding]]. The date, time and mechanism of [[injury]] will be documented. A patient history will be obtained. The wound is investigated to determine whether muscle, tendons, nerves, blood vessels or bone were damaged.


The wound is irrigated and sutured, if required. Tissue adhesive or Steri-strips may also be used to close a wound, if needed.
The wound is irrigated and [[suture]]d, if required. Tissue adhesive or [[Steri-strips]] may also be used to close a wound, if needed.


Depending on the suture location, sutures can be removed between three to 21 days. Facial sutures are usually removed between three to five days while palm sutures may remain in place up to 21 days.<ref> {{cite web | url = http://www.aafp.org/afp/2008/1015/p945.html#afp20081015p945-t3 | title = Essentials of Skin Laceration Repair | accessdate = 2011-11-28 | last = Forsch, MD | first = Randall | date = 2008-10-15 | work = American Family Phyisician }}</ref>
Depending on the suture location, sutures can be removed between three to 21 days. Facial sutures are usually removed between three to five days while palm sutures may remain in place up to 21 days.<ref> {{cite web | url = http://www.aafp.org/afp/2008/1015/p945.html#afp20081015p945-t3 | title = Essentials of Skin Laceration Repair | accessdate = 2011-11-28 | last = Forsch, MD | first = Randall | date = 2008-10-15 | work = American Family Physician }}</ref>


A tetanus immunization may be required depending on the type of injury and immunization status of the patient.
A [[tetanus]] immunization may be required depending on the type of injury and immunization status of the patient.
 
Aloe does not clearly help healing of acute or chronic wounds.<ref name="pmid22336851">{{cite journal| author=Dat AD, Poon F, Pham KB, Doust J| title=Aloe vera for treating acute and chronic wounds. | journal=Cochrane Database Syst Rev | year= 2012 | volume= 2 | issue=  | pages= CD008762 | pmid=22336851 | doi=10.1002/14651858.CD008762.pub2 | pmc= | url= }} </ref>


==References==
==References==
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http://nursingcrib.com/nursing-notes-reviewer/types-causes-of-open-wounds/
http://nursingcrib.com/nursing-notes-reviewer/closed-wounds/
http://www.fpnotebook.com/Surgery/DER/Wnd.htm

Latest revision as of 07:47, 1 March 2012

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A wound is classified as damage to human or animal skin. Wounds can be either open or closed. Examples of open wounds include cuts, lacerations or puncture injuries. Contusions, hematomas or crush injuries are examples of closed injuries.

Open

  • Incision: Clean cut wounds caused by a knife, glass or razor usually fall into this type of injury. The wound edges are cut cleanly with no ragged edges.
  • Laceration: This type of wound has tear-like edges and is caused by blunt force trauma.
    (PD) Image: Mary Ash
    Laceration of the left index finger approximately 10 days after the injury occurred. The wound was treated with silver nitrate but was not sutured.
  • Abrasion: The upper most edges of the epidermis is scraped off. This type of injury is usually caused by the skin surface sliding across a rough surface.
  • Puncture: The skin is punctured by a sharp object such as a nail or sewing needle.
  • Penetration: When an object such as a knife enters and exits the skin.
  • Gunshot: A projectile typically caused by a bullet or similar object entering or going through the body. Sometimes there will be an entry and exit wound in this type of injury.

Closed

  • Contusion: This type of wound is commonly known as a bruise. Blunt force trauma damages tissue under the skin.
  • Hematoma: Blood vessels are damaged causing blood to collect under the skin.
  • Crush injury: Extreme force is applied over an area causing damage. Slamming a finger in a car door or dropping a heavy object onto a foot are examples of crush injuries.[1] [2]

Wound treatment

A medical professional will usually evaluate the wound and stop bleeding. The date, time and mechanism of injury will be documented. A patient history will be obtained. The wound is investigated to determine whether muscle, tendons, nerves, blood vessels or bone were damaged.

The wound is irrigated and sutured, if required. Tissue adhesive or Steri-strips may also be used to close a wound, if needed.

Depending on the suture location, sutures can be removed between three to 21 days. Facial sutures are usually removed between three to five days while palm sutures may remain in place up to 21 days.[3]

A tetanus immunization may be required depending on the type of injury and immunization status of the patient.

Aloe does not clearly help healing of acute or chronic wounds.[4]

References

  1. Types & Causes of Open Wounds (2008-10-15). Retrieved on 2011-11-28.
  2. Wound: Wound Healing (2008-10-15). Retrieved on 2011-11-28.
  3. Forsch, MD, Randall (2008-10-15). Essentials of Skin Laceration Repair. American Family Physician. Retrieved on 2011-11-28.
  4. Dat AD, Poon F, Pham KB, Doust J (2012). "Aloe vera for treating acute and chronic wounds.". Cochrane Database Syst Rev 2: CD008762. DOI:10.1002/14651858.CD008762.pub2. PMID 22336851. Research Blogging.