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Flashcards in Wound management Deck (36):
1

Biggest concern in limb lesions

Joint or tendon involvement

2

IS there lots of collateral damage with lacertion?

No

3

Name 5 types of wounds

Laceration
Avulsion/degloving
puncture
Blunt trauma
Thermal burns

4

Biggest concern with avulsions

Direct tissue loss
Collateral damage

5

Biggest concern with puncture? (3)

Extent of injury undetermined
Predisposed to infection
Predisposed to foreign body

6

What do you always do before pulling a nail?

Radiograph to see direction of entry

7

What do you always do before pulling a nail?

Radiograph to see direction of entry

8

Result of blunt trauma injuries?

Soft tissue injuries

9

3 big components of thermal burns?

Smoke inhalation (biggest)
Protein and fluid loss
Sepsis (bigger in humans)

10

2 places we see thermal burns?

Fire
Radiation injury

11

Give 2 examples of chemical burns?

Serum scald
Copper tox

12

What is in copper tox?

Copper sulfate

13

Differentiate between high and low velocity gun shot injuries

Low velocity has the tumble effect where it redirects and causes damage all over
High velocity severely damages everything but also brings in a massive shockwave.

14

Major blunt trauma case (HBC) what is the first thing you do?

Evaluate all major body systems before you put any effort into outside of animal

15

Example of vascular injury?

Cast complications sliding up and causing huges damage

16

Give an example of septic injury?

Clostridial myositis

17

4 non site considerations of infection risk?

Aseptic technique
Tissue handling
Suture material
Immune status

18

Describe a clean surgery

Elective surgeries, aseptic technique
NO viscus violated
No drain

19

Are prophylactic antibiotics needed for clean surgeries?

Only for inexperienced surgeons

20

Are prophylactic antibiotics needed for clean surgeries?

Only for inexperienced surgeons

21

Infection rate from clean surgery

2.5%

22

Describe clean-contaminated surgery

Hollow viscous surgery
minimal contamination

23

prophylactic antibiotics in clean surgery target?

Likely pathogens

24

Clean contaminated surgery often you put in a?

Drain

25

Infection rate for clean contaminated surgery

4.5%

26

Prophylactic antiobiotics in clean contaminated surgery targets?

Likely pathogens

27

Describe a contaminated surgery?

GI, fresh wounds

28

Infection rate for contaminated surgeries

5.8%

29

Antibiotic therapy for contaminated surgery

Best guess or would culture

30

Describe dirty wounds

>4 hours old
GI rupture

31

Infection rate of dirty surgeries

18%

32

What is essential for dirty surgery?

Antibiotics where as in contaminated they are therapeutic and any lower they are prophylactic

33

What is in the triad of considerations for wound management?

Surgeon factors
Patient factors
Surgery site factors

34

2 surgeon factors

Aseptic technique
Patient management technique

35

2 patient factors

Age
Metabolic status

36

What are surgery site factors?

Clean
Clean-contaminated
Contaminated
Dirty