WOUNDS

Dr. Wondwossen M.WOUNDS

1

Objectives Classification

Wound healing Types PhasesDelayed healingAbnormal healing

Wound care

Introduction Disruption of tissue integrity, leading to division of blood vessels

It is caused by a transfer of any form of energy into the body.

Classification 1- Closed Vs Open Closed wounds Skin Intact / Underlying tissue damaged e.gs contusion, bruise, hematoma.

Open wounds -Complete break of the epithelial protective surface. e.gs abrasion, laceration, puncture, degloved wound , bites.

2- Tidy Vs Untidy

Tidy Untidy - Incised - Crushed - Clean - Contaminated - Healthy tissue - Devitalized tissue - Seldom tissue loss - Often tissue loss

3- Acute Vs Chronic Acute woundsWounds that heal in expected period of time

Eg. Lacerations

Chronic wounds - Wound that fails to heal over an extended period of time

- Caused by inadequate circulation or in which healing is delayed as a result of vascular compromise

- eg. Ulcers

3- Tetanus Prone Vs Tetanus Non-prone

Tetanus Pronewound age >6hrswound depth > 1cmpresence of devitalized tissuecontaminated woundsAnimal bites

Tetanus Non-prone wound age