Practical Management of Wounds
What is the initial management of each before taking a patient to the hospital?
Everything depends on thewound, but usually always starts with stopping the bleeding with a tourniquet or by pressure at the wound site (to close the wound). It also should thoroughly wash the site of the lesion with soap and water. Then apply a local antiseptic, or hydrogen peroxide Isodine type, but alcohol never be applied.

When to vaccinate against tetanus?
When the wound is at risk of pollution caused or is contaminated with Clostridium tetani (tetanus microorganism producer) and wounds with sand, dirt, pavement or any object that is prone to rust. If you want to prevent, under any circumstances to occur wound with non-aseptic conditions.
When to suture or left open a wound?
Should be sutured when the wound is very deep and when it is under aseptic conditions to prevent it or contaminated. The wound should be left open as this, there is some contamination since otherwise d elo bacteria grow in the wound site and can not control the infection.
What is the normal evolution of a wound?
Once the wound is stabilized, with cleaning and infection control, it begins to generate granulation tissue or scarring. Over time, it forms a scab that ultimately falls on its own. Under the care of it, is scar tissue grows or as it was before the injury without a trace of trauma.
What if not handled properly a wound?
Really what could happen is that an infection is present and while there is a dehiscence of sutures, or removal of stitches and fabrics. Furthermore, the severity of infection can be deepened by the surrounding tissues and infect neighboring areas and cause death.
As an ideal wound healing?
First of all, use strict aseptic technique, both the material and the elements for healing should be free of infection. The medical act should be practiced by a person with experience in managing wounds, as they must remove the dead tissue through the aseptic medicines or medical elements to do so. It should be noted that the cures are made periodically.
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