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1. Commonly used items for wound treatment.
Cleaning and disinfectant: 75 alcohol, sulfonated tincture (or sulfonphora hydrogen peroxide, 2 red mercury, 0 9 normal saline. The above disinfectants can be purchased at pharmacies or hospitals.
Dressings: gauze blocks, cotton balls, cotton swabs, bandages, adhesive tapes, bandages, etc., the above dressings can be bought at pharmacies or hospitals. For example, self-made gauze blocks, cotton balls, and cotton swabs can be placed in lunch boxes for steamer disinfection.
Dressing change utensils: 1 stainless steel lunch box, containing 1 pair of short dissecting toothed and toothless tweezers, an appropriate amount of medical scissors and cotton balls.
2. Treatment of fresh wounds.
If the wound is not large, the edge of the wound is neatly aligned, wash the wound with a cotton swab dipped in hydrogen peroxide, disinfect the wound with iodine tincture and alcohol, and cover the mouth of the work with a bandage. If the epidermis of the wound is peeled off, after cleaning and disinfection, sprinkle a little anti-inflammatory powder on the wound and cover it with sterilized gauze tape to fix it. If the wound is large, deep or the edge of the wound is peeled off, it should be debrided and sutured in the hospital.
If. If the wound is caused by rust or contaminants, it is necessary to go to the hospital to inject tetanus antitoxin to prevent tetanus.
3. Treatment of infected (or purulent) wounds.
Treatment of ordinary wounds. Use toothed forceps to remove the wound dressing, then use edentulous forceps to clamp iodine tincture and alcohol cotton balls to disinfect the wound around **, clean the wound with 3 hydrogen peroxide or saline, and be careful not to soak the alcohol into the wound** to avoid causing pain. If necessary, it can be covered with petroleum jelly gauze or other gauze or gauze strips that promote wound healing, and then covered with 3 or 4 layers of dry gauze, and finally, bandaged and fixed with adhesive tape or bandage.
The direction of the adhesive tape should be perpendicular to the limb or body to avoid falling off. Wound 1 4 days to change the dressing 1 time.
If the wound is heavily infected, pus-rich, the tissue is black, there is a foul odor or the dressing is green, these wounds are difficult to deal with at home, and they should go to the hospital in time**.
Rapid treatment of dog and cat bites.
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How to treat external wounds:
1. Hemostasis and disinfection.
Disinfect with iodine wine first and then with alcohol, rub along the edge of the wound from the inside out, do not apply iodine wine and alcohol into the wound. If there is a foreign body in the wound, it should be treated carefully, and if it is large and easy to take, it can be removed. Do not take the deep and small ones that are difficult to remove, so as not to bring bacteria into the wound or increase bleeding.
Small wounds can be coated with a little red mercury (red syrup) or purple syrup on the superficial surface, and large wounds should not be coated with the above syrup, so as not to increase the difficulty of the next treatment. The wound is covered with sterile gauze or dressing and bandaged with a bandage (or triangular scarf). In case of intestinal or tissue bulge, a clean rice bowl should be used, and the bulge should be buckled with gauze traps and then bandaged to prevent squeezing and damaging the tissue.
When dealing with large traumatic wounds, it is necessary to conduct a detailed examination, and not only focus on the surface of the wound and ignore the internal injury, and the head wound combined with head trauma and head trauma generally has abnormal mental status and the pupils on both sides are not generally large. When a chest wound is combined with meningeal or lung cavity injury, the injured person usually has difficulty breathing. When an abdominal wound is combined with organ injury, the injured person generally has abdominal muscle tension and abdominal pain.
When a limb wound is combined with a fracture, there may be limb movement disorders and abnormal bone movements.
2. Bandage in time.
Properly bandaging the wound can make it bleed, suppurate less, and be less painful. When piercing, it is necessary to be fast, accurate, light, firm, fast, and move quickly and quickly. Accurate, accurate and tight. Light, move lightly, do not touch the wound. Firm, bandaged firmly, and properly tightened.
How to care for external wounds:
1. Keep the wound and dressing dry, avoid pollution, and avoid water contact.
2. When there is a lot of exudation (blood or secretion) from the wound, or contamination occurs, change the dressing in time.
3. Under the guidance of a doctor, use antibiotics reasonably.
4. Avoid exertion, rest more, and increase resistance, so as to facilitate early wound healing.
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If the wound is not damaged by tendons, nerves, blood vessels and other important tissues and organs, local debridement or debridement and suturing operations can achieve the preliminary conditions for wound healing. For local** defects, skin patch repair can be performed by skin grafting or skin flap. If the wound is shallow, contusion, and bruising, if the local wound is relatively thin and heavily polluted, the clinic will actively remove such necrosis, and the wound will be covered with oil yarn.
There will be no air between the wound and the wound after the wound is covered, of course, it is in an anaerobic state, but the growth of anaerobic bacteria such as tetanus is conditional, and for heavily polluted wounds, tetanus antitoxin will be given after surgery, and there is no need to worry about it, covering the wound with dead skin will lead to tetanus infection.
The quality of wound healing is often related to the cleanliness of the wound, whether there is appropriate tension, and whether there is sufficient blood circulation. By suturing, the surgeon will reduce the wound surface and reduce the tension during wound healing. After the operation, the wound is partially bandaged and fixed to clean and keep warm.
As long as the above points are done, the wound can heal smoothly. When applying growth factors, if not used properly, it often leads to the formation of scabs around the wound, and even some inflammatory reactions. Therefore, patients should not use growth factors easily without special necessity or without the guidance of a doctor.
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1. Observe whether there are pollutants entering the wound, if the wound is seriously polluted, there are a large number of debris or hair residues in the wound, etc., it is necessary to rinse the wound repeatedly with normal saline and hydrogen peroxide in time to rinse the wound clean.
2. Investigate the wound, if the wound is shallow, it will not affect the deep tissues, if the wound is deep, it is necessary to explore whether it affects the muscles, blood vessels, nerves and tendons and other injuries, and if necessary, the wound needs to be extended to judge whether there is damage to other important organs.
3. If other important organs, tendons, muscles and other injuries are excluded, and the wound is simply superficial, it needs to be disinfected with iodine, bandaged with sterile gauze, and treated with dressing change every three days.
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