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Abrasion – A wound caused by a scraping force or friction. Tends not to be very deep but can often contain many foreign bodies such as dirt (i.e. after a fall on loose ground). Puncture – A deep wound caused by a sharp, stabbing object (i.e. a nail). May appear small from the outside but may damage deep tissues.
Surgical wound infection control began in the 1960s in the United States with the classification of wounds into four categories (clean, clean-contaminated, and dirty or infected) and with surveillance reports from Cruse and Foord.
There are two basic types, or classifications, of wounds: Open and closed. Closed wounds are those where the skin is not broken.
Wound healing is classically divided into 4 stages: (A) hemostasis, (B) inflammation, (C) proliferation, and (D) remodeling.
- Cuts, lacerations, gashes and tears. These are wounds that go through the skin to the fat tissue. …
- Scrapes, abrasions, scratches and floor burns. These are surface wounds that don’t go all the way through the skin. …
- Bruises. These are bleeding into the skin from damaged blood vessels.
Depth of the Wound A stage 3 bedsores is a deep tissue injury. It is a tunneling wound that penetrates the top layers of skin and underlying tissue but not the bone or muscle. Seek immediate medical attention if your loved one has or may have a stage 3 bedsore.
The complicated mechanism of wound healing occurs in four phases: hemostasis, inflammation, proliferation, and remodeling.
- Inflammatory phase – This phase begins at the time of injury and lasts up to four days. …
- Proliferative phase – This phase begins about three days after injury and overlaps with the inflammatory phase. …
- Remodeling phase – This phase can continue for six months to one year after injury.
- Broken bones.
- Concussion.
- Dislocated shoulder.
- Fractures.
- Knee injuries, such as ACL and meniscus tears.
- Muscle sprains and strains.
- Rotator cuff tears.
Did you know that most athletic injuries can be boiled down into three main categories? Acute, Overuse and Chronic.
- Superficial incisional SSI. This infection occurs just in the area of the skin where the incision was made.
- Deep incisional SSI. This infection occurs beneath the incision area in muscle and the tissues surrounding the muscles.
- Organ or space SSI.
At stage 4, the pressure injury is very deep, reaching into muscle and bone and causing extensive damage. Damage to deeper tissues, tendons, and joints may occur.
Stage 4 pressure ulcers are the most serious. These sores extend below the subcutaneous fat into your deep tissues, including muscle, tendons, and ligaments. In more severe cases, they can extend as far down as the cartilage or bone. There’s a high risk of infection at this stage.
STAGE 1. Signs: Skin is not broken but is red or discolored or may show changes in hardness or temperature compared to surrounding areas. When you press on it, it stays red and does not lighten or turn white (blanch).
Wounds heal faster if they are kept warm. Try to be quick when changing dressings. Exposing a wound to the open air can drop its temperature and may slow healing for a few hours. Don’t use antiseptic creams, washes or sprays on a chronic wound.
You also may see some clear fluid oozing from the wound. This fluid helps clean the area. Blood vessels open in the area, so blood can bring oxygen and nutrients to the wound. Oxygen is essential for healing.
Gently rub a thin layer of antibiotic ointment like Neosporin or Polysporin over the cut. It won’t help you heal faster, but it will keep an infection away. It also lets your skin stay moist. Some people are sensitive to ointments.
- Penetrating wounds. Puncture wounds. Surgical wounds and incisions. Thermal, chemical or electric burns. Bites and stings. Gunshot wounds, or other high velocity projectiles that can penetrate the body.
- Blunt force trauma. Abrasions. Lacerations. Skin tears.
Wound healing can be delayed by factors local to the wound itself, including desiccation, infection or abnormal bacterial presence, maceration, necrosis, pressure, trauma, and edema.
Tertiary wound healing, or healing by delayed primary closure, occurs when there is a need to delay the wound-closing process. This could be necessary if a doctor fears that they may trap infectious germs in a wound by closing it.
- Knee Injury. About 55% of sports injuries occur in the knee. …
- ACL Tear. Your anterior cruciate ligament (ACL) is responsible for connecting your thigh to your shinbone at your knee. …
- Tennis or Golf Elbow. …
- Shin Splints. …
- Groin Pull. …
- Sciatica. …
- Hamstring Strain.
- Strains. Strains are by far the most common of all sports-related injuries simply because we use so many muscles and tendons when we exercise or play. …
- Sprains. …
- Knee injuries. …
- Fractures. …
- Tennis elbow. …
- Plantar fasciitis/shin splints. …
- Back injuries/back pain. …
- Concussion.
- Runner’s Knee. Knee injuries are one of the most common sporting injuries treated by orthopedic surgeons. …
- Shoulder Injury. Shoulder injuries are common in a number of sports. …
- Achilles Tendinitis. …
- Concussion. …
- Ankle Sprain. …
- Tennis Elbow. …
- Pulled Muscle. …
- Groin Strain.
Physical injuries include those caused by mechanical trauma, heat and cold, electrical discharges, changes in pressure, and radiation. Mechanical trauma is an injury to any portion of the body from a blow, crush, cut, or penetrating wound.
Sprained ankles, strained backs, and fractured hands are acute injuries. Acute injury is a sudden injury that is usually associated with a traumatic event such as clashing into another player during sports or a fall from a bike. A traumatic impact can cause your bone to crack, muscles to tear or ligaments to snap.
This article will focus on the most common and deadly types of infection: bacterial, viral, fungal, and prion.
Dirty or infected — an incision undertaken during an operation in which the viscera are perforated or when acute inflammation with pus is encountered during the operation (for example, emergency surgery for faecal peritonitis), and for traumatic wounds where treatment is delayed, and there is faecal contamination or …
1 Cellulitis, impetigo, and folliculitis are the most common bacterial skin infections seen by the family physician.
a deep wound that reaches the deeper layers of the skin – a category 3 pressure ulcer. a very deep wound that may reach the muscle and bone – a category 4 pressure ulcer.
Slough refers to the yellow/white material in the wound bed; it is usually wet, but can be dry. It generally has a soft texture. It can be thick and adhered to the wound bed, present as a thin coating, or patchy over the surface of the wound (Figure 3). It consists of dead cells that accumulate in the wound exudate.
Stage 3. These sores have gone through the second layer of skin into the fat tissue. Symptoms: The sore looks like a crater and may have a bad odor. It may show signs of infection: red edges, pus, odor, heat, and/or drainage.
Left untreated, the skin can break open and the area can become infected. A bedsore can become deep. It can extend into the muscle and bone. Once a bedsore develops, it is often very slow to heal.
- Classifying skin tears.
- Type 1 — No skin loss.
- Type 2 — Partial flap loss.
- Type 3 — Total flap loss.
Tissue exhibiting blanchable erythema usually resumes its normal color within 24 hours and suffers no long-term damage. However, the longer it takes for tissue to recover from finger pressure, the higher the patient’s risk for developing pressure ulcers.