Handling wounds. Handling wounds and wounds first aid

During the trip there is always the risk of getting some damage, injury to the skin surface. Proper wound treatment promotes its rapid healing without the risk of blood poisoning, suppuration and infection. Of course, it is desirable to have in the first-aid kit a minimum set of necessary means for providing first aid in case of wounds and abrasions, which is a preliminary treatment.

  • Wound treatment rules
  • 2Wound treatment fluid
  • 3Working and scratching
  • 4Treatment of deep wounds

Wound treatment rules

Wound Treatment FluidWound treatment with green paint is carried out similarly to iodine – only along the edges. It has a drying effect, and is used until the wound begins to heal. Further, it can not be used, so as not to cause a burn. Cannot be used if the wound is bleeding badly.

  • Chlorhexidine

It is used in the primary treatment after the damaged tissue is treated with hydrogen peroxide. Just like peroxide, even a small amount of chlorhexidine destroys fungi, germs, viruses. For the treatment, it is necessary to water the wound from the syringe with this antiseptic.

  • Iodinol
  • Furacilin

An aqueous solution of furatsilina is prepared at the rate of 10 tablets per liter of heated water. The cooled solution treats wounds on the skin and mucous membranes, wetting them with a jet of antiseptic. In addition, it can be applied directly on a gauze bandage. It is possible to apply furatsilinovy ​​solution both at primary processing, and at secondary, and also purulent wounds.

  • Hydrogen peroxide

Only 3% peroxide solution is used. During the initial processing, foam is formed, which removes small impurities from the wound surface. It is used both during primary processing and secondary treatment during the treatment of purulent lesions. Proper use of hydrogen peroxide does not consist in applying a dressing moistened with it, but wetting the wound with a pulsating stream of peroxide. As a rule, treatment with this antiseptic is carried out in the presence of shallow skin lesions, as well as until the process of scarring of the tissue begins. Hydrogen peroxide is not used in combination with other antiseptics, it must be stored in a container protected from light.

  • Alcohol

Only the edges of the pre-washed wound are processed with alcohol during preprocessing, after which another antiseptic (brilliant green or iodine) is applied to it.

  • Potassium permanganate

Weak manganese solution kills microorganisms. Each treatment should be carried out only with a freshly prepared solution. It is used for various injuries of the skin and mucous membranes.

  • Miramistin

This is a modern antiseptic used to treat open wounds and damage to the mucous membrane. Destroys various microorganisms, viruses, bacteria, fungi, helps with burns.

If you do not have the above means, you can use a two percent soda solution, a concentrated salt solution, vodka, chamomile infusion. Antiseptic properties have decoctions of herb St. John’s wort, calendula, yarrow, raspberry. With open weeping wounds, an aqueous solution of propolis helps. If the damage is not deep, you can prepare a product from aloe juice, sea buckthorn oil and rosehip.

Handling abrasions and scratches

Handling wounds and wounds first aidWhen rubbing the skin on a hard, rough surface, abrasions and scratches are formed. The surface layer of the skin is damaged, small vessels are disturbed, and point bleeding is formed. As a rule, a large surface of the skin is damaged, causing very painful sensations, since a large number of nerve endings are exposed. The difference from abrasions from deep wounds is that they heal quickly, leaving no scars, because the damage does not affect the subcutaneous tissue.

Handling minor damages consists in cleansing the wound from dirt, soil, other debris using water (preferably running water). After that, it is necessary to conduct an antiseptic treatment, cover with a gauze bandage so that it does not stick to the skin surface.

If scratches are very dirty, wash them thoroughly. So, for wounds on the limbs or fingers, antiseptic baths will be the best solution. If the trunk, knees, elbows are scratched, a wet gauze bandage should be applied to the damaged surface, and after the wound is dried, proceed with antiseptic treatment.

Treatment of deep wounds

It should be understood that the treatment of deep wounds should be made with the subsequent provision of qualified medical care. Deep damage is considered to be more than two centimeters, with the penetration of foreign objects when the nerve endings are affected, bringing sharp pain. Before medical care is provided, consisting in the surgical suturing, it is necessary to process the damage as quickly and efficiently as possible:

  1. First you need to stop the bleeding with a tourniquet or pressure bandage.
  2. The skin around the wound is treated with a swab, folded with a bandage, moistened with an antiseptic.
  3. The damage is washed from the dirt that got there.
  4. With the severity of the lesion, the wound will fester and overgrow with granulation tissue. To relieve the inflammatory process, it is necessary to ensure a good outflow of pus.
  5. For the first two days, the damage is treated with a swab moistened with 10% salt solution, chlorhexidine or hydrogen peroxide with the application of the same dressings.
  6. After 5-10 days, you can use antiseptic ointments that contribute to the outflow of pus (Vishnevsky, Streptocidal ointment, Sintometzin and the like).
  7. In case of torn wounds, the damaged area is treated with a pulsating antiseptic jet.

After the assistance provided in the field conditions, it is necessary to consult a doctor. Surgical care consists of suturing with a preliminary dissection of the wound surface, antiseptic treatment, cutting protruding uneven edges of the skin near the wound, and in the presence of a purulent lesion – a drainage installation for its outflow. After the inflammatory process is stopped, the stitches are applied by a doctor. After that, the affected area is tied up with a bandage with the imposition of antiseptic ointment in complex treatment with antibiotics.

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