INJURY

Introduction
Injury classification based on classified

1. Degree of contamination (clean, contaminated, infected)
2. The extent of tissue damage
3. Mechanism:

• Trauma, chemical, thermal, electrical, radiation
• Injuries hit high / low velocity

Classification describes:

1. Degrees of damage
2. Penyulit possibilities that will arise
3. Actions that must be done immediately

When did injury can be closed and how?

Closing injury is influenced by:

• Degree of contamination
• The risk of infection

How close depends Injury:

• Injury Type
• Is there a missing tissue (tissue loss or defect)

  1.  Debridement

• The most important (Best solution for polution is dilution)
• Principle 3E (exploration, non-vital tissue excision, evacuation of foreign objects)
• Antibiotics can not replace
• Minimum of 10 liters copy
• Do without a strong pressure (washed)
• Dilution is the solution for polution
• Performed aseptically and antiseptics
• Swab tests done earlier cultures and resistance tests 

 

 2.  Closing Injury
       Primary closure criteria

• All the networks have no necrotik
• Good blood circulation
• Patient's general condition is stable
• Injury can be closed without the strain
• No dead space
• No multisystem injuries

       If the criteria are not met:

• Split skin graft
• Pedicle or flap graft
• Secondary suturing (2 - 3 weeks)
• Sew without strain
• Biological dressings (homologous or heterologous)
• Leave open, regular dressing, wound inspection, delayed suture

  3.  Antibiotics

• Can not replace debridement
• Parenteral
• Broad-spectrum, hypoallergenic
• Adequate blood serum