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LacerationsA laceration refers to a cut in the skin. This may be superficial (without complete penetration of the skin) or deep, extending to fat or muscle tissue. The severity of a laceration will be determined by its location, size, depth (involvement of tendons, nerves, or vessels), potential for contamination, and the likelihood of retained foreign matter within the wound. Through analysis of these factors, the physician decides on a course of treatment (to stitch or not to stitch). ALL BLEEDING FROM LACERATIONS CAN BE CONTROLLED WITH CONTINUOUS DIRECT PRESSURE WITH A CLEAN CLOTH OR GAUZE All lacerations require aggressive cleaning: irrigation with peroxide, antibacterial soap solutions, or sterile water. Lacerations to the face will often be sutured (stitches) due to their greater cosmetic implications. Lacerations thought to be at high risk for retained foreign matter require a physician evaluation. "Butterfly" bandages can often adequately secure small shallow wounds without sutures; however, greater care must be taken to watch closely for signs of infection, or reopening of the wound. Any lacerations to the hands or feet that may have violated tendon structures require physicianevaluation. Careful examination of every joint should be done to make sure flexion and extension are possible. Examination for feeling (sensation) in all areas below the laceration can disclose a nerve injury. Checking the pulse and the nailbed color will also help the physician locate any vascular injury. All lacerations require up-to-date tetanus accination.Patients who have received stitches should make sure they are kept clean and dry (no swimming). Peroxide cleansings, several times a day, and the use of an antibiotic ointment can help discourage bacterial infection. Watch closely for SIGNS OF INFECTION: increasing pain at the site, swelling, discharge from the wound, red streaks spreading from the wound, or fever. See your doctor promptlyif any of these symptoms occur. HOW LONG DO MY STITCHES STAY IN?
|  Hip Dislocation Hip Fracture Insect Stings and Spider Bites Human and Animal Bites Shoulder Injury Fracture Toxic Inhalations and Carbon Monoxide Poisoning Facial Injury Jaw Fracture and Dislocation Kidney Injury Knee Injury General Considerations Knee Injury Contusion Knee Injury Fracture Knee Injury Sprain Stab Wounds Leg Injury Fractures and Contusions Leg Injury Shin Splints Lightning Injury Oral and Tongue Injuries Nasal Fracture or Contusion Neck Injury General Considerations Neck Injury Fracture Neck Injury Spinal Cord Injury Pelvic Bone Fracture Puncture Wounds Chest Injury Rib Fracture Back Injury Sacrococcygeal Injury Scorpion Bites Abrasion Injuries Shoulder Injury Clavicle Fracture Shoulder Injury Strains and Sprains Snakebite Neck Injury Spinal Cord Injury Abdominal Injury Ruptured Spleen Foot Injury Toe Fracture and Sprain Vaginal or Vulvar Injury Drowning and Near Drowning |
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