| |
| |
| |
| Emergency Wound Care: An Overview | |
| |
| |
| Goals of Wound Closure | |
| |
| |
| Patient Expectations | |
| |
| |
| Risks of Wound Care | |
| |
| |
| |
| Patient Evaluation and Wound Assessment | |
| |
| |
| Initial Steps | |
| |
| |
| Wound Evaluation and Documentation | |
| |
| |
| |
| Anatomy of Wound Repair | |
| |
| |
| Anatomy of the Skin and Fascia | |
| |
| |
| Skin Tension Lines | |
| |
| |
| Alterations of Skin Anatomy | |
| |
| |
| |
| Surface Injury and Wound Healing | |
| |
| |
| Mechanism of Injury | |
| |
| |
| Normal Wound Healing | |
| |
| |
| Categories of Wound Healing | |
| |
| |
| Factors Complicating Wound Healing | |
| |
| |
| Suture Marks | |
| |
| |
| Keloid and Hypertrophic Scar Formation | |
| |
| |
| |
| Wound Care and the Pediatric Patient | |
| |
| |
| |
| General Approach and Calming Techniques | |
| |
| |
| Restraint for Wound Care | |
| |
| |
| Pediatric Patient Sedation | |
| |
| |
| Local Anesthetic Techniques | |
| |
| |
| Choice of Closure Materials | |
| |
| |
| Special Considerations for Different Anatomic Sites | |
| |
| |
| Wound Aftercare | |
| |
| |
| |
| Infiltration and Nerve Block Anesthesia | |
| |
| |
| Pharmacology of Local Anesthetics | |
| |
| |
| Toxicity of Local Anesthetics | |
| |
| |
| Allergy to Local Anesthetics | |
| |
| |
| Patient Sedation | |
| |
| |
| Anesthetic Solutions | |
| |
| |
| Reducing the Pain of Anesthesia | |
| |
| |
| Anesthesia Techniques | |
| |
| |
| |
| Wound Cleansing and Irrigation | |
| |
| |
| Wound Cleansing Solutions | |
| |
| |
| Preparation for Wound Cleansing | |
| |
| |
| Cleansing Setup and Procedures | |
| |
| |
| |
| Instruments and Suture Materials | |
| |
| |
| Basic Instruments and Handling | |
| |
| |
| Suture Materials | |
| |
| |
| Needle Types | |
| |
| |
| |
| Decisions Before Closure: Timing, Debridement, and Consultation | |
| |
| |
| Timing of Closure | |
| |
| |
| Wound Exploration | |
| |
| |
| Hemostasis | |
| |
| |
| Tissue Debridement and Excision | |
| |
| |
| Surgical Drains | |
| |
| |
| Immediate Antibiotic Therapy | |
| |
| |
| Guidelines for Consultation | |
| |
| |
| |
| Basic Laceration Repair: Principles and Techniques | |
| |
| |
| Definition of Terms | |
| |
| |
| Basic Knot-Tying Techniques | |
| |
| |
| Principles of Wound Closure | |
| |
| |
| |
| Complex Wounds: Advanced Repair Techniques | |
| |
| |
| Running Suture Closure | |
| |
| |
| Beveled (Skived) Wounds | |
| |
| |
| Pull-out Subcuticular Closure | |
| |
| |
| Subcuticular Running Suture | |
| |
| |
| Corner Stitch | |
| |
| |
| Partial Avulsion, Flap Wounds | |
| |
| |
| Geographic Lacerations | |
| |
| |
| Complete Avulsions | |
| |
| |
| Dog-ear Deformities | |
| |
| |
| Parallel Lacerations | |
| |
| |
| Thin-edge, Thick-edge Wounds | |
| |
| |
| Laceration in an Abrasion | |
| |
| |
| Wounds in Aged Skin | |
| |
| |
| |
| Special Anatomic Sites | |
| |
| |
| Scalp | |
| |
| |
| Forehead | |
| |
| |
| Eyebrow and Eyelid | |
| |
| |
| Cheek or Zygomatic Area | |
| |
| |
| Nasal Structures | |
| |
| |
| Ear | |
| |
| |
| Lips | |
| |
| |
| Oral Cavity | |
| |
| |
| Perineum | |
| |
| |
| Knee | |
| |
| |
| Lower Leg | |
| |
| |
| Foot | |
| |
| |
| |
| The Hand | |
| |
| |
| Initial Treatment | |
| |
| |
| Terminology | |
| |
| |
| Patient History | |
| |
| |
| Examination of the Hand | |
| |
| |
| Circulation | |
| |
| |
| Radiography | |
| |
| |
| Wound Exploration | |
| |
| |
| Selected Hand Injuries and Problems | |
| |
| |
| Antibiotics for Hand Wounds | |
| |
| |
| Dressings and Aftercare | |
| |
| |
| |
| Tissue Adhesives and Alternative Wound Closure | |
| |
| |
| Tissue Adhesives | |
| |
| |
| Wound Taping | |
| |
| |
| Wound Stapling | |
| |
| |
| |
| Bite Wounds | |
| |
| |
| Animal Bite Epidemiology | |
| |
| |
| Microbiology of Bite Wounds | |
| |
| |
| Bite Risk Factors | |
| |
| |
| General Bite Wound Management | |
| |
| |
| Specific Injuries | |
| |
| |
| Wound Aftercare and Follow-up | |
| |
| |
| Rabies Exposure and Prophylaxis | |
| |
| |
| Postexposure Prophylaxis | |
| |
| |
| |
| Common Wound Care Problems | |
| |
| |
| Foreign Bodies | |
| |
| |
| Plantar Puncture Wounds | |
| |
| |
| Fishhooks | |
| |
| |
| Abrasions and Tattooing | |
| |
| |
| |
| Minor Burns | |
| |
| |
| Initial Management and Patient Assessment | |
| |
| |
| Burn Assessment | |
| |
| |
| Guidelines for Hospitalization | |
| |
| |
| Treatment of Minor Burns | |
| |
| |
| |
| Cutaneous and Superficial Abscesses | |
| |
| |
| Clinical Presentations | |
| |
| |
| Microbiology of Abscesses | |
| |
| |
| Management of Abscesses | |
| |
| |
| Follow-up Care | |
| |
| |
| Antibiotic Use in Abscess Care | |
| |
| |
| |
| Complicated and Chronic Wounds | |
| |
| |
| Deep Cutaneous and Necrotizing Infections | |
| |
| |
| Infections of Laceration Repair | |
| |
| |
| Chronic Skin Ulcerations | |
| |
| |
| |
| Wound Dressing and Bandaging Techniques | |
| |
| |
| Wound Dressing Principles | |
| |
| |
| Basic Wound Dressing | |
| |
| |
| Home Care and Dressing Change Intervals | |
| |
| |
| Body Area Dressings | |
| |
| |
| |
| Tetanus Immunity and Antibiotic Wound Prophylaxis | |
| |
| |
| Tetanus Prophylaxis | |
| |
| |
| Prophylactic Antibiotics for Emergency Wounds | |
| |
| |
| |
| Suture Removal and Wound Aftercare | |
| |
| |
| Suture Removal | |
| |
| |
| Analgesia | |
| |
| |
| Instructions to the Patient | |
| |
| |
| Understanding Wound Healing | |
| |
| |
| Index | |