Wound Care (cont.)
When to Seek Medical Care for a Wound
Most wounds can be treated at home with routine first aid including thorough
washing and dressing to prevent infection.
Some of the following are reasons medical care should be obtained for a wound:
- If the wound is due to significant
force or trauma and other injures are be present.
- If bleeding cannot be stopped even with
persistent pressure and elevation.
- If there is concern that wound requires
repair with sutures (stitches). The size and location of the wound are important
considerations. Most facial wounds may need to be repaired for cosmetic reasons,
especially if they involve the lip or eye.
- If the wound is caused by an animal
bite. At least 50% of dog bites, 80% of cat bites, and 100% of human bites
infected. There is also a need to consider
rabies immunizations if appropriate.
- If the wound is very dirty and cannot
be easily cleaned.
- If there is evidence of infection
including redness, swelling, increased pain, and pus at the wound.
- If tetanus immunizations are not up to
date, then a booster is needed within 48 hours. If the patient has never been
immunized, the initial tetanus prevention with immunoglobulin should be given
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