Early wound management Flashcards Preview

Surgical skills > Early wound management > Flashcards

Flashcards in Early wound management Deck (53)
Loading flashcards...
1

What are 4 history questions to ask?

1. duration of injury
2. mechanism of injury
3. estimation of blood loss
4. treatments (thus far)

2

What are 4 history questions to ask?

1. duration of injury
2. mechanism of injury
3. estimation of blood loss
4. treatments (thus far)

3

What are recommendations for wound @ site? (b4 get to hospital)

1. restrict movement
2. garden hose lavage--decontaminate
3. control hemorrhage (pressure bandage--don't leave on long!)
4. see to the case! don't just let go to hospital

4

What are two aspects of patient assessment?

1. systemic assessment
2. wound assessment

5

What are three things examine to assess systemic condition of the patient?

1. cardiovascular status
2. resp status
3. body condition

6

What are three things to look at when assessing cardiovascular status?

1. pulse
2. mucus membrane colour
3. capillary refill time

7

What does a good pulse indicate?

That the pressure is ok

8

What is the most significant indicator to see if animal has lost a significant amount of blood?

mucus membrane colour

9

Why is it hard to assess cardiovascular state during hemorrhage?

1. heart rate is up
2. PCV and protein will not change for a few hours (until fluid compartments are reestablished)

10

What is the golden period?

11

Is the golden period longer on the head and body or on the limbs?

longer on the head and body

12

What are three ways to examine a wound?

1. visual examination
2. digital examination (gloves)
3. diagnostic imaging

13


What can you find out about a wound by looking at it?

1. location of wound
2. extent of injury
3. age of wound
4. condition of wound

14

How old does a wound have to be before you see granulation tissue macroscopically?

4-5 days

15

How do you perform a digital examination?

1. sedate (small animal, maybe horse)
2. local anesthesia
3. sterile lube in wound
4. clip and prep
5. explore wound, involved structures
6. joint evaluation (arthrocentesis, fluid injection)

16

What can diagnostic imaging be used to do when looking at a wound?

1. assess bone

17

What are recommendations for wound @ site? (b4 get to hospital)

1. restrict movement
2. garden hose lavage--decontaminate
3. control hemorrhage (pressure bandage--don't leave on long!)
4. see to the case! don't just let go to hospital

18

What are two aspects of patient assessment?

1. systemic assessment
2. wound assessment

19

What are three things examine to assess systemic condition of the patient?

1. cardiovascular status
2. resp status
3. body condition

20

What are three things to look at when assessing cardiovascular status?

1. pulse
2. mucus membrane colour
3. capillary refill time

21

What does a good pulse indicate?

That the pressure is ok

22

What is the most significant indicator to see if animal has lost a significant amount of blood?

mucus membrane colour

23

Why is it hard to assess cardiovascular state during hemorrhage?

1. heart rate is up
2. PCV and protein will not change for a few hours (until fluid compartments are reestablished)

24

What is the golden period?

25

Is the golden period longer on the head and body or on the limbs?

longer on the head and body

26

What are three ways to examine a wound?

1. visual examination
2. digital examination (gloves)
3. diagnostic imaging

27


What can you find out about a wound by looking at it?

1. location of wound
2. extent of injury
3. age of wound
4. condition of wound

28

How old does a wound have to be before you see granulation tissue macroscopically?

4-5 days

29

How do you perform a digital examination?

1. sedate (small animal, maybe horse)
2. local anesthesia
3. sterile lube in wound
4. clip and prep
5. explore wound, involved structures
6. joint evaluation (arthrocentesis, fluid injection)

30

What can diagnostic imaging be used to do when looking at a wound?

1. assess bone