Wound Management: Initial Assessment and First Aid

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What is the recommended method to control severe arterial bleeding?

Direct pressure

Pneumatic cuff (correct)

Pressure wrap

Tourniquet

What should be the first step in wound management?

Performing debridement

Stabilizing the patient

Performing first aid immediately

Assessing the overall stability of the animal (correct)

What should be minimized to decrease bacterial contamination of a wound?

Application of analgesia

Use of broad-spectrum antimicrobials

Delay between examination and definitive debridement (correct)

Exposure to air

When is antimicrobial treatment generally recommended for wound management?

In all cases of dirty, infected, or puncture wounds Signup and view all the answers

What is the primary goal of open wound management in small animals?

To speed up wound healing Signup and view all the answers

When can minimally contaminated wounds typically be closed after initial debridement?

24-72 hours after debridement Signup and view all the answers

Why are wet adherent dressings initially used in traditional open wound management?

To promote granulation tissue formation Signup and view all the answers

What is the reason for changing from wet adherent dressings to dry, nonadherent dressings during wound healing?

To prevent damage to the granulation bed Signup and view all the answers

What is the impact of wound location on the decision between open wound management and surgical closure?

May result in loss of joint function depending on location Signup and view all the answers

Why might a clinician refer a case for surgical closure instead of managing it openly?

If techniques required exceed the clinician's expertise Signup and view all the answers

Why might a wound on the lateral thorax not pose long-term complications due to contracture?

Because there is more skin elasticity in that area Signup and view all the answers

What is the purpose of combining bandaging with autolytic debridement in moist wound healing?

To promote wound healing Signup and view all the answers

What is one downside of open wound management compared to delayed wound closure with surgery?

It prolongs time for healing Signup and view all the answers

Why might some consider traditional wet-to-dry dressings outdated in wound management?

Newer dressing options offer benefits like moist wound healing Signup and view all the answers

What is the primary purpose of wound lavage in small animals?

To decrease bacterial load in the tissue Signup and view all the answers

Which pressure level is recommended for wound lavage in dirty or contaminated wounds?

High pressure Signup and view all the answers

Why should surgical scrub agents not be used in wound lavage?

They are toxic to healing tissues Signup and view all the answers

What should be done to necrotic tissue during surgical debridement?

Sharply excise it Signup and view all the answers

When may staged debridement be indicated?

In situations where immediate full debridement is not suitable Signup and view all the answers

What method of debridement involves the use of maggots?

Autolytic debridement Signup and view all the answers

What is essential when performing a primary closure of a wound?

Individual closure of layers to minimize dead space Signup and view all the answers

What type of wound is primary closure most suitable for?

Clean wounds with proper debridement Signup and view all the answers

Why should primary closure be avoided in grossly contaminated or infected wounds?

Due to the risk of wound complications Signup and view all the answers

What determines the types of suture and suture patterns used in wound closure?

Surgeon preference, wound size, and location Signup and view all the answers