Help with wound
Wounds are sliced, torn, bruised, crushed,gunshot, burn, bite. Furthermore, in the chest and abdomen may be non-penetrating and penetrating wounds of the chest or abdominal cavity (especially those located in dangerous areas stab wounds). Bite wounds tend to heal poorly and the risk of contracting rabies.
Basically injured areas require the victim to hospital. Only a small superficial wounds on the insistence of the victim can be treated at home.
As a rule, wound bleeding observed varying intensity. Therefore, providing first aid, first of all, you need to stop the bleeding.
When arterial bleeding blood bright, scarlet,released elastic jet pulsation (gush). In the case of severe bleeding on the hand or upper arm, should be possible to bend the elbow joint; for bleeding on the foot and lower leg - the leg bent at the knee joint (maximum). When arterial bleeding on the thigh - tourniquet (twist) on the leg below the groin; on his shoulder - a tourniquet (twist), just below the shoulder joint.
When venous bleeding blood expiresUniform spray dark or nearly black color. To stop this bleeding is sufficient to raise the maximum limb and impose tight (oppressive) bandage.
After stopping the bleeding at the wound edgesopportunities to grease iodine solution or yodonata, or 1% solution of brilliant green (green paint), cover the wound with gauze or a clean rag and apply a bandage bandage, a piece of cloth, belt, etc.
When providing first aid in case of injury, you should not:
- Irrigate the wound;
- Removing any foreign bodies;
- Putting in cotton wool wound soaked in iodine.
In urgent cases, you can simply take a piecerelatively clean cloth (a handkerchief, a piece of a shirt, etc.), put it into the wound and firmly pressed his hand, holding it all during transport to hospital.
Treatment of wounds at home
Wound rinse with 3% hydrogen peroxide solution,dry thoroughly with sterile cloth, treat the wound edges with iodine or brilliant green, and pull well brought closer together the wound edges, the individual narrow strips of conventional (non-bactericidal) adhesive tape across the wound. The gaps between the strips processed on a daily basis 2-3 times a day with green paint. The thus treated is better to keep the wound open. On the face of such label must lie 5-6 days, 7-8 days elsewhere. In the treatment of the wound can not be watering.
On abrasions or minor burn wounds (At break blisters or skin detachment) solidto impose a so-called three-layer bandage (three of the same size piece of gauze bandage or superimposed one on the other) moistened with a solution of furatsillina (Table 1. furatsillina crushed, pour a small amount of hot water, dissolve and pour half a glass of cold water before). This bandage is necessary to bandage. Under that bandage the wound well and dries quickly heal. The bandage is usually dry on the wound and open it is not necessary, she will move away from the wound as it is healing. If the bandage gets wet, it is necessary to change it the next day, not taking, and cutting off any dry areas.
Wounds do not like (and germs - on the contrary) thick bandages. The smaller the dressing on the wound, and the better it will heal more.
Care of wounds with sutures. Based on the foregoing, such a wound is better to keep open, treating them 2-3 times a day with a solution of brilliant green until the stitches are removed. This is not to soak the wound.
Care purulent wounds. Purulent oozing wounds need to tie updaily and sometimes several times a day as wet bandages and pollution. This is better shown with bandage furatsillina solution and a hypertonic solution in the ratio 1: 1, or a water-soluble ointments (Levosin, levomikol etc.). Very good 2-3 times a week to wash the wound: wet the wound with warm slightly pink solution of potassium permanganate (if the wound is large, lower the affected part of the body in the container with p-rum potassium permanganate); sterile gauze, soapy economic 72% soap (cosmetic soap is contraindicated due to the presence in it of perfume additives that cause allergies), carefully wash the wound surface; then rinse the soap a new portion of p-ra potassium permanganate. After that, dry the wound with sterile cloth and apply a bandage to the above medicines.
We can not impose on the open wound bandage with ointment Vishnevsky!
The period of wound healing when it is notgets wet and starts to close the edges, wet wound can not make a dressing once every two or three days and the bandage with ointment fat-soluble or solkoserilovuyu, aktoveginovuyu ointment Vinylinum etc.
In all cases of doubt, be sure to seek the advice of the surgeon.