Help with wound
Wounds are cut, torn-bruised, stabbed,gunshot, burn, bitten. In addition, there may be non-penetrating and penetrating wounds in the chest and abdomen in the chest or abdominal cavity (puncture wounds located in these places are especially dangerous). Bite wounds are usually poorly healed and dangerous by rabies infection.
In general, injuries require referral of the victim to a medical institution. Only small superficial wounds at the insistence of the victim can be treated at home.
As a rule, when injured, bleeding of varying intensity is noted. Therefore, providing first aid, first of all, it is necessary to stop the bleeding.
With arterial bleeding, the blood is bright, scarlet,It is distinguished by the elastic pulsation of the jet (gushing). In case of severe bleeding on the hand or forearm, it is necessary to bend the elbow joint as much as possible; with bleeding on the foot and lower leg - bend the leg in the knee joint (maximum). With arterial bleeding on the thigh - apply a tourniquet (twist) on the leg below the groin; on the shoulder - a tourniquet (twist) just below the shoulder joint.
With venous bleeding, blood runs outa uniform stream of dark or almost black. To stop this bleeding, it is enough to raise the limb as much as possible and apply a tight (pressure) dressing.
After stopping bleeding, the edges of the woundlubricate with a solution of iodine or iodonate, or 1% brilliant green solution (brilliant green), cover the wound with a gauze napkin or a clean rag and apply a bandage with a bandage, a piece of cloth, a 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 emergency cases, you can just take a piecerelatively clean matter (handkerchief, piece of shirt, etc.), put it in the wound and firmly press it with your hand, holding it all the time during transportation to the medical institution.
Treatment of wounds at home
Rinse the wound with 3% hydrogen peroxide solution,dry thoroughly with a sterile napkin, treat the edges of the wound with iodine or brilliant green and pull together, well drawing together the edges of the wound, in separate narrow strips of a regular (non-bactericidal) adhesive patch across the wound. Treat the gaps between the strips daily 2-3 times a day with brilliant green. A wound treated in this way is best kept open. Such a sticker should lie on the face for 5-6 days, in other places 7-8 days. In the course of treatment it is impossible to wet a wound.
On abrasions or minor burn wounds (with rupture of blisters or skin detachment) wellapply a so-called three-layer dressing (three identical sized pieces of bandage or gauze, laid one on top of another) moistened with a solution of furatsillin (crush 1 tablet of furatsillin, pour a small amount of hot water, dissolve and add half a glass of cold water). This bandage must be bandaged. Under this dressing, the wound dries well and heals faster. The dressing, as a rule, dries to the wound and you do not need to open it, it will itself move away from the wound as it heals. If the dressing becomes wet, you need to change it the next day, not tearing off, but cutting off the dried-up areas.
Wounds do not like (and germs - on the contrary) thick dressings. The smaller the dressing material on the wound, the better and sooner it will heal.
Care of wounds with sutures. Based on the foregoing, it is better to generally keep such wounds open, treating them 2-3 times a day with a solution of brilliant green, up to removing the stitches. In this case, you can not wet the wound.
Care purulent wounds. Purulent weeping wounds must be bandageddaily and sometimes several times a day as the dressing gets wet and dirty. In this period, it is better to apply dressings with a solution of furatsillin and a hypertonic solution in a ratio of 1: 1, or with water-soluble ointments (levosin, levomikol, etc.). It is very good to wash the wound 2-3 times a week: moisten the wound with a warm weak pink solution of potassium permanganate (if the wound is large, lower the affected part of the body into a container with a potassium permanganate solution); with a sterile gauze cloth, soaped with 72% household soap (cosmetic soap is contraindicated due to the presence of perfume additives that cause allergies), carefully rinse the wound surface; then wash off the soap with a new portion of potassium permanganate solution. After that, dry the wound with a sterile napkin and apply a bandage with the above medicines.
We can not impose on the open wound bandage with ointment Vishnevsky!
In the period of wound healing, when it is no longergets wet, and begins to close from the edges, it is impossible to wet the wound, dressings are done once every two to three days and apply dressings with fat-soluble ointments, or solcoseryl, actovegin ointment, vinyl, etc.
In all cases of doubt, be sure to seek the advice of the surgeon.