5.2 Wound Management

Q: What time frame defines a fresh wound?
A: <8 hours

Q: Recommended irrigation volume for wounds?
A: 50–100 mL normal saline per cm wound length

Q: What is the first priority in wound management?
A: Haemorrhage control

Q: What are the three main goals of wound care?
A: Haemorrhage control, infection prevention, patient comfort

Q: Which dressing is best for acute wounds with minimal exudate?
A: Low-adhesive (e.g., Melolin)

Q: Which dressing is best for skin tears?
A: Silicone foam (e.g., Mepilex/Bane)

Q: Which dressing is best for large wounds with bleeding or heavy exudate?
A: Combine dressing

Q: When are Steri-Strips appropriate?
A: Small, superficial, clean wounds where edges approximate without tension

Q: Name 3 wound types that require ED transport.
A: Deep wounds, full thickness skin tears, penetrating wounds with foreign body risk

Q: Within how many hours should animal/human bites be reviewed?
A: Within 8 hours

Q: Within how many hours should wounds requiring sutures or glue be reviewed?
A: Within 8 hours

Q: Which patients must have wounds reviewed within 24 hrs?
A: Patients with comorbidities or impaired wound healing