Lacerations/Wounds

• pply non-stick layer - suitable options include:

  • Jelonet

  • Bactigras

  • Mepitel

  • Xeroform

•  Apply absorbent layer - suitable options:

  • Square guaze

  • Melonin

  • Combine

• Apply light non-stick circumferential dressing

  • Bandage distal to proximal (i.e handygauze)

  • Ensure tension is even, light and does not occlude blood flow

  • DO NOT APPLY TAPE - this is difficult to remove and the adhesive can further affect damaged tissue

•  Apply immobilisation as required for associated injuries/pain management

  • Zimmer splint

  • Buddy strapping

  • POSI - refer to our previous newsletter on this topic!

• If not going to theatre same day - discharge on oral antibiotics (this will be confirmed in our reply to referrer)

Tips/Considerations

• Very important to ensure that blood flow is not occluded when applying dressing - Case may not get to theatre for up to 24hrs

• Ensure 1-2 layers of non-stick surface placed over the WHOLE wound to facilitate easy removal in theatre with minimal wound contamination or additional trauma

• Consider amount of layers required to absorb blood or fluid

  • Ensure appropriate to wound size/requirements

• Educate patient on appropriate home management e.g. elevation of affected limb, keeping dressings clean and dry and seeking medical attention if signs of increased bleeding or infection prior to surgery,

• AVOID COTTON WOOL