You are working in the emergency room when patients from a car accident arrive v

Question

You are working in the emergency room when patients from a car accident arrive via ambulance. The patient you are treating has only suffereed minor injuries from the accident. Your general impression of the 43 yr old female patient is good. She knows who she is, where she is, she knows the date and what happened in the accident: she is alert and oriented to person, place time and event. The pateint denies loss of consciousness during the accident and denies any neck of back pain. Her chief complant is a 4" long laceration on the left proximal antibrachium and a 4" wide scrape near the right deltoid region. THe patient is treated and discharged without admission. While discharging the patient, she tells you she's heard that scrapes are at greater risk of infection than lacerations of comparable size. Write your response to the pateint. Include your rational for supporting or refuting her statement.

Explanation / Answer

The concerned about the greater risk of infection is positive scrape can be more deeper and there would be chances of wound contamination. Scrapes can go into heavy scar formation and may lead up to hypertrophic scars and May form kleoid.

Lacerated part of the women won't undergo much of the stretch where has the deltoid muscle can stretch the newly epithelium form and hampers healing increasing the risk of contamination infection.

As for now she is to be told that her wound is properly treated, washed , proper wound toilet, antibiotics has been applied and there is proper closure of the wound, her wounds are property covered. She should take care of not getting contaminated while redressing them , maintain proper diet and personal hygiene.

As per over review and rational it is true that there are risk of infection but maintaining hygiene would help her getting better.

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