Center for Advanced Wound Care

What Are the Types and Treatment Options for Acute Wounds?

Acute wounds might be disregarded for care at times, but it is to be noted that they should not be!

It is true that in the race of acute wounds vs. chronic wounds, chronic wounds are given more attention, but acute wounds should not be left behind.

This blog will answer all your questions related to it.

There are a lot of acute wounds that even look or feel similar but require different attention, and for that purpose, this blog covers every kind of acute wound in this thorough guide, including abrasions, lacerations, punctures, and avulsions.

Further, comprehending these injuries and the available therapies is essential for efficient handling and recuperation in the form of treatments. Let’s discuss when to get expert assistance and safety precautions to protect you and your loved ones as we come to the end of our investigation.

Types of Acute Wounds

1. Cuts

How do cuts occur?

Cuts, also known as incisions, usually occur as a result of the separation of the skin and its underlying tissue, which is caused by external forces.

Difference Between Shallow and Deep Cuts:

Shallow cuts involve cuts on the outer skin layers with minimal bleeding, like paper cuts, whereas deep cuts are more penetrative and affect the muscles, tendons, and sometimes bones. Comparatively, they bleed more and often require medical attention.

Common activities that might lead to cuts:

Activities like cooking, dealing with sharp objects, sports, cleaning, dusting, etc., are often the common activities that lead to cuts.

2. Abrasions

Appearances: Abrasions appear as superficial skin injuries when the epidermis, or outer layer of skin, is scraped off. Usually, they appear as rough-textured, red, raw patches.

Distinctions from Cuts: Abrasion arises from friction or scraping against a rough surface, as opposed to cuts, which entail a clean break or opening in the skin. An abrasion may not pierce as deeply as a cut, and its margins are sometimes uneven.

Common Scenarios Where Abrasions Occur:

Sports Injuries: When participating in sports, especially those that involve contact or falls, abrasions are frequently sustained. Basketball floor burns and soccer grass burns are two examples.

Road rash: A particular kind of abrasion brought on by sliding on a hard surface, road rash can be brought on by car crashes or falls when riding a bike or skating.

Playground Falls: When kids fall on harsh surfaces like asphalt or concrete, they might receive abrasions.

3. Punctures

When a pointed, sharp item pierces the skin and surrounding tissues, it causes a puncture wound. In contrast to cuts or abrasions, the injury’s depth might be considerable despite the injury’s very tiny entrance site.

Possible Risks of punctures

Risk of Infection: Because punctures create a deep, narrow channel that may harbour germs, they raise the risk of infection. If an infection is not treated right away, it might get worse.

Foreign Object Retention: Fragments of glass or splinters that caused the puncture may break off and lodge in the wound, increasing the risk of infection.

 

Examples of objects that can cause abrasions

  • Nails
  • Staples
  • Needles
  • Pins
  • Animal Bites

 

4. Lacerations

Wounds known as lacerations are identified by a rip or uneven cut in the skin. They can vary in length and depth and frequently have jagged edges. The bleeding here directly depends upon the depth and location of the cut.

Common Circumstances

  • Sharp Object Injuries
  • Mishaps
  • Falls
  • Sports Injuries

Assessment Importance

Depth: Determining the depth of a cut is important because cuts that are deeper may cause harm to underlying tissues like muscles, tendons, or nerves.

Severity: Knowing how bad a cut is will help you decide on the best course of action, which can even be stitches at times. 

Infection Risk: Similar to other wounds, the depth and contamination of the cut raise the risk of infection.

5. Avulsions

Avulsions are those acute wounds that cause the skin and underlying tissue to pull away from the body. When compared to lacerations, they are quite different, as there is a loss of a greater amount of tissue here than there being just a cut. 

Possibility of Tissue Loss

Considerable Loss: Avulsions may result in a considerable amount of tissue loss, including skin, blood vessels, and even subcutaneous tissues such as muscles or tendons.

Complications: Because of the substantial tissue destruction, there is a higher risk of consequences, including infection and scarring.

Examples of incidents

  • Industrial Accidents
  • Animal Assaults
  • Traumatic Injuries

General Principles of Treatment

The early stages of an acute wound are crucial for promoting appropriate healing and averting complications. You can provide emergency first aid for cuts, abrasions, punctures, lacerations, and avulsions by using the general treatment concepts listed below.

1. Immediate First Aid

Stopping Bleeding

The main priority is to provide immediate first aid, that is, to stop the bleeding. To stop bleeding, one can directly put pressure on the wound, but with the help of a clean cloth or any bandage. Getting rid of the bleeding as soon as possible is the most important thing to do while treating any wound.

Prevent Infections

It is crucial to clean the wound once the bleeding has stopped. Wash the afflicted area thoroughly with water and a light soap. Eliminating foreign objects and detritus not only helps to avoid illness but also prepares the body for recovery. Steer clear of strong chemicals and extensive cleaning, as they might exacerbate tissue damage.

Sterilise Materials

To reduce the danger of infection, emphasise the use of sterile items in first aid. Everything, including bandages, dressings, and sterile gauze, should be sterilised to avoid introducing dangerous bacteria.

 

2. Cleaning and Disinfecting

Appropriate cleaning of wounds

Cleaning the wound thoroughly is the first and most important step in treating an acute wound. In order to ensure safe and efficient cleaning, adhere to the following detailed instructions:

  • The very first step is to wash hands to avoid infections and germs.
  • Then rinse the wound gently to remove dirt.
  • Use a mild soap that doesn’t have a smell.
  • Pat the wound with a clean cloth.
  • Now, inspect the wound to know how deep it is and seek medical help accordingly.

Importance of Sanitation

An essential first step in avoiding infection and encouraging the best possible healing is cleaning the wound. This is the reason it’s crucial:

  • It helps eliminate bacteria that otherwise might increase the wound infection.
  • A clean wound enhances natural healing and helps the body heal too.
  • You can avoid future serious health issues and discomfort inside your body or on your wound too.

Suggested Antiseptic Ointments and Solutions

For wound care to be effective, selecting the appropriate antiseptic solution or ointment is essential. Think about the following choices:

  • Hydrogen peroxide (3%) as a disinfectant.
  • Povidone-iodine because it works well against a variety of microbes. 
  • Neosporin prevents infections by containing antibiotics.
  • Saline solution for moisturising and irrigation of wounds.

3. Dressing and Bandaging

This function is quite essential when it comes to acute wound treatment

The function of dressing in wound healing

Dressing and bandaging help the wound get protection from germs and other outside impurities by acting as a barrier and even creating a clean and moist environment, which fosters a healing environment. 

Choosing the correct bandages

Different bandages play different roles, as adhesive bandages work well for wounds with little drainage, whereas gauze dressings work best for wounds that need more absorption. The best dressings to minimise trauma during dressing changes are non-stick ones. It’s critical to heed medical professionals’ advice on the appropriate bandage and dressing type for the particular wound.

The significance of changing dressings often

Changing dressings often permits the monitoring of any indications of infection or other problems and guarantees a sterile environment for recovery. Changing the dressing on a wound on a daily basis or as prescribed by a healthcare provider may be necessary. 

 

4. Pain Management

Over-the-Counter pain relief options

Mostly, ibuprofen and acetaminophen are advised to give relaxation when in pain, and these drugs aid in reducing inflammation and easing discomfort. It is imperative, therefore, to adhere to the suggested dose listed on the container or as prescribed by a medical practitioner.

Adhering to the recommended dosage

Make sure to take the dosage in a limited manner, as they have some side effects that might not be good for your body in the long term. 

Seeking expert medical assistance for severe pain

If in pain, please seek medical assistance, as it is quite crucial to identify and address such issues early on in the stages. 

 

5. When to Seek Professional Help

Signs of complications 

It’s critical to identify warning indicators that point to problems that need expert medical care. Among them are:

  • Excessive Bleeding
  • Infection
  • Deep Wounds
  • Foreign Objects Insertion
  • Loss of Function

It is true that only experts could know better, so make sure to get it examined by experts at wound care centers for the best advice and to avert long-term consequences. 

The Function of Tetanus Shots 

Make sure you have had the most recent tetanus shots, particularly if you have puncture wounds or injuries from infected or unclean things. Tetanus germs can enter the body through wounds and cause serious sickness; tetanus vaccinations help guard against this threat.

6. Preventive Measures

Keeping your wounds from becoming acute is essential to your well-being. Take into account these suggestions:

  • Keep sharp items away from your body.
  • Use safety gear for activities.
  • Know the fundamentals of first aid. 
  • Childproof your house for your kids.

Safety Procedures in Different Situations

  • In the kitchen, make sure you work with hot appliances when you have the tools like gloves and clothes for them, and use knives with care.
  • When going outdoors, make sure you use safety gear, as per the leisure activity.
  • For your workspace, if it requires special safety gear, use that or include some personal protective equipment, and always have a first-aid kit handy. 

 

Conclusion

Since it is quite understandable that acute wounds can become quite dangerous too, it is advised to get treatment as soon as possible. Furthermore, give extra attention and seek advice from a healthcare expert in case there seems to be some kind of infection or anything out of the ordinary. It is important to avoid any kind of contact with infectious materials that might become hazardous later on.

 

Prioritize your health, be safe, and keep yourself informed. Find the best wound care center in Oxnard and a wound care center in Los Angeles, and in more cities as well, to get the best advice and no compromise. 

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