GPSGuided wrote:It's 'first aid', whatever that means. So I don't expect considerations for wound healing to be relevant. If it's deep, it needs to be sutured upon evacuation anyway. So the question is, why not just use standard wrapping bandage. Otherwise this reminds me of that old 'zipper' laparotomy closure solution, catering for convenient re-access needs.
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slparker wrote:
if the wound is going to be closed (and this photo looks like an attempt at a primary closure) than it needs to be done right. If the wound is going to be sutured prior to evacuation it needs to be done right. I still don't know why you would attempt primary closure in the field in a wound of this size unless evac was delayed.
perhaps evac was delayed - in which case this picture does not display an examplar of wound closure.
Nuts wrote:I'm still curious (not convinced) abt carrying generic superglue.
Moondog55 wrote:So is there a clinical definition where the cuts are so deep the the bone is exposed?
GPSGuided wrote:It's 'first aid', whatever that means. So I don't expect considerations for wound healing to be relevant. If it's deep, it needs to be sutured upon evacuation anyway. So the question is, why not just use standard wrapping bandage. Otherwise this reminds me of that old 'zipper' laparotomy closure solution, catering for convenient re-access needs.
lee737 wrote:Moondog55 wrote:So is there a clinical definition where the cuts are so deep the the bone is exposed?
Depends on what bone you are looking at! Tibia, skull, not so deep..... femur - *&%$#! deep!
Seriously.... if the bone is exposed it just implies higher risk of infection through depth, and more chance of injury to structures between the skin and the bone, which are the most important bits. If the bone is damaged, we call it a compound fracture.
lee737 wrote:If the bone is damaged and there is a communicating wound to the surface, it is a compound fracture, might be a minor one though....
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