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General Thermography
Published in James Stewart Campbell, M. Nathaniel Mead, Human Medical Thermography, 2023
James Stewart Campbell, M. Nathaniel Mead
The predictive value of thermography in burn wound assessment has been confirmed in numerous studies.7 Thermography helps minimize the possibility of performing unnecessary surgery on burn wounds that would eventually heal on their own.8 Smartphone-compatible thermal imagers have enabled convenient analysis of burn wounds. By correlating burn wound temperature with burn depth and progression, such technology can predict the number of days needed for healing.9 This simple bedside imaging can determine burn wound viability and severity.10
Principles of wound care
Published in Nicola Neale, Joanne Sale, Developing Practical Nursing Skills, 2022
Wound assessment tools provide information on the wound. For example, the Pressure Ulcer Classification Guide produced by EPUAP is used to classify the degree of damage of PUs (see Box 13.16). Charts may include a diagram of the body for marking the location of the wound(s). The red–yellow–black (RYB) system (Gray et al. 2004) is based on assessing the condition of the tissue within the wound bed and has been incorporated in the wound assessment tool included in this chapter. Evaluating tissue type by a single variable such as colour has been described as subjective and limiting, but it can be used as a basis for selecting a dressing. If you look at Figures 13.1 through 13.5, you can see how the colours in the RYB system could be applied to these wounds (e.g. Figure 13.1: black)
Firearms, Ballistics and Gunshot Wounds
Published in Ian Greaves, Keith Porter, Jeff Garner, Trauma Care Manual, 2021
Ian Greaves, Keith Porter, Jeff Garner
Wound assessment involves three stages: ClinicalRadiologicalSurgical Clinical assessment of wounds includes assessment of the distal neurovascular status and determining the extent of soft tissue loss. An entry or exit gunshot wound larger than 10–20 mm indicates a complex, high-energy transfer wound. It is imperative to meticulously examine the patient’s entire body. Particular attention must be paid to the axilla and groin where small GSWs can be easily missed, and therefore the passage of bullets through junctional anatomic regions not fully appreciated.
Therapeutic effects and mechanism of human amnion-derived mesenchymal stem cells on hypercoagulability in a uremic calciphylaxis patient
Published in Renal Failure, 2023
Anning Bian, Xiaoxue Ye, Jing Wang, Ming Zeng, Jiayin Liu, Kang Liu, Song Ning, Yugui Cui, Shaowen Tang, Xueqiang Xu, Yanggang Yuan, Zhonglan Su, Yan Lu, Jing Zhou, Xiang Ma, Guang Yang, Yaoyu Huang, Feng Chen, Youjia Yu, Mufeng Gu, Xiaolin Lv, Ling Wang, Jing Zhao, Xiuqin Wang, Ningxia Liang, Changying Xing, Lianju Qin, Ningning Wang
During the course of hAMSC treatment, the dynamic changes of blood parameters including coagulation indicators (platelet, D-dimer, fibrinogen), C reactive protein (CRP) and albumin, clinical symptoms, pain level, quality of life and pathological characteristics of skin biopsy were followed up. Pain Visual Analog Scale (VAS) was applied to rate pain level on a scale of zero to 10 [16]. Bates-Jensen Wound Assessment Tool (BWAT), containing 13 evaluation items, was used to assess wound status during interventions. The score for each item ranges from 1 to 5, and a total score of 13 represents the healthiest, while a score of 65 indicates the unhealthiest status [17]. Wound-Quality of Life (Wound-QoL) was also implemented to measure quality of life with 17 assessment items divided into three subscales on everyday life, body and psyche. Each item is scored from 0 to 4, representing low to high level of quality of life. Overall score ranges from 0, which represents the best imaginable health status, to 68, which represents the worst imaginable health status [18]. Detailed scoring items were shown in Figure 1(H,I). Hematoxylin and eosin (H&E) staining of skin biopsy obtained at different time points (before, 1 month after, and 20 months after hAMSC treatment) were investigated by light microscopy and the skin tissue was taken by deep incisional wedge biopsy [19].
Using wound cartoon visual education to enhance nurses’ knowledge of wound care
Published in Journal of Visual Communication in Medicine, 2023
Chair-Hua Lin, Chun-Jung Lin, Kuan-Yu Lin
In wound care management, wound infection may lead to exudate formation, which can delay wound healing (Wong, 2018). Wound healing refers to a complex and highly controlled process that is essential to keep the barrier function of the skin. In the course of various diseases, a series of events involving wound healing may be affected and lead to chronic and non-healing wounds, thereby causing severe discomfort and distress to patients and exhausting a large number of resources in the medical system (Han & Ceilley 2017). However, wound care is expensive and can cause immeasurable stress and inconvenience to both patients and nurses. Meanwhile, nurses play crucial roles in correct holistic wound assessment and treatment (Cornforth, 2013). Given that wound care is managed in multiple settings by different healthcare professionals with various levels of expertise, actual care may greatly vary, thus leading to the insufficient use of evidence-based interventions and excessive interventions based on limited evidence and low-value healthcare (Gray et al., 2018). Therefore, nurses should improve their knowledge of wound care and in-service education should be conducted, wound care counselling and discussion mechanism should be established, and wound care principles and tools should be developed.
Skin and mucous membranes colonisation with Staphylococcus aureus or MRSA as a risk factor for surgical site infections in elective Caesarean Section
Published in Journal of Obstetrics and Gynaecology, 2022
Randa Al-Kharabsheh, Muayyad Ahmad
After the informed consent was obtained, all of the participants were preoperatively screened for skin and mucous membranes colonisation for S. aureus in three body parts; nares, throat, and groyne. Then, the study sample was divided into two groups, according to the skin and mucous membranes colonisation screening results; the non-colonised and the colonised groups to determine the effect of skin and mucous membranes colonisation with S. aureus or MRSA in developing SSI. After the surgeries, all the participants’ surgical wounds were followed for three months by a wound care specialist, blinded to the MRSA status, for SSI incidence. The follow-up was weekly during the first month after surgery, then every other week in the second and third months. The direct method was used for wound assessment according to the CDC criteria to determine the presence of infection. Meanwhile, the indirect method was used after patients' discharge, which included the patients' files, electronic records, and phone calls.