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Dressing needs washing with soap and water, pat-dried twice daily. Requires application of oil prior to removal, ideally soaked in oil and wrapped in cling film overnight Waseem, M et al. Is there a relationship between wound infections and laceration closure times? International Journal of Emergency Medicine. 2012. 5:32. Provide adequate pain management, anaesthesia (see anaesthesia in lacerations) and procedural sedation
Wound cleansing/irrigation is important for decreasing bacterial load. Cleansing/irrigating with antiseptics may damage tissue defences and impede healing. The exception is contaminated wounds that may benefit from chlorhexidine 0.05% or povidine-iodine 1% irrigation
Perth Children’s Hospital. Wound care. https://pch.health.wa.gov.au/For-health-professionals/Emergency-Department-Guidelines/Wound-care (viewed 10 May 2022). The porous structure of the nonwoven fabric ensures air and water vapour permeability. The fabric is flexible, conforms well to body contours, and allows body movements when in place. The fabric is non-absorbent and provides a barrier for blood and fluid strikethrough. If you’re looking for a versatile and reliable dressing retention sheet, then look no further than Mefix Dressing Retention Sheet! This product can be used in a variety of situations that require the fixation of bandages, cannulas, needles, drains, catheters or any other medical device. Mefix is the ideal fixation for dressings, swabs, catheters, and tubes. It provides secure fixation and the adhesive is gentle to the skin.
Allows inspection. Self-adhesive. Some moisture evaporation. Reduces pain. Barrier to external contamination
Key Points
For emergency advice and paediatric or neonatal ICU transfers, see Retrieval Services Consider discharge when DuoDERM Extra Thin dressing is a hydrocolloid dressing indicated for the management of lightly exuding wounds. It combines a unique ConvaTec hydrocolloid formulation that distinguishes it from other hydrocolloid dressings and a vapour permeable outer film to provide an occlusive moist environment. Use a 20-30 mL syringe with a large bore non bevelled needle filled with 0.9% sodium chloride to slowly irrigate the wound Hold the syringe just above the top edge of the wound using continuous gentle pressure to flush fluid
Jones, V et al. Wound dressings. British Medical Journal (Clinical research ed). 2006. 332(7544), p777–780. https://doi.org/10.1136/bmj.332.7544.777. Consider consultation with local paediatric team when Consider consultation with surgical/plastics team whenImages sourced from SCHN wound assessment and management guideline. Available from: https://www.schn.health.nsw.gov.au/_policies/pdf/2014-9040.pdf May require secondary dressing. Not recommended in anaerobic infections. Gel can be confused with slough or pus in wound. Must be removed to monitor wound. Unpleasant odour