Question

Chapter 11 - Hermostasis, Wound Healing, and Wound Cosure 193 CASE STUDY 3 James, a 12-year-old boy, lost control of his trail bike while riding on a course that he and some friends con- structed in a vacant lot. He flew over the handlebars into the dirt onto his left arm. His arm is broken, and the bone is sticking out through the skin. Immediate first aid included stabilization of the wound with a pressure dressing due to bleeding and immobilization of the wound with a splint. It is 10:00a.m. 1. James has sustained a traumatic injury to his left arm. What classifications) does/do his wound fall into? 2. James was immediately taken to the Urgent Care Center. It is determined that James will need surgical treat- ment and will be transferred by ambulance to the nearest hospital, which is 150 miles away. The surgery is scheduled for 4:00 p.m. How will the surgical wound be classified? Why? 3. Is James at risk for surgical site infection (SSD? Why? What steps can be taken to minimize the risk of SSE 4. Once the pressure dressing is removed in the operating room, the surgeon notes a bleeder and asks for a hemostat. This is passed to him. Once the prep, draping, and time out are completed, the surgeon will ligate the vessel What types of tie techniques might he use? How will you pass each type? 5. Once the stand is tied, he asks you to cut the multifilament strand with a tag Describe how you would cut that strand wiwerp Maybe scanned copied or duplo podoby co

Answer 1

1) James traumatic injury falls into the classification of open wound with a compound fracture.

2)James surgical wound would be classified as Class III contaminated wound because it is open fresh accidental wound.

3)Yes, James is at risk for surgical site infection because it is open fresh accidental wound and he is in open room so more chances of infection.

To minimize the risk of SSI appropriate use of prophlactic antibiotics, apply sterile dressing for 24-48 hours, use sterile instruments ,delay primary closure for heavily contaminated wound and door should be closed.