Chapter11 Hemostasis, Wound Healing and Wound Closure 193 CASE STUDY 3 s a 12-year-old boy, lost control of his trai...
Chapter11 Hemostasis, Wound Healing and Wound Closure 193 CASE STUDY 3 s a 12-year-old boy, lost control of his trail bike while riding on a course that he and some friends con- a vacant lot. He flew over the handlebars into the dirt onto his left arm. His arm is broken, anc is sticking out through the skin. Immediate first aid included stabilization of the wound with a pressure due to bleeding and immobilization of the wound with a splint. It is 10:00 a.m stnu is broken, and the lames has sustained a traumatic injury to his left am. What classfication s) does/do his wound fall in o? o 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 (SS0? Why? What steps can be taken to minimize the risk of ss 1 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 igate the vessel. What types of tie techniques might he use? How will you pass each type e th trand is tied, he asks you to cut the multifilament strand with a tag. I cut that strand
Chapter11 Hemostasis, Wound Healing and Wound Closure 193 CASE STUDY 3 s a 12-year-old boy, lost control of his trail bike while riding on a course that he and some friends con- a vacant lot. He flew over the handlebars into the dirt onto his left arm. His arm is broken, anc is sticking out through the skin. Immediate first aid included stabilization of the wound with a pressure due to bleeding and immobilization of the wound with a splint. It is 10:00 a.m stnu is broken, and the lames has sustained a traumatic injury to his left am. What classfication s) does/do his wound fall in o? o 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 (SS0? Why? What steps can be taken to minimize the risk of ss 1 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 igate the vessel. What types of tie techniques might he use? How will you pass each type e th trand is tied, he asks you to cut the multifilament strand with a tag. I cut that strand