Acute Wound Primary Dressing Sheet Matrix Lacerations Abrasions Puncture wounds / Burns scalds Contusion /haematoma Avulsion / Bites degloving Low Adherent Low adherent/Film Leave free when NB If haematoma still Not applicable Consider Dressing only if required. possible forming compression in the hydrocolloid/hydrogel Low adherent/film Low adherent form of crepe or elastic for removal debris if tubular bandage may be Superficial needed applied to reduce this. Skin Closure of choice Low adherent/Film Low adherent/Film Low Foam high exudate Not applicable Not applicable Low Adherent Consider adherent / film/ Low adherent / film hydrocolloid/hydrogel Silicone if appropriate Silicone if appropriate for removal debris if Foam if high exudate. needed Partial superficial thickness Skin closure choice Low adherent/Film Foam if high exudate Foam high exudate Not applicable Not applicable Low adherent /silicone Consider Low adherent/Film Low adherent / film hydrocolloid/hydrogel Silicone if appropriate for removal debris if Deep Partial needed thickness Skin closure choice Low adherent/Film Low adherent/Film Cling film for emergency Not applicable Silicone/low Low adherent Consider Consider hydrocolloid transfer adherent assess/silicone hydrocolloid/hydrogel /hydrogel for removal for removal debris if debris if needed needed Foam if high exudate Full thickness dependent on area Hydrogel+/- Prophylactic Antibiotic Topical antimicrobial if Consider evacuation of For transfer to and patient Skin tears antimicrobial if cover clinical infected and oral large haematomas - specialist tibia:- indicated Consider toileting antibiotics may be Appropriate dressing and Elevation limb debridement and /Film or indicated as these are Referral Elasticated removal of ingrained Low Adherent if patient acute presentations. bandage/ crepe debris -Hydrogels requires exclude deeper Clinically infected transfer. structure injury wounds -oral Special considerations antibiotic is indicated
Acute Wound Primary Dressing Sheet Matrix Lacerations Abrasions Puncture wounds / Bites Burns scalds Contusion /haematoma Avulsion / degloving Superficial Low Adherent Low adherent/Film Consider hydrocolloid/hydrogel for removal debris if needed Dressing only if required. Low adherent/film Leave free when possible Low adherent NB If haematoma still forming compression in the form of crepe or elastic tubular bandage may be applied to reduce this. Not applicable Partial thickness superficial Skin Closure of choice Low Adherent Low adherent/Film Consider hydrocolloid/hydrogel for removal debris if needed Low adherent/Film Low adherent / film/ Silicone if appropriate Foam if high exudate. Foam high exudate Low adherent / film Silicone if appropriate Not applicable Not applicable Partial thickness Deep Skin closure choice Low adherent /silicone Low adherent/Film Consider hydrocolloid/hydrogel for removal debris if needed Foam if high exudate Low adherent/Film Foam high exudate Low adherent / film Silicone if appropriate Not applicable Not applicable Full thickness Skin closure choice Low adherent assess/silicone Low adherent/Film Consider hydrocolloid/hydrogel for removal debris if needed Low adherent/Film Consider hydrocolloid /hydrogel for removal debris if needed Foam if high exudate Cling film for emergency transfer Not applicable Silicone/low adherent Special considerations dependent on area and patient Skin tears tibia:- Elevation limb Elasticated bandage/ crepe exclude deeper structure injury Hydrogel+/- antimicrobial if indicated debridement and removal of ingrained debris -Hydrogels Clinically infected wounds -oral antibiotic is indicated Prophylactic Antibiotic cover Consider toileting /Film or Low Adherent if patient requires transfer. Topical antimicrobial if clinical infected and oral antibiotics may be indicated as these are acute presentations. Consider evacuation of large haematomas - Appropriate dressing and Referral For transfer to specialist