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Classification of wounds
This document discusses different ways to classify wounds. There are several classification systems including by etiology, duration of healing, degree of contamination, and morphological characteristics. Classifying wounds is important to plan proper treatment, ensure standardized documentation, and provide prognostic information. The main types of wounds discussed are blunt trauma wounds, burn injuries, penetrating wounds, and incisional wounds. Classification helps determine whether a wound can be sutured or needs to heal by secondary intention.
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Classification of wounds
- 1. CLASSIFICATION OF WOUNDS BY :DR JOSHUA JEEVAN HEAD OF WOUND CARE UNIT HOSPITAL SERI MANJUNG PERAK, MALAYSIA MODERN WOUND CARE NEGERI SEMBILAN 17 & 18HB NOV 2018
- 2. DEFINITION OF WOUND •isa type of injury •to the integument •the underlying structures WOUND CARE MANUAL KKM ,FIRST EDITION 2014
- 3. WHY CLASSIFY ??? •PLAN A PROPER TREATMENT PLAN • ENSURE UNIFORMED DOCUMENTATION • OFFER PROGNOSTIC INFORMATION
- 4. TYPES OF CLASSIFICATIONS •ETIOLOGY • RANK-WAKEFIELD SYSTEM • DURATION OF WOUND HEALING • SKIN INTEGRITY • DEGREE OF CONTAMINATION • MORPHOLOGIC
- 5. 1) ACCORDING TOETIOLOGY •BLUNT TRAUMA WOUNDS •BURN INJURIES •PENETRATING INJURIES •INCISIONAL WOUNDS
- 6. BLUNT TRAUMA WOUNDS •FALLS • MOTOR VEHICLE ACCIDENT • SPORTS INJURY • LACERATED • HEMATOMA
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- 10. BURN INJURIES • THERMALINJURY • CHEMICAL BURN • ELECTRICAL BURN • RADIATION BURN • FROST BITE
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- 16. PENETRATING INJURIES • STABWOUNDS • PUNCTURE WOUNDS • GUNSHOT WOUNDS
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- 20. INCISIONAL WOUNDS • SURGICALPROCEDURE • ALLEGED ASSAULTED BY SHARP OBJECT • SUICIDES • BROKEN GLASS
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- 25. BY RANK-WAKEFIELD SYSYEM • TIDYWOUNDS • UNTIDY WOUNDS WHETHER TO SUTURE OR NOT ??
- 26. TIDY WOUNDS • INFLICTEDBY SHARP INSTRUMENTS • USUALLY SINGLE WOUNDS • CLEAN CUT • FRACTURES ARE UNCOMMON • CAN ALLOW PRIMARY HEALING
- 27. UNTIDY WOUNDS • CRUSH,TEARING, AVULSION, BURNS • CONTAMINATED • MULTIPLE • IRREGULAR • FRACTURES COMMON • SHOULD ALLOW SECONDARY INTENTION
- 28. 3) ACCORDING TOTHE DURATION OF WOUND HEALING • ACUTE • CHRONIC
- 29. ACUTE • WOUNDS THATHEAL WITH AN ANTICIPATED PERIOD OF TIME • IMMEDIATE TO FEW WEEKS
- 30. CHRONIC • WOUNDS THATFAIL TO HEAL IN TIME • FAILURE TO PROGRESS 40% FROM THE INITIAL WOUND SURFACE AREA IN 4 WEEKS • STALLED WOUNDS
- 31. CHRONIC WOUNDS 100 CMSQUARE 60 CM SQUARE
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- 35. 4) ACCORDING TOTHE INTEGRITY OF THE SKIN • OPEN WOUNDS • CLOSED WOUNDS
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- 38. 5) ACCORDING TOTHE DEGREE OF CONTAMINATION • CLEAN WOUNDS (2%) • CLEAN CONTAMINATED WOUNDS(10%) • CONTAMINATED WOUNDS (25%) • DIRTY WOUNDS (>50%)
- 39. 6) ACCORDING TOTHE MORPHOLOGIC CHARACTERS • BRUISES • ABRASION WOUNDS • LACERATED WOUNDS • INCISIONAL WOUNDS • CRUSH INJURY • DEGLOVING INJURY • PENETRATING INJURY
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- 51. TAKE HOME MESSAGE •IDENTIFY THE WOUND • ADEQUATE KNOWLEDGE • DOCUMENT • AVOID MEDICOLEGAL CONSEQUENCES • OPTIMISE TREATMENT PLAN