Precautions for wound care measures

It is necessary to stop bleeding and clean at the first time, choose appropriate disinfection and dressing methods according to the type of wound, and do a good job of sunscreen and moisturizing during the healing period; Don't apply folk remedies at will, don't tear off the scab forcibly, and don't let the unhealed wound soak in water for a long time. These can be done, more than 90% of small wounds can heal smoothly, and there are few problems of infection and scar.

I've been in emergency surgery for almost six years, and I've seen too many cases where small wounds need to be debrided and sutured, or even scarred and disfigured because of improper handling. Last month, there was a sophomore girl who went out for a picnic with friends and was scratched by a branch of a tree. She didn't want to go to the hospital, so she put honey on the wound and put a cartoon band-aid on it for two days. When she came, it was red all around, and pus was all under the scab. Finally, it took two weeks to get over.

In fact, there have been two different views in the industry about whether the wound is open or wrapped: the traditional concept of dry healing holds that the wound should be kept dry and exposed to the air to scab quickly, which is suitable for minor abrasions that are very superficial and have little exudation, such as rubbing the oil skin on the arm without bleeding, and it is completely fine to dry at home; However, the more mainstream concept of moist healing now holds that in sterile moist environment, the crawling speed of skin cells is twice that of dry environment, which not only heals quickly, but also is not easy to leave scars. This is more suitable for cuts, abrasions and postoperative wounds with certain depth and exudation. There is no absolute right or wrong between these two methods, just depending on the type of wound, and you don't have to worry about which one is more "scientific".

I've compiled a comparison table for the treatment of common family wounds. You can keep it for later use. Don't panic when you encounter minor injuries:

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When it comes to dressing change, many people think that the more you work, the better. I have seen the most exaggerated patient, who changes the band-aid three times a day and tears the tender meat that has just grown. The wound that could have been healed in a week dragged on for half a month. In fact, the frequency of dressing change really depends on the exudation: if the wound has a lot of exudation, it can be changed once a day. If there is little exudation, it is no problem to change it every two or three days. When changing, the action should be light. Don't tear the gauze stuck to the wound hard, and slowly uncover it with normal saline, which can save a lot of crimes.

Let's talk about my own little experience. If I cut my hand while chopping vegetables at home, or my child falls and scratches, as long as it's not deep enough to need stitches, I usually first press to stop bleeding, rinse off the foreign body, use iodophor twice, and put on a transparent hydrocolloid dressing. It will grow up in three days, and even the thick scab will not knot or leave marks, which is much better than sticking an ordinary airtight band-aid. Of course, if the wound is deep enough to see fat, or if it is still bleeding after being pressed for 10 minutes, don't hesitate to go directly to the hospital for stitches, and don't waste time by yourself.

There is also a point that everyone can easily ignore, that is, sun protection after the scab falls off the wound, which is really too important! Newborn skin is particularly sensitive to ultraviolet rays. If it is not sun-protected, it is easy to leave dark pigmentation, which will not disappear for half a year. I generally recommend that patients stick a physical sunscreen or apply sunscreen above SPF30 to the wound site in the first three months after the scab falls off, which is more effective than how much expensive scar-removing cream you apply.

As for whether Quba ointment is useful or not, it is also the most frequently asked question. At present, the consensus in the industry is that Quba ointment is basically useless for old scars that have been formed for more than half a year. If you want to improve, you can only do medical beauty; For new wounds that have just shed scabs, the scar-removing cream containing silicone can really reduce scar hyperplasia, but only if you keep applying it for 6-12 months every day, and if you fish for three days and dry the net for two days, you might as well save some money and buy a cup of milk tea to drink.

In fact, to put it bluntly, wound care is really not so fancy. Don't believe those "miraculous remedies" that are brushed by short videos. Don't fiddle around. I'm not sure if I can find a doctor in a community hospital. It won't cost a few dollars, but I can rest assured, right?