Advanced Wound Care Interventions for Non-Healing Wounds

Chronic and non-healing wounds are those that do not progress through the healing process in a timely or predicted manner. They are a global problem and are becoming harder to treat. Medicare estimates that over 8 million Americans have chronic wounds that cost the national health care system between $18.1 and $96.8 billion dollars annually.1
Most wound care protocols recommend standard wound care treatments, including debridement when indicated, the application of dressings, and periodic reassessment. However, non-healing wounds often require advanced treatment to enable these wounds to progress through the stages of healing.

Management of the Wound Bed

During normal wound-healing, a balance of healthy proteins and enzymes promotes healing in the wound bed. Disruption to this balance can cause the wound to become chronic. Such disruption can take many forms, although a common type of disruption is elevated protease activity, which contributes to chronic inflammation. In addition, intrinsic factors, such as age and comorbidities, and extrinsic factors, such as lifestyle and polypharmacy, can impact the delicate chemical balance in the wound bed.2
The first step for moving a chronic wound to an acute status is adequate wound bed preparation, which can be achieved with various strategies, including debridement, maintaining a proper moisture balance, and reducing the bacterial bioburden and inflammation.3 For non-healing diabetic foot and pressure injuries, offloading is also a crucial strategy. For venous ulcers, compression can be beneficial.2
The road to healing for many wounds starts with management of the wound bed. Moreover, the effectiveness of many advanced therapies relies on proper wound bed preparation that promotes healing.2 Even with the introduction of advanced wound therapies, including dressings, negative pressure wound therapy (NPWT), and cellular and/or tissue-based products, less than half of wounds heal after 12 weeks of treatment. However, the combination of proper wound bed preparation and advanced therapy can lead to greater success in helping these wounds achieve healing.3

Advanced Therapies for Non-Healing Wounds

Cellular and Tissue-Based Therapies

This type of advanced therapy consists of several therapies based on cells, including3:

  • Stem cells, including bone marrow stem cells, keratinocytes, and fibroblasts
  • Scaffolds, including carrier systems
  • Skin substitutes
  • Tissue-based therapies, including autologous blood derivatives for wound care and advanced cell therapy
  • Epidermal substitutes, dermal substitutes, and dermoepidermal substitutes
  • Melanocytes, vessels, and genetic manipulation

Stem cells derived from a variety of sources induce immunomodulation in the wound bed and facilitate healing by resolving inflammation, thus making them attractive cell therapeutic agents to treat chronic wounds.4
Negative Pressure Wound Therapy
NPWT has been described as an effective treatment for wounds of many etiologies, including complex non-healing wounds.5 With NPWT, subatmospheric pressure is applied to the surface of a wound sealed off by a film dressing and connected to a suction pump and drainage collection system with a tube. The use of NPWT is becoming increasingly popular because it can reduce the number of dressing changes required. It can be readily applied at the bedside,6 and it can result in improved healing and better patient outcomes.7
Antimicrobial Dressings
There are numerous innovative wound care dressings specifically developed to treat chronic wounds. These dressings contain a variety of antimicrobial agents, such as silver,2 polyhexamethylene biguanide, medical-grade honey, povidone-iodine, dialkylcarbamoyl chloride, and chlorhexidine gluconate.8 These dressings can work to manage bioburden levels in the wound and inhibit protease activity.2


Chronic wounds remain a significant challenge in clinical practice and can have a detrimental impact on patients’ quality of life. Understanding the biological processes occurring in the wound bed can help clinicians optimize these conditions and select compatible advanced therapies to overcome the challenges that delay healing of complex and chronic wounds.
1.Nussbaum SR, Carter MJ, Fife CE, et al. (2018). An economic evaluation of the impact, cost, and Medicare policy implications of chronic on-healing wounds. Value Health. 2018;21:27-32.
2.Chamanga ET. Clinical management of non-healing wounds. Nurs Stand. 2017;32(29):48-62.
3.Armstrong DG, Bauer K, Bohn G, et al. Principles of best diagnostic practice in tissue repair and wound healing; an expert consensus. Diagnostics (Basel). 2020;11(1):50. Accessed February 15, 2021.
4.Nuschke A. Activity of mesenchymal stem cells in therapies for chronic skin wound healing. Organogenesis.2014;10(1):29-37.
5.Apelqvist J, Willy C, Fagerdahl A, et al. EWMA document: negative pressure wound therapy. J Wound Care.2017;26(Suppl 3):S1-S154.
6.Robert N. Negative pressure wound therapy in orthopaedic surgery. Orthop Traumatol Surg Res. 2017;103(1 Suppl):S99-S104.
7.El-Sabbagh AH. Negative pressure wound therapy: an update. Chin J Traumatol. 2017;20(2):103-107.
8.Mana TSC, Donskey C, Carty N, Perry L, Leaper D, Edmiston CD Jr. Preliminary analysis of the antimicrobial activity of a postoperative wound dressing containing chlorhexidine gluconate against methicillin-resistant Staphylococcus aureus in an in vivo porcine incision wound model. Am J Infect Control. 2019;47:1048-1052.

Recommended for You

Dermlin series are developed by Jiangsu Yenssen Biotech Co., Ltd. as the advanced functional dressing in the world, containing inorganic formula with nano pores granule which has significant effects of neutralizing acidic exudation of the wound, preventing secondary infection, accelerating a proliferation of the human epithelial cells, resulting in fast healing and less scar formation.

Contact us for more details: [email protected]

What Is the Wound Telling You?

Wound healing can stall for a number of reasons. Wounds that have not healed or significantly reduced in size after four to six weeks are considered chronic. They are characterized by a multitude of impeding factors including biofilm, excess matrix metalloproteinases (MMPs) and extracellular matrix degradation, inflammation, fibrosis, unresponsive keratinocytes and fibroblasts, and atypical growth factor signaling.
The vast majority of chronic wounds contain biofilm, which delays or stalls progression in the inflammatory phase of wound healing.1 Molecular and cellular abnormalities in chronic and hard-to-heal wounds lock in chronic inflammation, which plays a major role in suspending the normal healing process. The ultimate aim is to transform chronic wounds back into acute wounds to enable them to heal.2,3
Monitoring healing progress by checking wound status every two to four weeks can help determine what the stalling factors are, as can knowing what signs to look for within the wound — specifically, biofilm, granulation tissue and wound pain.

Biofilm in Chronic Wounds

If the wound is not smaller after four to six weeks, biofilm may be present in the wound, signaling that the clinician should review the treatment plan. Identifying biofilms early on and adjusting the plan of care as necessary are both essential in optimizing wound healing outcomes.4
Clinicians should know how to effectively identify devitalized wound tissue types and the signs of bacterial imbalance. Devitalized tissue (slough, eschar) impairs wound healing and should be removed as appropriate. Biofilm formation triggers a chronic inflammatory response in the wound that results in a high number of neutrophils and macrophages, which in turn leads to higher levels of reactive oxygen species and proteases ([MMPs] and elastase) that will then damage normal healing tissues, proteins and immune cells.
Biofilm formation follows a common pattern of bacterial cell attachment, microcolony formation, maturation and dispersion. During the initial attachment, biofilm is reversible; if not reversed, the attachment becomes stronger, and cells begin to multiply rapidly. They also begin to mutate so that they can compete in this now intensely crowded environment. At this point, the bacteria begin using quorum sensing, a communication process that enables the bacteria to regulate what genes they express as the cell population density increases.4-6
There is no fix-all solution or gold standard test for identifying or treating biofilm in a wound.5Evidence suggests that physical removal (debridement) and continuous, vigorous cleansing are the best ways to reduce biofilm colonies.6 These strategies not only help prevent and manage biofilm, but also reduce antibiotic usage, thereby supporting antimicrobial stewardship.
Using a combination of debridement methods is one way to battle biofilm in chronic wounds and accelerate healing.7 Sharp debridement is the most aggressive approach. The clinician uses a scalpel, forceps, scissors and other surgical instruments to remove biofilm and devitalized tissue, stimulating platelets to release growth factors key to tissue repair and move chronic wounds into an acute state.
Wound cleansers and solutions used in chronic wounds help decontaminate the wound, disrupt biofilm and promote healing. Cleansing the wound bed surface, periwound and surrounding skin with non-cytotoxic solutions is essential. Various delivery methods make them user-friendly for both the patient and clinician.
Advanced wound care dressings can be used in chronic wounds to prevent and manage biofilm. The wide array of impregnated dressing technologies includes antimicrobial formats in collagens, alginates, foams, hydrogels, gauzes and topical agents. Antimicrobial or bacteriostatic dressings may be impregnated with silver, cadexomer iodine, copper, methylene blue, gentian violet, polyhexamethylene biguanide (PHMB), etc. Used appropriately, these dressings and products have been found to be effective in chronic wound management.
Once biofilm and infection have been resolved, clinicians should look for methods of encouraging wound closure. Cellular and/or tissue-based products (CTP) can be one method of encouraging closure. CTPs come in a variety of formats, and may include collagens or antimicrobials such as silver or PHMB. They encourage wound closure by providing elements such as extracellular matrices, collagen, and other vital components that act as a scaffold for the healing wound. Encouraging rapid wound closure can ensure better outcomes for the patient, such as reduced costs, reduced pain, and better quality of life. CTPs that contain an antimicrobial component can provide a barrier against bioburden.

Granulation Tissue in Chronic Wounds

Irregular or unhealthy granulation tissue indicates poor healing and/or infection and requires a wound culture and appropriate treatment based on the culture results. Absent infection, chemical cauterization with silver nitrate or a topical steroid can be used to facilitate healing.8

Wound Pain

Numerous factors can cause wound pain, including underlying pathology/etiology, skin damage, nerve damage, blood vessel injury, infection and ischemia. Psychological and emotional factors can also trigger wound pain. Clinicians need to listen to their patients to help identify the type of pain, its cause(s) and the best treatment options. Because chronic pain impacts patients’ quality of life, appropriately managing the pain is paramount to achieving the best possible outcomes for patients.9
Practical knowledge of prognostic indicators and risk factors in chronic and hard-to-heal wounds — including biofilm, granulation tissue and wound pain — is essential to early identification, treatment and successful healing outcomes.


1. Murphy C, Atkin L, Swanson T, et al. International consensus document. Defying hard-to-heal wounds with an early antibiofilm intervention strategy: wound hygiene. J Wound Care. 2020;29(Suppl 3b):S1-S28.
2. Hayes, Skin Substitutes for Chronic Foot Ulcers in Adults with Diabetes Mellitus: A Review of Reviews, November 2018; Nicholas et al., 2016.
3. Liu Y, Panayi AC, Bayer LR, Orgill DP. Current Available Cellular and Tissue-Based Products for Treatment of Skin Defects. Adv Skin Wound Care. 2019 Jan;32(1):19-25.
4. Vowden P. Hard-to-Heal Wounds Made Easy. Wounds International. 2011;2(4):1-6. Available from:
5. Wolcott RD, Kennedy JP, Dowd SE. Regular debridement is the main tool for maintaining a healthy wound bed in most chronic wounds. J Wound Care. 2009;18(2):54-56.
6. World Union of Wound Healing Societies (WUWHS), Florence Congress, Position Document. Management of Biofilm. London: Wounds International 2016.
7. Ayello EA, Cuddigan JE. Debridement: controlling the necrotic/cellular burden. Adv Skin Wound Care. 2004;17(2):66-75.
8. Alhajj M, Bansal P, Goyal A. Physiology, Granulation Tissue. [Updated 2020 Nov 2]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan. Available from:
9. Frescos N. What causes wound pain?. J Foot Ankle Res. 2011;4(Suppl 1):22.
10. Wolcott RD, Kennedy JP, Dowd SE. Regular debridement is the main tool for maintaining a healthy wound bed in most chronic wounds. J Wound Care. 2009;18(2):54-56.
11. World Union of Wound Healing Societies (WUWHS), Florence Congress, Position Document. Management of Biofilm. London: Wounds International 2016.

Recommended for You

Dermlin series are developed by Jiangsu Yenssen Biotech Co., Ltd. as the advanced functional dressing in the world, containing inorganic formula with nano pores granule which has significant effects of neutralizing acidic exudation of the wound, preventing secondary infection, accelerating a proliferation of the human epithelial cells, resulting in fast healing and less scar formation.

Contact us for more details: [email protected]

Refractory Wounds: Etiologic Factors and Management

Refractory wounds comprise a significant worldwide health problem. Wounds that fail to heal not only impact quality of life but also impose a significant physical, psychosocial, and financial burden. Additionally, individuals with refractory wounds often experience significant morbidity and sometimes mortality. Wound infections and amputations are common in this population, and chronic conditions often exist as well.

Definition of Refractory Wounds

By definition, refractory wounds are chronic wounds that do not respond normally to treatment. A wound is considered refractory if there is no improvement within two to four weeks of implementing an evidence-based plan of care. Wound size and duration are predicative factors for wound healing. Ninety percent of all non-healing wounds have been identified as diabetic or neuropathic wounds, pressure injuries, or wounds of venous etiology, and they are often multifactorial.
Identifying Wound Etiology and Causative Factors
We’ve all seen and cared for wounds that just won’t heal. When developing an evidence-based plan of care for wound management, it is important first to determine wound etiology. We cannot effectively heal something if we don’t know the cause. Wound etiology guides treatment, and determining the cause of a wound is an important first step in putting together an evidence-based plan of care for treatment and prevention of wound recurrence.
Once wound etiology is determined, we must try to correct the identified causative factor. If it cannot be fully corrected, the plan of care will need to be adjusted. Supportive, evidence-based topical treatment with an individualized plan of care is key to successful wound management. An inability to correct etiologic factors will lead to impaired healing. A bedbound patient with an inconsistent turning schedule and a diabetic patient with inconsistent offloading of the plantar surface are examples of patients in whom healing would be impaired and the etiologic factor is not fully corrected. It is important to remember that a biopsy should be considered whenever a wound is non-healing and the reason for failure to heal is unclear.
Systemic factors affecting repair are commonly categorized into four parts: intrinsic, extrinsic, iatrogenic, and adherence. In this blog, we will focus on intrinsic factors affecting repair and thereby contributing to a refractory wound.

Intrinsic Factors in Wound Healing

Intrinsic factors are those belonging to the patient, and they include both modifiable and non-modifiable factors. The patient’s comorbidities and physical and physiologic conditions that impact wound healing are classified as intrinsic factors. Some examples include age, the presence of chronic illness, tissue perfusion and oxygenation (also related to chronic disease), immunosuppression (autoimmune diseases and medications that can suppress the immune system), and neurologic impairment (spinal cord injuries are common here).
As discussed in prior blogs, older adults are at risk for a multitude of skin issues, skin breakdown, and impaired healing related to aging changes both internally and specifically within the different layers of the skin (thinning epidermis, dermal atrophy, dryness, and reduced elasticity). Additionally, the increased prevalence of chronic illness among older adults contributes to recognizing age as an intrinsic factor affecting wound healing.
Chronic illnesses also contribute to refractory wounds as an intrinsic factor. Diabetes, heart disease, cancer, vascular disease, and neuropathic diseases are all examples of chronic illnesses that may cause a delay in healing for a multitude of reasons. Blood flow and tissue perfusion, sensory perception, and adequate oxygenation are all important factors to consider when looking at the healing process.
Perfusion and oxygenation are significant factors in the healing process as well; inadequacies in either will likely result in a failure to heal or delay in the healing process. Chronic illnesses can often lead to impairments in perfusion and oxygenation.
Immunosuppressive conditions (cancer, diabetes) and treatments (chemotherapy, whether for cancer or autoimmune reasons, and corticosteroid therapy leading to immunosuppression) cause impairment of the initial inflammatory response required for healing to occur and therefore usually result in delayed wound healing.
Finally, neurologic conditions often result in refractory wounds as well. Spinal cord injury (SCI) patients are known to have delayed healing below the level of injury for many reasons: persistent inflammation, edema, and changes in perfusion and oxygenation.1 Additionally, SCI patients are at a high risk for pressure injury development given their impaired sensory perception, impaired mobility, and often altered weight-bearing status. SCI patients are often identified as at risk for pressure injuries according to the Braden Scale.


It is important to piece together all of the systemic factors impacting healing when looking at reasons that a wound is not improving within two to four weeks of evidenced-based topical therapy and a comprehensive plan of care. Additionally, it is always important to remember to treat the WHOLE patient, not just the HOLE in the patient—a common theme among many of my prior blogs.
In future blogs, we will be exploring and defining the remaining three common factors affecting tissue repair: extrinsic factors, iatrogenic factors, and adherence.

Recommended for You

Dermlin series are developed by Jiangsu Yenssen Biotech Co., Ltd. as the advanced functional dressing in the world, containing inorganic formula with nano pores granule which has significant effects of neutralizing acidic exudation of the wound, preventing secondary infection, accelerating a proliferation of the human epithelial cells, resulting in fast healing and less scar formation.

Contact us for more details: [email protected]

Delayed Care During the COVID-19 Pandemic: Effects on Chronic Wound Therapy

Chronic wound care is challenging for the entire healthcare ecosystem, from clinicians to patients, and COVID-19 has only exacerbated those challenges. Patients are delaying primary care provider and wound clinician visits for ongoing guidance and therapy to reduce possible exposure to the virus. This is understandable, as many chronic wound patients are in the high-risk category if they become ill with COVID-19.1They are also putting off elective surgeries, annual physicals, and basic preventive care, which can negatively affect long-term outcomes. A survey of wound care clinicians in March 2021 reported a decrease in patient visits from pre-pandemic numbers, and 57% of respondents stated that “wound severity has either increased or significantly increased since the start of the pandemic.”2 At the same time, the pandemic has accelerated patient-driven care and increased usage of interactive devices for care administered at home, rapidly increasing the use of telemedicine across demographics. In fact, one report by the research firm Frost & Sullivan says the demand for telemedicine services in the United States grew by over 60% in 2020 due to the pandemic.3 As the pandemic continues, it’s important to look at how reduced access to care might affect wound care in the future and how patient-driven and more value-based care options will come into play in daily practice.

The Trickledown Effect on Patient Outcomes and Their Wounds

While there have been improvements, access to care has not fully recovered, and continued COVID-19 surge rates suggest that delayed preventive and emergent wound care could continue to trend.4 This is a negative outcome from a public health perspective, which could prove catastrophic for wound patients as they leave themselves vulnerable to infection, sepsis, amputation, and possibly death. These problems are especially concerning in our growing senior population, whose chronic wounds are complicated by vascular disease, diabetes mellitus, and unrelieved pressure. A reduction of traditional weekly or biweekly wound care visits could increase hospitalization by a factor of 20 in the United States,5 exposing the scale and often unknown prevalence of chronic wounds and their impact on the healthcare system.
The increase in the rate of untreated wounds over the last year has led some researchers to describe the situation as a “pandemic within a pandemic.” A trauma center study in Ohio found that diabetic patients were “10.8 times more likely to undergo any level of amputation and 12.5 times more likely to undergo a major amputation during the COVID-19 pandemic.” Another study reported in the same AJMC article showed that “during COVID-19 lockdowns, patients with diabetes admitted to a tertiary care center for DFU had a more than threefold risk of amputation compared with those in 2019.”6 None of this is surprising, considering how delayed care has swept across the U.S. healthcare system, especially during the stage of rising Delta variant rates. And it’s impossible to imagine how neglected wound care rates could increase when a new variant emerges. COVID-19 has had a sustained, ongoing impact on how patients receive wound care. Or even if they will be able to receive care, because patients may remain uncomfortable visiting clinics as the pandemic lingers. Widespread staffing shortages are also a concern, and wound care treatment must adapt to meet patients where they are and where they feel comfortable receiving care.

Leading Through Patient-Centered Solutions

As the healthcare industry examines existing challenges, its leaders are finding new ways to transform outcomes. One notable shift is the acceleration of telemedicine. It is already a viable choice for healthcare professionals regarding preventive care like consultations, prescriptions, wellness checks, counseling, and more. Access is an essential reason telehealth—or telemedicine—is playing such an important role. In 2019, more than half of U.S. households used the internet for health-related activities.7 And the pandemic has escalated this shift.8 During the first quarter of 2020, the number of telehealth visits increased by 50% compared with the same period in 2019.8

Dermlin series are developed by Jiangsu Yenssen Biotech Co., Ltd. as the advanced functional dressing in the world, containing inorganic formula with nano pores granule which has significant effects of neutralizing acidic exudation of the wound, preventing secondary infection, accelerating a proliferation of the human epithelial cells, resulting in fast healing and less scar formation.

See a clinical care solving chronic wounds by Dermlin on Youtube:

Contact us for more details: [email protected]


1.Oropallo A. COVID-19: issues related to wound care and telehealth management. UpToDate. September 2021. Accessed October 27, 2021.…
2.Armstrong DG. Managing the surge: delayed chronic wound care during COVID-19. AJMC. September 21, 2021. Accessed October 27, 2021.…
3.Frost & Sullivan. Telehealth to experience massive growth with COVID-19 pandemic, says Frost & Sullivan. May 13, 2020. Accessed October 27, 2021.…
4.National Center for Healthcare Statistics. Reduced access to care: RANDS during COVID-19. Updated August 6, 2021. Accessed October 27, 2021.
5.Sen CK. Human wound and its burden: updated 2020 compendium of estimates. Adv Wound Care (New Rochelle). 2021;10(5):281-292. Accessed October 27, 2021.
6.Armstrong DG. Managing the surge: delayed chronic wound care during COVID-19. AJMC. September 21, 2021. Accessed October 27, 2021.…
7.Johnson J. Internet usage in the United States: statistics & facts. Statista. August 4, 2021. Accessed October 27, 2021.
8.Koonin LM, Hoots B, Tsang CA, et al. Trends in the use of telehealth during the emergence of the COVID-19 pandemic — United States, January–March 2020. MMWR Morb Mortal Wkly Rep. 2020;69:1595-1599. Accessed October 27, 2021.

How to Choose an Antimicrobial Wound Dressing: Questions to Ask and Factors to Consider

It is well known that chronic and hard-to-heal wounds have created a global crisis. Delayed healing in these wounds is often associated with biofilm, and antimicrobial dressings can be effective in managing bioburden in chronic wounds. For the use of antimicrobial advanced wound care dressings to be successful in chronic wound care, however, clinicians must have practical knowledge of dressing formats and options, dressing indications and applications, the principles of antimicrobial stewardship, and care planning for specific wound types.
There are many antimicrobial wound care dressings on the market, and making a selection can be a challenge, even for licensed health care professionals. Antimicrobial dressings are available in a variety of formats, including foams, alginates, gauzes, and more, and selecting the format most appropriate for your patient and their wound can make all the difference in wound healing.
Goals in choosing an antimicrobial dressing should include preventing, addressing, and managing biofilm and bioburden. Evaluating different antimicrobial formats, including the antimicrobial agent incorporated, mode of delivery to the wounds, and dressing material, is essential for optimal overall healing outcomes in chronic and hard-to-heal wounds.


Dermlin series are developed by Jiangsu Yenssen Biotech Co., Ltd. as the advanced functional dressing in the world, containing inorganic formula with nano pores granule which has significant effects of neutralizing acidic exudation of the wound, preventing secondary infection, accelerating a proliferation of the human epithelial cells, resulting in fast healing and less scar formation.

See a clinical care solving chronic wounds by Dermlin on Youtube:

Contact us for more details: [email protected].

Common wound treatment strategy, look prepared, when necessary, very useful!

Health first line video network

Post date: 18-06-1411:26 Beijing xinma interactive media technology co., LTD

I. shallow abrasion:

If it is a very shallow scratch, the wound should be repeatedly washed with tap water or warm water, and then use iodine volt to disinfect the scratch area.Then apply the disinfectant 2-3 times a day.

2. Blunt impact:

If the skin is not broken by blunt force blow or punching, but there are local bluish and purple mass, namely subcutaneous small hematoma;Light generally do not deal with, if it is the intestines, abdomen, waist, joints or brain and other places to be more severe contusion, it is best to immediately go to the hospital for treatment.

Three, sharp tool cut:

If the skin is cut by a knife, scissors, glass, etc., you can use iodine-volt to disinfect the wound to prevent infection.If the finger is cut, should raise the hand high, pinch the root of both sides of the finger, can stop bleeding, with iodine or iodine and alcohol disinfection cut wounds, then with clean gauze wrapped.

Iv. Scalp damage:

If the wound is small, press on the skin around the wound to stop the bleeding.Then shave off or cut off the hair, thoroughly remove visible booties and foreign bodies, in the wound and around the application of disinfection liquid dressing;If the wound is large, you must go to the hospital debridement suture treatment.

Minor burns and scalds

For mild burns and scalds, immediately rinse the injured area under running water or soak it in cold water to reduce local temperature and wound pain. The duration of this cold treatment is subject to the reduction of pain.If it is a large area of serious burns or burns must be immediately to the hospital treatment.

Mild frostbite

If the limb is slightly frostbitten, warm it quickly in warm water, generally no more than 40℃, to avoid scald has lost consciousness of the tissue.If it has been frozen for too long, it is best not to defrost immediately. It should be kept dry after cleaning and protected by a bandage or other material to allow it to thaw warm.You can also apply frostbite cream to frostbite areas.If frostbite is serious, you’d better go to the dermatology department of the hospital.

In addition, if there is open trauma, especially deep wound, serious pollution, there is a risk of tetanus infection, the best to go to the hospital to inject tetanus antitoxin prevention.

Finally, I would like to remind families with young children to prevent trauma.The knife in the family, cut, thermos bottle must be put in the place that the child cannot reach, also should teach the child not to play sharp thing at ordinary times, do not use mouth to contain chopsticks, Popsicle stick, candy stick to wait to play and run, lest accident falls, occurrence trauma.wound

How to deal with wound size?These simple wound treatments should always be available!

Home lives, unavoidably appear all sorts of small accident.So a simple medicine kit is essential.What simple first aid items should be prepared at home?Simple household wound management equipment, including antibiotic ointment, dressing, artificial skin, band-aid, physiological salt water, and then use as appropriate.The first step is to clean the wound. Wash the wound with saline water. If the wound is shallow and not serious, apply antibiotic ointment to avoid infection.
Medicine cabinet
If the wound is serious, after cleaning, still need to use antibiotic ointment, and then stick artificial skin;If there is a lot of exudate in the wound, special dressings should be used to absorb the exudate, reducing the risk of infection.If the wound is complex, difficult to treat, or inflamed, seek medical attention immediately.
If the wound does not improve after 3 to 4 days of treatment, seek medical help.Diabetes patients such as wound, often difficult to heal, treatment must be more careful, pay attention to the changes in the wound.
Many people think the area around the wound is dry, which helps heal, but in fact, it’s a little moist, which helps the wound cells repair more.In addition, the number of dressing changes and less than will affect wound healing.
Medicine cabinet
If the wound is small and shallow, change the ointment and band-aid once a day, because excessive dressing, disinfect the wound, but easy to irritate the skin wound.Before changing the dressing, it is recommended to wet the saline water with cotton swab and wipe away the remaining ointment, blood clots and secretions before changing the dressing.

Be scald hind, the method that handles quickly, must see!

When cooking, sometimes oil inside accidentally into the water, will be splashed out of oil scald, believe that women in the early stage of cooking and I will have the same experience, was very painful after oil scald, generally I will use their own method to deal with, to prevent the scar hot

Treatment methods after injury include:

1. Immediately get rid of the heat source and wash the wound with running water for half an hour to reduce the temperature of the affected area and prevent further damage;

2. If there are blisters in the scald, do not remove the blister skin to avoid infection;

3, mild scald can be applied in the affected area scald cream, serious scald should be timely diagnosis and treatment to the hospital.For specific medication, please combine it with clinical practice and follow the doctor’s guidance.empyrosis

How to deal with after scald which a few

Everyone more or less experienced scald, scald is often encountered in life a kind of situation, a lot of people do not know how to deal with the skin after scald, scald some misunderstanding, so the following small make up to introduce to you, skin scald emergency treatment method.
How to deal with after scald
1. Wash a wound with running water. Whatever the burn, we should lower the skin temperature to reduce further damage.The wound did not open and soaked for about 10 minutes.Open the words can not invade bubble, prevent infection.If the scalded area is too large, the whole body should soak in the bathtub.Use a towel and apply to areas that cannot be rinsed with water.
2, do not take off clothes in a hurry, so as not to tear the scalded blisters, you can first rinse water to cool down, and then carefully take off your clothes.
3, correctly handle blisters, if had blisters, burns to don’t break to specific issues specific analysis, generally don’t break, lest leave scar, but sometimes blisters or larger in the joints more easily frayed blisters is sterile needle, if blisters have been broken, is dry sterile swabs blisters around the flow of the liquid.
4, wrap up with gauze, scald place besmear some ointment, gauze wrap up, after a few days have no better look, better continue to apply some ointment.If infection is found in the wound, seek medical treatment.
5, protect the wound, scald should avoid direct sunlight, the wound after dressing do not touch water, scald parts do not too much activity, so as not to rub the wound and gauze, increase the healing time of the wound.
6, the treatment of third-degree scald, scald too serious, reach third-degree scald should be covered with clean gauze or exposure, and then quickly sent to the hospital for medical treatment, not on the wound smear drugs.
Once the injury, scald injury skin surface layer, local mild swelling, no blisters, obvious pain, should immediately take off clothing socks, the wound into cold water immersion wash for half an hour, reoccupy sesame oil, vegetable oil wipe wound.
Second degree injury, scald is dermal injury, local swelling and pain, there are different sizes of blisters, large blisters can be used to sterilize acupuncture broken blisters edge water, apply scald cream bandaged, tight to moderate.
Third degree injury, scald is subcutaneous, fat, muscle, bone have injury, and showed gray or reddish brown, at this time, apply a clean cloth wrapped wound timely sent to the hospital.Must not be in the wound on the application of purple potion or cream drugs, affect the disease observation and treatment.
Severe injury, scald patients, in transit may appear shock or breathing, cardiac arrest, should be immediately artificial respiration or chest cardiac massage.When wounded person is vexed thirst, can give a few hot tea water or weak brine take, cannot drink a lot of boiled water inside short time absolutely, and bring about wounded person to appear cerebral oedema.
Fire and water scald
The principle of water and fire scald treatment is to remove heat source first, quickly leave the scene, with a variety of fire-fighting methods, such as water immersion, water drenching, rolling down on the spot, immediately take off the wet clothes or cut, drench water, soak the limbs in cold water, until the pain disappeared.Wet towel or sheet can also be used to cover the injury, and then spray cold water.Don’t break the blister.
Water and fire scald can be divided into 1 degree scald (erythema, skin turning red, and burning tingling sensation), 2 degree scald (blisters, blisters), 3 degree scald (necrotic, skin peeling).Minor scald to local lesser area, can be treated at home, after cleaning wound surface, can be coated with Beijing wanhong, meibao wetting burn cream.To large area scald, appropriate sends a hospital to treat as soon as possible.
Scald wound treatment is the most important, first shave the injured area and its vicinity hair, cut off the long fingernails.Clean the healthy skin around the wound with soapy water and clean water, then scrub and disinfect with 0.1% new germicide or 75% alcohol.The wound is cleaned with isotonic saline to remove foreign bodies and dirt on the wound.Protect small blisters from damage, large blisters can be injected with an empty needle to extract blood bubbles, or cut in the low position to release blisters.The blister that has broken or pollution is more serious person, should cut off bubble skin, wound surface is rolled over gently with gauze, above cover a layer of liquid paraffin gauze or thin layer of vaseline oil gauze, additional layer of nonfat gauze and cotton pad, with bandage even pressure bandage.Scald still can use wrap up therapeutics, expose therapeutics to wait.
Scald often easy concurrent infection, reason appropriate adds with antibiotic, still can inject tetanus antitoxin.
Myth after scald
1. No pain after scalding means it’s not very hot
On the contrary, the less painful the wound, the worse the injury.Because boiled water or open fire first damage to the skin epidermis, and then to the middle skin, pain nerve was destroyed you will not feel pain.So if you don’t feel any pain at all, it means that the burn may be serious enough to damage deep tissue and should be treated in a specialist.If it hurts a lot, don’t worry about it. It’s never as bad as your pain.
2. Apply soy sauce after burns
After burn and scald cannot use soy sauce daub, first of all, soy sauce contains salt, will make wound cell dehydration contraction, aggravating the injury.Secondly, soy sauce is not sterile and can cause infection if not treated further.Thirdly, the dark brown of soy sauce covered the wound surface and affected the doctor’s judgment on the depth of the wound surface.After burn scald so, rinse with cold water, do not daub other material, if salad oil, soy sauce, clear cool oil, green ointment is waited a moment, should use the medicaments that burns scald effectively truly below doctor’s guidance to specialized subject hospital.
3. Break the blisters after burns
It depends.The blisters formed by boiling water scald are sterile and the epidermis is not damaged. If the blisters are not large, they do not need to be broken. On the one hand, because the skin is kept intact, bacteria is not easy to invade and infection is not easy to occur.On the other hand, retaining the skin can protect the wound surface.However, if the blister is too large, the pain is obvious, and the egg white is likely to coagulate, then you should break the blister with a sterile needle stick, squeeze out the water in the blister, and cover the blister with the original skin.A better approach is to use a biological dressing, in which the necrotic epidermis is completely removed, cleaned and disinfected, and covered with a biological dressing, which greatly reduces the infection rate and reduces the pain of dressing change.
4. Rinse the wound with white wine after scalding
Many people think that liquor has the function of disinfection, so it will be widely used after injury. If the skin of the wound is not broken, the alcohol in liquor evaporates and takes away heat, which has a certain cooling effect.If applied when the skin is broken, it will do no good to the wound. It will not only aggravate the pain, but also deepen the wound. If applied on a large scale, it may cause alcoholism through wound absorption.
5. Ice compress immediately after burns
Heat can hurt your skin, and so can cold temperatures.Burn scald, damaged skin has lost the protection of the epidermis, can not directly ice compress, lest frostbite.Wash immediately with cool, flowing water for 30 minutes or until the pain stops.
6. Apply ointment immediately after burns
Applying the ointment will allow the heat to coat the skin and continue to damage it.Immediately flush the water to cool down, is the correct way to deal with.
Conclusion: when the occurrence of scald, there are a lot of people panic do not know how to deal with, some people will also fall into the error of dealing with burn scald, finally lead to infection, do not know how to deal with friends can look at the treatment method in the article, do not let their scald more serious.

After being scalded, the method of rapid treatment

When cooking, sometimes when the oil accidentally enters the water, it will be scalded by the spilled oil. I believe that the women who learn to cook will have the same experience as me in the early stage. after being scalded by the oil, it will hurt very much. generally, I will use my own methods to deal with it to prevent scars from scalding.
Treatment methods after injury include:

1. Immediately separate from the heat source and flush the wound with flowing tap water for half an hour to reduce the temperature of the affected part and prevent further damage;
2. If there are blisters on burns, do not remove the blisters to avoid infection.
3. For mild scald, scald ointment can be applied to the affected part. For severe scald, the patient should go to hospital for diagnosis and treatment in time. The specific drug use should be combined with clinical practice and guided by the doctor’s face-to-face diagnosis.