Classification of wounds

BY : DR JOSHUA JEEVAN
HEAD OF WOUND CARE UNIT
HOSPITAL SERI MANJUNG
PERAK, MALAYSIA

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 is a 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 TO ETIOLOGY BLUNT TRAUMA WOUNDS BURN INJURIES PENETRATING INJURIES INCISIONAL WOUNDS

6. BLUNT TRAUMA WOUNDS FALLS MOTOR VEHICLE ACCIDENT SPORTS INJURY LACERATED HEMATOMA

7. BRUISES

8. LACERATION WOUND

9. BURN INJURIES THERMAL INJURY CHEMICAL BURN ELECTRICAL BURN RADIATION BURN FROST BITE

10. THERMAL INJURY

11. CHEMICAL BURN

12. ELECTRICAL BURN

13. RADIATION INJURY

14. FROST BITE

15. PENETRATING INJURIES STAB WOUNDS PUNCTURE WOUNDS GUNSHOT WOUNDS

16. STAB WOUNDS

17. PUNCTURE WOUND

18. GUNSHOT WOUNDS

19. INCISIONAL WOUNDS SURGICAL PROCEDURE ALLEGED ASSAULTED BY SHARP OBJECT SUICIDES BROKEN GLASS

20. SURGICAL INCISIONAL WOUND

21. INCISIONAL ASSAULT WOUNDS

22. INCISIONAL SUICIDE WOUND

23. BY RANK-WAKEFIELD SYSYEM TIDY WOUNDS UNTIDY WOUNDS WHETHER TO SUTURE OR NOT ??

24. TIDY WOUNDS INFLICTED BY SHARP INSTRUMENTS USUALLY SINGLE WOUNDS CLEAN CUT FRACTURES ARE UNCOMMON CAN ALLOW PRIMARY HEALING

25. UNTIDY WOUNDS CRUSH, TEARING, AVULSION, BURNS CONTAMINATED MULTIPLE IRREGULAR FRACTURES COMMON SHOULD ALLOW SECONDARY INTENTION

26. 3) ACCORDING TO THE DURATION OF WOUND HEALING ACUTE CHRONIC

27. ACUTE WOUNDS THAT HEAL WITH AN ANTICIPATED PERIOD OF TIME IMMEDIATE TO FEW WEEKS

28. CHRONIC WOUNDS THAT FAIL TO HEAL IN TIME FAILURE TO PROGRESS 40% FROM THE INITIAL WOUND SURFACE AREA IN 4 WEEKS STALLED WOUNDS

29. CHRONIC WOUNDS 100 CM SQUARE 60 CM SQUARE

30. VENOUS ULCERS

31. PRESSURE INJURY

32. DIABETIC FOOT ULCER

33. 4 ) ACCORDING TO THE INTEGRITY OF THE SKIN OPEN WOUNDS CLOSED WOUNDS

34. OPEN FRACTURES

35. BRUISES

36. 5 ) ACCORDING TO THE DEGREE OF CONTAMINATION CLEAN WOUNDS (2%) CLEAN CONTAMINATED WOUNDS(10%) CONTAMINATED WOUNDS (25%) DIRTY WOUNDS (>50%)

37. 6 ) ACCORDING TO THE MORPHOLOGIC CHARACTERS BRUISES ABRASION WOUNDS LACERATED WOUNDS INCISIONAL WOUNDS CRUSH INJURY DEGLOVING INJURY PENETRATING INJURY

38. BRUISES

39. ABRASION WOUND

40. INCISED WOUND

41. LACERATION WOUND

42. COMPARISONS INCISED WOUND LACERATION WOUND

43. PUNCTURE WOUND

44. DEGLOVING INJURY

45. PENETRATING INJURY

46. CRUSH INJURY

47. TAKE HOME MESSAGE IDENTIFY THE WOUND ADEQUATE KNOWLEDGE DOCUMENT AVOID MEDICOLEGAL CONSEQUENCES OPTIMISE TREATMENT PLAN