The wound sector is really broad and articulated. The wounds caused by little accidents at home are not to underestimate, because if neglected they can become hard to heal wounds, especially if dealing with people affected by diabetes, circulation problems, immunodeficiency and cardiopathies.
We asked Klarida, head nurse of the Wound Care Centre, to explain to us how to treat these kinds of wounds.
What are the most frequent causes of accidents at home?
- Burns: in the kitchen, clothes iron by contact or steam, water or boiling water
- Cuts: knives, paper, plastic, razor, glass or ceramic or nail cutter
- Accidents or traumas in the garden: plants thorns, wood splinters or more serious traumas
- Grazes due to a fall on a wet or irregular floor
- Pet’s bites or scratches
What should we do in case of a wound?
First, before touching the wound, it is necessary to carefully wash your hands with water and soap in order not to bring bacteria inside the wound, as they might cause infections.
If the wound is bleeding, it is necessary to stop the wound with a gauze or a clean towel by putting pressure on it for a couple of minutes.
If the wound is dirty (for example if there is some terrain, grass or glass on it). It is necessary to remove dirt through wound washing with running water and soap.
If you have a disinfectant at home (hydrogen peroxide, tincture of iodine), you can use them only during the wound first washing. It is important not to use them as a usual medication because they may delay the wound healing.
What should we do in case of trauma without a wound?
In case of trauma with healthy skin, it is really important to monitor the development of possible hematomas, especially in people that normally take anticoagulants. In these people, hematomas can create some organized hematomas that dig into the tissue and that by infecting can become very big and infected wounds.
In this case, it is necessary to speak to the specialized staff to drain hematomas and possibly to undergo an antibiotic therapy.
How should we treat the small wound?
Small wounds don’t have to be underestimated: their pain degree is not correlated to the burn seriousness. Indeed, sometimes the most serious wounds might not be painful.
The first doubt is usually whether to burst the blisters that appear after burning. If they are really painful and they create pressure, it is advisable to make a small hole to make the internal fluid drain and to maintain the top of the bubble intact. In any case, speak directly to a specialized doctor and don’t use no-sterile objects to pierce it.
Let’s remember that the burned area must be protected by the solar rays with garments and total screen lotions for long periods (also 1 or 2 years) to avoid the risk of occurrence of dyschromia on the skin.
When is it necessary to immediately speak to a doctor?
- In case of a deep wound that needs stitches
- If you are not sure to have the anti-tetanus coverage
- If you were bitten by an animal
- In case the wound doesn’t stop bleeding
- If the wound continues to be contaminated by foreign bodies that you didn’t manage to remove after washing
- If there is swelling, pain or redness around the wound
- If some pus is coming out from the wound
- If you have the temperature
People with an altered immune system (for instance people affected by diabetes, cancer in therapy with radio/chemotherapy, patients who are undertaking a cortisone treatment, patients dialysis or positive to HIV) are more prone to develop wound infections, also banal, therefore they immediately need to speak to specialist staff.
The right therapeutic pathway choice is fundamental to guarantee a fast and safe healing.