Superficial bullet wounds

In medicine, a wound is a type of physical trauma wherein the skin is torn, cut or punctured (an open wound), or where blunt force trauma causes a contusion (a closed wound). In pathology, it specifically refers to a sharp injury which damages the dermis of the skin. Image File history File links Chapter1figure1-Superficial_bullet_wound. ... Image File history File links Chapter1figure1-Superficial_bullet_wound. ... medicines, see medication and pharmacology. ... It has been suggested that this article or section be merged with Epidermis (skin). ... In medicine, a trauma patient has suffered serious and life-threatening physical injury resulting in secondary complications such as shock, respiratory failure and death. ... A bruise or contusion or ecchymosis is a kind of injury, usually caused by blunt impact, in which the capillaries are damaged, allowing blood to seep into the surrounding tissue. ... Pathology (from Greek pathos, feeling, pain, suffering; and logos, study of; see also -ology) is the study of the processes underlying disease and other forms of illness, harmful abnormality, or dysfunction. ... The dermis is the layer of skin beneath the epidermis that consists of connective tissue and cushions the body from stress and strain. ...

Before any medical or paramedical evaluation, a wound is considered as minor when:

• it is superficial (a "flesh wound");
• it is away from natural orifices;
• there is only minor bleeding;
• it was not caused by a tool or an animal.

Any other wound should be considered as severe. If there is any doubt, a wound should be considered as severe. "Severe" does not necessarily means that it endangers life, but it must at least be seen by a physician. In the case of severe open wounds, there is a risk of blood loss (which could lead to shock), and an increased chance of infection due to bacteria entering a wound that is exposed to air. Due to the risk of infection, wounds should be kept clean, and closed if possible until professional help is available. In a typical mammalian body such as the human body, the body orifices are: the nostrils, for breathing and the associated sense of smell the mouth, for eating and vocalizations such as speech the ear canals, for the sense of hearing the anus, for defecation the urethra, for urination (and... Minor traumatic bleeding from the head Bleeding is the loss of blood from the body. ... It has been suggested that this article or section be merged into Organisms that are dangerous to humans. ... The Doctor by Samuel Luke Fildes This article is about the term physician, one type of doctor; for other uses of the word doctor see Doctor. ... Minor traumatic bleeding from the head Bleeding is the loss of blood from the body. ... This article is about the medical condition. ... An infection is the detrimental colonization of a host organism by a foreign species. ... Phyla/Divisions Actinobacteria Aquificae Bacteroidetes/Chlorobi Chlamydiae/Verrucomicrobia Chloroflexi Chrysiogenetes Cyanobacteria Deferribacteres Deinococcus-Thermus Dictyoglomi Fibrobacteres/Acidobacteria Firmicutes Fusobacteria Gemmatimonadetes Nitrospirae Omnibacteria Planctomycetes Proteobacteria Spirochaetes Thermodesulfobacteria Thermomicrobia Thermotogae Bacteria (singular, bacterium) are a major group of living organisms. ... An infection is the detrimental colonization of a host organism by a foreign species. ...

Depending on their severity, closed wounds can be just as dangerous as open wounds. An injury to the brain such as a contusion is an extremely dire closed wound, and requires emergency medical attention. Traumatic brain injury(like james mousdell) (TBI), traumatic injuries to the brain, also called intracranial injury, or simply head injury, occurs when a sudden trauma causes brain damage. ... Brain contusion, latin contusio cerebri, a form of traumatic brain injury, is a bruise of the brain tissue. ... A medical emergency is an injury or illness that poses an immediate threat to a persons health or life which requires help from a doctor or hospital. ...

Types of wound

Wound, sewed with four stitches

A laceration to the leg

An abrasion

Image File history File linksMetadata Download high resolution version (1092x1095, 147 KB) Description: Genähte Wunde am Rücken, vier Stiche. ... Image File history File linksMetadata Download high resolution version (1092x1095, 147 KB) Description: Genähte Wunde am Rücken, vier Stiche. ... Please wikify (format) this article or section as suggested in the Guide to layout and the Manual of Style. ... Image File history File linksMetadata Download high-resolution version (979x734, 151 KB) I, the creator of this work, hereby grant the permission to copy, distribute and/or modify this document under the terms of the GNU Free Documentation License, Version 1. ... Image File history File linksMetadata Download high-resolution version (979x734, 151 KB) I, the creator of this work, hereby grant the permission to copy, distribute and/or modify this document under the terms of the GNU Free Documentation License, Version 1. ... Image File history File linksMetadata Download high-resolution version (2048x1536, 1267 KB) File history Legend: (cur) = this is the current file, (del) = delete this old version, (rev) = revert to this old version. ... Image File history File linksMetadata Download high-resolution version (2048x1536, 1267 KB) File history Legend: (cur) = this is the current file, (del) = delete this old version, (rev) = revert to this old version. ... Abrasion on the palm of a right hand, shortly after falling Abrasions on elbow and lower arm, still healing. ...

Open

Open wounds can be classified into a number of different types, according to the object that caused the wound. The types of open wound are:

• Incisions or incised wounds - caused by a clean, sharp-edged object such as a knife, a razor or a glass splinter. Incisions which involve only the epidermis are legally classified as cuts, rather than wounds.
• Lacerations - Irregular wounds caused by a blunt impact to soft tissue which lies over hard tissue (e.g. laceration of the skin covering the skull) or tearing of skin and other tissues such as caused by childbirth. Lacerations may show bridging, as connective tissue or blood vessels are flattened against the underlying hard surface. Commonly misused in reference to injury with sharp objects, which would not display bridging (connective tissue and blood vessels are severed).
• Abrasions (grazes) - a superficial wound in which the topmost layers of the skin (the epidermis) are scraped off, often caused by a sliding fall onto a rough surface.
• Puncture wounds - caused by an object puncturing the skin, such as a nail or needle.
• Penetration wounds - caused by an object such as a knife entering the body.
• Gunshot wounds - caused by a bullet or similar projectile driving into or through the body. There may be two wounds, one at the site of entry and one at the site of exit.

In a medical context, all stab wounds and gunshot wounds should be considered major wounds. This article or section does not cite its references or sources. ... Collection of Modern Safety Razors - Gillette Fusion Power, Gillette M3Power, Mach3 Turbo Champion, Schick Quattro Chrome, Schick Quattro Power, Gillette Mach3, Gillette Sensor, Schick Xtreme3, Schick Xtreme SubZero, and Schick Xtreme3 Disposables A razor is an edge tool primarily used in shaving. ... Look up Epidermis in Wiktionary, the free dictionary. ... Abrasion on the palm of a right hand, shortly after falling Abrasions on elbow and lower arm, still healing. ... It has been suggested that this article or section be merged with Epidermis (skin). ... It has been suggested that this article or section be merged with Epidermis (skin). ... A pile of nails. ... Different bevels on hypodermic needles. ... This article or section does not cite its references or sources. ... The field of wound ballistics largely comprises the study of the physiology and medical effects of projectile weapons (chiefly, but not exclusively, bullets) on humans. ... .357 Magnum cartridges, containing bullets A bullet is a solid projectile propelled by a firearm and is normally made from metal (usually lead). ...

Closed

Closed wounds have fewer categories, but are just as dangerous as open wounds. The types of closed wounds are:

• Contusions - (more commonly known as a bruise) - caused by blunt force trauma that damages tissue under the skin
• Hematoma - (also called a blood tumor) - caused by damage to a blood vessel that in turn causes blood to collect under the skin
• Crushing Injuries - caused by a great or extreme amount of force applied over a long period of time.

A bruise or contusion or ecchymosis is a kind of injury, usually caused by blunt impact, in which the capillaries are damaged, allowing blood to seep into the surrounding tissue. ... Biological tissue is a collection of interconnected cells that perform a similar function within an organism. ... It has been suggested that this article or section be merged with Epidermis (skin). ... Hematoma on an elbow, nine days after a blood sample was taken Hematoma on a forearm, one day after repeated shocks A hematoma, or haematoma, is a collection of blood, generally the result of hemorrhage. ... The arterial system The blood vessels are part of the circulatory system and function to transport blood throughout the body. ... Human blood smear: a - erythrocytes; b - neutrophil; c - eosinophil; d - lymphocyte. ... It has been suggested that this article or section be merged with Epidermis (skin). ...

First aid

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Main article history of wound care.

First aid is a series of simple, life-saving medical techniques that a non-doctor or layman can be trained to perform. ... Image File history File links Information_icon. ... Wikibooks logo Wikibooks, previously called Wikimedia Free Textbook Project and Wikimedia-Textbooks, is a wiki for the creation of books. ... It has been suggested that this article or section be merged with Wound. ...

Severe/major open wound

The priority with major wounds is to prevent further blood loss. Treat the casualty to control the bleeding, prevent shock, and call for help as soon as possible. Minor traumatic bleeding from the head Bleeding is the loss of blood from the body. ... It has been suggested that this article or section be merged with Distress call. ...

1. Emergency medical services should be called.
2. Disposable gloves should be used. The casualty's clothing should be removed to expose the wound.
3. Get the casualty to raise the wound above the level of the heart (if the wound is in a limb) and, if there is no object embedded in the wound, apply direct pressure to the area with their own hand.
4. Help the casualty to lie down (on a blanket or carpet to protect them from the cold). If shock is suspected, raise the casualty's legs and support them on a chair or similar.
5. A sterile dressing should be applied (or if none is available, an improvised dressing made from a clean towel or cloth). The dressing should be secured with a bandage that is tight enough to maintain pressure on the wound (but not so tight as to impair circulation beyond the wound).
6. If blood seeps through the first dressing, a second dressing should be applied on top of the first. If blood continues to seep though the second, apply pressure to the appropriate artery. Maintain pressure on dressings by applying more gauze and wrapping. You should not remove a blood soaked bandage from the wound because it can interfere with the coagulation of the blood cells.
7. The injured part should be supported in a raised position - a leg supported on a chair, or an arm rested across the chest (so that it is above the level of the heart).

The examples and perspective in this article or section may not represent a worldwide view. ... Human blood smear: a - erythrocytes; b - neutrophil; c - eosinophil; d - lymphocyte. ... Human blood smear: a - erythrocytes; b - neutrophil; c - eosinophil; d - lymphocyte. ... The coagulation of blood is a complex process during which blood forms solid clots. ...

Puncture wound

• Stop the bleeding. Minor cuts and scrapes usually stop bleeding on their own. If they don't, apply gentle pressure with a clean cloth or bandage. If bleeding persists — if the blood spurts or continues to flow after several minutes of pressure — seek emergency assistance.

• Clean the wound. Rinse the wound well with clear water. A tweezers cleaned with alcohol may be used to remove small, superficial particles. If larger debris still remains more deeply embedded in the wound, see your doctor. Thorough wound cleaning reduces the risk of tetanus. To clean the area around the wound, use soap and a clean washcloth.

• Apply an antibiotic. After you clean the wound, apply a thin layer of an antibiotic cream or ointment (Neosporin, Polysporin) to help keep the surface moist. These products don't make the wound heal faster, but they can discourage infection and allow your body to close the wound more efficiently. Certain ingredients in some ointments can cause a mild rash in some people. If a rash appears, stop using the ointment.

• Cover the wound. Exposure to air slows healing, and bandages can help keep the wound clean and keep harmful bacteria out.

• Change the dressing regularly. Do so at least daily or whenever it becomes wet or dirty. If you're allergic to the adhesive used in most bandages, switch to adhesive-free dressings or sterile gauze and hypoallergenic paper tape, which doesn't cause allergic reactions. These supplies are generally available at pharmacies.

• Watch for signs of infection. See your doctor if the wound doesn't heal or if you notice any redness, drainage, warmth or swelling.

If an object is embedded in a wound

If there is an object (for example, broken glass) embedded in the wound, or an open fracture where a broken bone sticks through the skin, pressure should not be applied over the object or the object removed. Treat as follows: Internal and external views of an arm with a compound fracture, both before and after surgery A bone fracture is a medical condition in which a bone becomes cracked, splintered, or bisected as a result of physical trauma. ... It has been suggested that this article or section be merged with Epidermis (skin). ...

1. Put on disposable gloves, if available, to protect yourself from infection.
2. Press firmly on either side of the embedded object to push the edges of the wound together.
3. If the wound is in a limb, raise and support the limb above the level of the heart.
4. Help the casualty to lie down (on a blanket or carpet to protect them from the cold). If you suspect that shock may develop, raise the casualty's legs and support them on a chair or similar.
5. Build up padding on either side of the object (using dressing pads, rolled-up bandages, or similar), so that you are able to bandage over the object without pressing on it.
6. Summon an ambulance, if you have not sent someone to do so already (alternatively if the wound is minor, the wound is not bleeding heavily, and the casualty is comfortable, arrange to transport the casualty to hospital by another means). Monitor the casualty's condition until help arrives.

Shock is a serious medical condition where the tissue perfusion is insufficient to meet the required supply of oxygen and nutrients. ... Minor traumatic bleeding from the head Bleeding is the loss of blood from the body. ...

Major closed wounds (hematoma and crushing injuries)

1. Ice - put ice on the wound (recommended in instances of 20 minutes on, 20 minutes off) Direct contact of ice with the skin is discouraged, as this may cause ice burns or abrasions. Wrapping the ice in a towel prevents this.
2. Compress - use a pressure dressing or manual compression to slow or stop internal bleeding.
3. Elevate - if the injury is a limb, elevate injured tissue above the heart. This will help to keep the swelling down, which decreases pain.
4. Splint - If necessary, splint above and below the wound to slow or stop bleeding and to reduce pain.

Always be alert for shock in major closed wound patients. This can result from internal bleeding, so be sure to evaluate them for such. It has been suggested that this article or section be merged with Epidermis (skin). ... Internal bleeding is when bleeding occurs inside the body. ...

To heal a wound, the body undertakes a series of actions collectively known as the wound healing process. Healing is the process whereby the cells in the body regenerate and repair to reduce the size of a damaged or necrotic area. ... Wound healing, or wound repair, is the bodys natural process of regenerating dermal and epidermal tissue. ...

References