Practical Wound Management UPDATED ACTUAL Questions and
CORRECT Answers
1. Basic rules first do no harm
-you will miss more by not looking than not knowing
-tissue is tissue; if I would not put it on my wound it does not go on my patient's
wounds
-create the best environment for healing and get out of the way
-be a part of the solution, not part of the problem
2. normal form is normal function
required for
3. how do we pre- -one wound, one scar; we want to prevent this
vent -we want to prevent tendons from scarring together
-a wound will heal with scar tissue and can fuse structures together
-physical therapy helps prevent scarring and prevents tendons from sticking to-
gether that prevents healing
4. why do wounds -lack of blood supply
fail to heal -infection
-motion (mitigate with splints and bandages)
-tension
5. number one -think about joints, tendons, bursas
question is what -synovial fluid is the perfect bacterial culture media
structures are in
this area that
could make this a
serious injury?
6. options for clo- primary closure
sure -delayed primary closure
, -delayed secondary closure
-second intention healing
7. delayed primary leaving it alone for a few days and bringing it together; let it go through part of
closure the autolytic debridement phase, redebride and close it
-if it works it will have less scar tissue and will look better
8. delayed sec- wait a bit longer until it starts to form granulation tissue, then we debride and put
ondary closure it back together
9. second intention can take a while for lacerations to heal
healing
10. what is the worst if the worst thing that will happen is it will fall apart, roll the dice
thing that will -if the worst this is clostridial myositis, do not close it
happen if I at- -default is to close
tempt primary
closure
11. second questions -what is the worst thing that will happen if I attempt primary closure?
I ask myself -wound dehiscence?
-deep seated infection? Clostridium?
-his default is to close, then work from there
12. the golden peri- the time it takes for bacteria to multiply to 10^6 bacteria per gram of tissue
od -generally probably have 3-4 hours
-if you shove horse poop in the wound, the golden period is gone
-it is rare to see a laceration that is completely clean
-no golden period in equines
13. factors that favor -contamination with feces, which can contain 10^11 bacteria per gram
wound infection -contamination with soil, infection can appear with as little as 100 microorganisms
per gram
2/9
CORRECT Answers
1. Basic rules first do no harm
-you will miss more by not looking than not knowing
-tissue is tissue; if I would not put it on my wound it does not go on my patient's
wounds
-create the best environment for healing and get out of the way
-be a part of the solution, not part of the problem
2. normal form is normal function
required for
3. how do we pre- -one wound, one scar; we want to prevent this
vent -we want to prevent tendons from scarring together
-a wound will heal with scar tissue and can fuse structures together
-physical therapy helps prevent scarring and prevents tendons from sticking to-
gether that prevents healing
4. why do wounds -lack of blood supply
fail to heal -infection
-motion (mitigate with splints and bandages)
-tension
5. number one -think about joints, tendons, bursas
question is what -synovial fluid is the perfect bacterial culture media
structures are in
this area that
could make this a
serious injury?
6. options for clo- primary closure
sure -delayed primary closure
, -delayed secondary closure
-second intention healing
7. delayed primary leaving it alone for a few days and bringing it together; let it go through part of
closure the autolytic debridement phase, redebride and close it
-if it works it will have less scar tissue and will look better
8. delayed sec- wait a bit longer until it starts to form granulation tissue, then we debride and put
ondary closure it back together
9. second intention can take a while for lacerations to heal
healing
10. what is the worst if the worst thing that will happen is it will fall apart, roll the dice
thing that will -if the worst this is clostridial myositis, do not close it
happen if I at- -default is to close
tempt primary
closure
11. second questions -what is the worst thing that will happen if I attempt primary closure?
I ask myself -wound dehiscence?
-deep seated infection? Clostridium?
-his default is to close, then work from there
12. the golden peri- the time it takes for bacteria to multiply to 10^6 bacteria per gram of tissue
od -generally probably have 3-4 hours
-if you shove horse poop in the wound, the golden period is gone
-it is rare to see a laceration that is completely clean
-no golden period in equines
13. factors that favor -contamination with feces, which can contain 10^11 bacteria per gram
wound infection -contamination with soil, infection can appear with as little as 100 microorganisms
per gram
2/9
