A bandage holds the dressing in place, whereas a dressing is intended to be in contact with the wound. It is crucial to properly care for any wound, regardless of how severe it is, which involves applying wound dressing. Honey, animal oils or fat, cobwebs, mud, leaves, sphagnum moss, and animal excrement were a few of these items. Since the beginning of time, a variety of substances have been applied to wounds to halt bleeding, absorb exudates, and speed up healing. In this manuscript, the “three healing gestures” were defined as: washing the wound, applying dressings, and bandaging. According to English literature, the world’s oldest medical document and the first written historical record were both discovered on Sumerian clay. The history of medicine and wound care has been extensively documented. In order to reach the closest attainable tensile strength (80%) of the original structure, the scar mutation continues for a considerable amount of time. Scar tissue’s newly laid down collagen is eliminated by releasing, activating, or inhibiting numerous preteolytic and degradative enzymes, such as matrix metalloproteinase.ī. A number of cytokines and growth factors, such as vascular endothelial growth factor, are crucial.Ī. Epithelialization and neovascularization are present, as well as fibroblast activity and granulation of extracellular matrix components.ī. Recruitment of cells such as keratinocytes, monocytes, and polymorphonuclear leukocytes, which are crucial for the development of wound healing.Ī. Through platelet activation and the release of growth factors, including platelet derived growth factor (PDGF), and pro-inflammatory cytokines, fibrin clot is formed to achieve hemostasis.Ī. Histamine, serotonin with other vasoactive substances is released as a result of blood factor leakage.ī. It also provides a detailed classification of traditional and modern wound dressings.Ī. The objective of the article is to enhance knowledge about characteristics of an ideal wound dressing and guide in finding the correct dressing material. There are a number of wound dressings available in the market. The development of new and effective treatments in wound care still remains an area of intense research. There is a growing concern about the usage of correct materials for wound dressings. Wound tissue never reaches its pre-injured strength and multiple aberrant healing states can result in chronic non-healing wounds. The sequence of events involved in wound healing can be affected by numerous disease processes, resulting in chronic, non-healing wounds that give significant discomfort and distress to the patients while draining the medical fraternity of enormous resources. Wound healing process recruits three different phases: inflammation, proliferation, and maturation. Hypotension can be managed with low dose vasopressors.Injury to the skin provides a difficult challenge, as wound healing is a complex and dynamic process. Maintenance fluids in children ≤30 kg are not titrated.ĭo not bolus burn patients for any reason, including hypotension, early on in resuscitation. Burns >30% TBSA- All pediatric burns (30 kg: 0.5 mL/kg/hour.The ER physician at the outside hospital where the patient was seen should call the MHH-TMC transfer center and speak to the Pediatric ER physician regarding immediate transfer to the Pediatric ER at Children’s Memorial Hermann Hospital. Major Burns- considered to be second-degree burns >10% TBSA, have any component of third-degree burns, hand, perineum, face, electrical burns, inhalation injury, or any other burn that meets ABA criteria for transfer to a burn center. The ER physician at the outside hospital where the patient was seen should call the MHH-TMC transfer center and speak to the Pediatric ER physician regarding transfer.
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