injuries poisoning
How To Cleanse, Irrigate, Debride, and Dress Wounds
Contraindications for Wound Care
Absolute contraindications None Relative contraindications Wounds of highly vascularized skin (eg, scalp and face) may not need irrigation. Deep wounds or those with sinuses or fistulas should be carefully evaluated* before irrigation to avoid causing deeper seeding of bacteria or foreign material. Puncture wounds should be irrigated and debrided at the surface, particularly if secondary to cat bites, given their high likelihood of infection. However, the value of deep probing, irrigation, and coring is not certain. Actively bleeding wounds should not be irrigated, because irrigation may disturb clot formation; hemostasis must precede irrigation. Wounds involving deep structures (eg, nerves, blood vessels, ducts, joints, tendons, bones) and those covering large areas require specific repair techniques that may necessitate referral to a surgical specialist. Hand lacerations or injuries, particularly high-pressure injections or those requiring microscopic repair procedures, need surgical evaluation. Facial lacerations, deep or complex wounds, or wounds involving the eyelids also need specialist consultation or evaluation. * Imaging studies (eg, Conventional Radiography and 