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Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 7e | Section 6. Emergency Wound Management > | Chapter 51. Postrepair Wound Care Sections: Postrepair Wound Care: Introduction, Wound Dressings, Patient Positioning after Wound Repair, Prophylactic Antibiotics, Tetanus Prophylaxis, Wound Cleansing, Wound Drains, Pain Control, Health Care Provider Follow-Up, Patient Education About Long-Term Cosmetic Outcome, References. Topics Discussed: wound care, postoperative. Excerpt:"Postoperative care begins after laceration repair in the ED and
continues after discharge with instructions provided to the patient,
so that the outcome of wound repair is optimized and complications
are minimized. Immediately after repair, the injured area should
be gently cleansed with normal saline or clean (tap) water to remove
any residual blood products or contamination. Postoperative considerations
that should be individually considered for each patient include
the use of dressings, topical antibiotics, systemic antibiotics,
need for splinting, and evaluation of tetanus status. Before ED
release, the patient should be counseled regarding wound cleansing,
pain control, signs of infection, and short-term and long-term cosmetic
expectations...."
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