Emergency Debridement

Emergency debridement and suture is an essential technique for surgeons. Paying attention to debridement can reduce wound infection and even eliminate antibiotics. Paying attention to suture technique can reduce scar formation and reduce post-traumatic sequelae.

Indications and contraindications for surgical debridement

Indications:

Various types of open wounds are considered fresh wounds, and those who meet the following conditions:

• Those within 6 to 8 hours after injury.

• The wound pollution is relatively light, no more than 12 hours after injury.

• For head and face wounds, generally within 24~48h after injury, strive for first-stage suture after debridement.

Contraindications:

Severely polluted or purulent wounds should not be sutured at one stage. Only the skin around the wound should be wiped clean, and the surrounding skin should be disinfected before opening for drainage.

Timing of debridement for common trauma

• The sooner the condition permits, the better.

• No obvious infection performance can be debridement.

• If there is infection, but the wound has foreign body or more necrotic tissue, it can also be debridement. After debridement, the wound will not be sutured temporarily.

• Ideal time: within 8 hours after injury, within 12 hours after injury of head, face and hand.