Wound care agents

Spann CT, Tutrone WD, Weinberg JM, et al. Topical antibacterial agents for wound care a primer. Dermatol Surg. 2003 29 620-626. 

Mustard gas was developed as a chemical warfare agent more than eighty years ago. Despite intensive study, little advancement in the management of skin burns has been made. The use of mustard in military conflicts and by terrorists remains a significant threat that if realized in practice would result in a large number of casualties with severely incapacitating, partialthickness burns. Such injuries clearly present a huge potential wound-care problem. 

Since the late 1990s, therapy radiographers have been trained to administer medicines for the management of radiotherapy side effects, such as pain rectal symptoms, constipation, diarrhoea skin reactions, wound care oral care nausea and vomiting. They are also beginning to use PGDs for X-ray contrast agents. 

If the casualty is not breathing because of nerve agent effects, attempting to provide ventilatory assistance might preclude the immediate care of a severe wound or other assistance in the contaminated area. If ventilation is marginal and the wound alone would classify the casualty as immediate, the time and effort required to stabilize ventilation might preclude timely wound care. The dual requirements might require more care providers than are available. 

A casualty from exposure to a lethal amount of cyanide will die within a few minutes if he receives no therapy. If antidotes are given in time, he will recover with no serious adverse effects or sequelae to interfere with wound care. One of the antidotes, sodium nitrite, causes vasodilation and orthostatic hypotension, but these effects are short and should not be factors in overall patient care. If a casualty with a conventional wound and severe effects from cyanide poisoning presented at the unit-level MTF (or even at a major hospital), the procedure would be to give the antidote immediately. If the effects of cyanide are reversed, he should receive further care. Incapacitating Agents... 

Lee, G., Anand, S.C., Rajendran, S., 2009. Are biopolymers potential deodourising agents in wound management Journal of Wound Care 18 (7), 290—295. 

Hazardous Decomp. Prods. CO2, CO, NOx, ammonia above 230 C HMiS Health 1, Flammability 1, Reactivity 0 Uses Biochemical research medicine (wound treatment antisporiatic drug) emollient, skin protectant, soothing agent in cosmetics stimulates growth of healthy tissue oral care agent... 

Infection with chemical peeling is very rare since most peeling agents are bactericidal. Proper wound care can minimize the risk of infection. Patients are given both verbal and written wound care instructions. For most of our medium-depth peels, patients will be cleansing... 

Immunity to tetanus decreases with increasing age, therefore a regular booster every 10 years with tetanus toxoid is recommended. The preferred agent to use in adults is tetanus and diphtheria toxoid (Td) in order to give a booster for diphtheria. Tetanus immunization status should be assessed in the management of wounds in individuals seeking medical care. A tetanus booster should be administered if a tetanus-containing... 

DELAYED A delayed casualty is one who needs further medical care but can wait for that care without risk of compromising successful recovery. That person may require extensive surgical procedures and long-term hospitalization, but is presently stable and requires no immediate care. A casualty with a leg wound or fracture is an example of a conventional casualty who would be delayed. A casualty recovering from severe nerve agent poisoning will be delayed. Most casualties with vesicant burns will be delayed. 

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