Wound dressings primary dressing

Management of bite wounds consists of aggressive irrigation and topical wound dressing, surgical debridement, and immobilization of the affected area. Primary closure for human bites is not generally recommended. Tetanus toxoid and antitoxin may be indicated. 

Because animal wounds are usually extensively damaged and contaminated a primary wound dressing is often not successful. The damaged skin will become necrotic in a few days and stitches are not stable. Furthermore, in distal limbs with lower blood circulation, higher tension at the edges, lower temperatures, and hyperplastic granulation, delayed healing occurs. 

For moderately to heavily exuding wounds, a secondary dressing may be needed to contain seepage of diluted honey from the primary dressing. 

Kaltocarb (calcium alginate fibre bonded to a layer of activated charcoal cloth with an outer layer composed of spun bonded viscose, ConvaTec) is indicated for use as a primary dressing in the management of malodorous wounds including fungating carcinomas, leg ulcers, and pressure sores. 

Lightly exuding wounds, superficial pressure sores, primary dressing and secondary dressing in combination with alginates and hydrogels Undesirable odour producing wounds... 

Mainly primary dressing for medium to heavily exuding wounds and cavity wounds. Not suitable for dry wounds... 

Abattoirs, particularly those with export licences, provide another example of regulatory overlap, this time with requirements which are imposed for the benefit of consumers— to ensure that the meat is fit for human consumption. The driving force behind these requirements is the need to maintain access to European and North American markets. The federal Department of Primary Industry polices the requirements, many of which are of direct benefit to workers. Most accidents in abattoirs involve workers cutting themselves with knives. Consumer protection requirements specify that no one may work with an open wound and that dressings must be waterproof. It is thus a virtual necessity for abattoirs to employ a nurse or first aid worker. Moreover, employees must be certified free from dermatitis and other... 

BS EN 13726-1 2002. Test methods for primary wound dressings. Part 1. Aspects of absorbency. 

BS EN 13726-3 2003. Test methods for primary wound dressings. Part 3. Waterproofness. BS EN 13726-4 2003. Test methods for primary wound dressings. Part 4. Conformability. BS EN 13726-5 2003. Test methods for primary wound dressings. Part 5. Bacterial barrier properties. 

Wound dressing specifications are generally registered under European Pharmacopoeia (EA) and British Pharmacopoeia (BP). BS EN 13726 Parts 1—8. (Nonactive medical device) test methods for primary wound dressing. BS EN 13726 has several subsections, as listed below ... 

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