Random fresh wounds
always infected, in addition, there is always a danger of secondary infection. When examining the victim and providing first aid, this must be taken into account. Fresh wounds cannot be probed or felt, since microbes can be introduced in this case, and those already existing in the wound are moved to deeper areas. With first aid, the skin around the wound is cleaned of contamination with tampons moistened with ether or gasoline, and widely lubricated with 5% tincture of iodine. After this, an aseptic dressing is applied and the patient is urgently delivered to the hospital for active primary surgical treatment with suturing. The best results are obtained by treatment in the first 12 hours after the injury and consists in removing infected tissues, restoring the anatomical ratios of the damaged area and creating unfavorable conditions for the development of microflora. Any wound should be turned into a cut.
Primary treatment is not performed in severe general condition (shock, acute anemia, etc.), the period is shifted to improve the patient's well-being; with purulent infection in the wound.
In cases where the application of the primary suture is contraindicated (the possibility of infection), resort to a delayed suture. The wound is stitched with threads that are left untied for several days, after passing the danger they are tied and the wound is sewn up. On large wounds that are not sutured during the primary treatment, after they are filled with granulations, secondary sutures can be applied without excision or with partial excision of granulations (secondary treatment of the wound).