Random fresh wounds
always infected, in addition, there is always the danger of secondary infection. When examining the victim and providing first aid it is necessary to take this into account. Fresh wounds cannot be probed or palpated, since microbes can be introduced and the existing ones in the wound move to deeper areas. When first aid, the skin around the wound is cleaned from contamination with swabs moistened with ether or gasoline, and widely lubricated with 5% tincture of iodine. After that, they impose an aseptic bandage and provide an urgent delivery of the patient to the hospital for active primary surgical treatment with suturing. The best results are obtained in the first 12 hours after the injury and consists in removing infected tissues, restoring the anatomical relationships of the damaged area and creating unfavorable conditions for the development of microflora. Any wound must be turned into incised.
Primary treatment is not performed in case of a severe general condition (shock, acute anemia, etc.), the term is shifted until the patient is feeling better; with purulent infection in the wound.
In cases where the imposition of a primary suture (the possibility of infection) is contraindicated, resort to a delayed suture. The wound is stitched with threads that are left unbound for several days, after the danger has passed, they are tied up and the wound is sewn up. On large wounds that are not sewn up during primary processing, after they are filled with granulations, secondary sutures can be applied without excision or with partial excision of granulations (secondary treatment of the wound).