Shepherd, M & Starship hospital et al. Lacerations and Wound Closure. https://starship.org.nz/guidelines/lacerations-and-wound-closure/ (viewed 10 May 2022). Can provide or absorb moisture depending on surrounding tissue. Initially lower temperature providing cooling

underlying nerve, vessel and tendon damage. This requires assessment of movement while exploring the wound (especially in palmar or hand wounds: see "fight bite")Dressing needs washing with soap and water, pat-dried twice daily. Requires application of oil prior to removal, ideally soaked in oil and wrapped in cling film overnight

For emergency advice and paediatric or neonatal ICU transfers, see Retrieval Services Consider discharge when Perth Children’s Hospital. Wound care. https://pch.health.wa.gov.au/For-health-professionals/Emergency-Department-Guidelines/Wound-care (viewed 10 May 2022). DuoDERM Extra Thin dressing is a hydrocolloid dressing indicated for the management of lightly exuding wounds. It combines a unique ConvaTec hydrocolloid formulation that distinguishes it from other hydrocolloid dressings and a vapour permeable outer film to provide an occlusive moist environment.

Sizes

Moisturising creams such as vitamin E, aloe vera and sorbelene can be used to soften scar and make massage easier

Armstrong, D et al. Basic Principles of Wound Management. Up To Date.2020. [updated 12/07/2020] (viewed 10 May 2022). All wound care including cleaning, irrigation and dressings should be managed with an aseptic technique May require secondary dressing. Not recommended in anaerobic infections. Gel can be confused with slough or pus in wound. Must be removed to monitor wound. Unpleasant odour Images sourced from SCHN wound assessment and management guideline. Available from: https://www.schn.health.nsw.gov.au/_policies/pdf/2014-9040.pdf Hold the syringe just above the top edge of the wound using continuous gentle pressure to flush fluid

Consider discharge when

Wound cleansing/irrigation is important for decreasing bacterial load. Cleansing/irrigating with antiseptics may damage tissue defences and impede healing. The exception is contaminated wounds that may benefit from chlorhexidine 0.05% or povidine-iodine 1% irrigation Jones, V et al. Wound dressings. British Medical Journal (Clinical research ed). 2006. 332(7544), p777–780. https://doi.org/10.1136/bmj.332.7544.777. Indications: Duoderm is incated for minor burns, abrasions, lacerations, post-operative wounds, stage 1-2 pressure ulcers and lightly exuding leg ulcers.