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Penetrating trauma is an open wound injury that occurs when an object pierces the skin and enters a tissue of the body, creating a deep but relatively narrow entry wound.In contrast, a blunt or non-penetrating trauma may have some deep damage, but the overlying skin is not necessarily broken and the wound is still closed to the outside environment.
871 Open wound of eyeball; 872 Open wound of ear; 873 Other open wound of head; 874 Open wound of neck; 875 Open wound of chest (wall) 876 Open wound of back; 877 Open wound of buttock; 878 Open wound of genital organs (external), including traumatic amputation; 879 Open wound of other and unspecified sites, except limbs
Gunshots to the neck can thus cause severe bleeding, airway compromise, and nervous system injury. [29] Initial assessment of a gunshot wound to the neck involves non-probing inspection of whether the injury is a penetrating neck injury (PNI), classified by violation of the platysma muscle. [29]
The type of wound (incision, laceration, puncture, etc.) has a major effect on the way a wound is managed, as does the area of the body affected and presence of any foreign objects in the wound. A serious wound or any complication may require a call to emergency medical services. Any wound requires being disinfected after it stops bleeding.
Less commonly, knife wounds and shrapnel from motor vehicle accidents can also penetrate the airways. [6] Most injuries to the trachea occur in the neck, [3] because the airways within the chest are deep and therefore well protected; however, up to a quarter of TBI resulting from penetrating trauma occurs within the chest. [10]
Passive drains rely on gravity or capillary action to remove fluid, whereas active drains rely on a suction/vacuum force, whether that be through connection to wall suction, a portable suction device, or a bulb that has been squeezed to create a vacuum. Open drains are commonly used for superficial wounds and drain into dressings or a stoma bag.
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Occlusive dressings come in various forms, including petrolatum gauze, which sticks to the skin surrounding the wound using petrolatum. They can also be used to enhance the penetration and absorption of topically-applied medications, such as ointments and creams .