Snapshot A 45-year-old man presents to the ED after being blown into a wall following a gas explosion. Due to extensive evidence of lacerations and intraabdominal injuries, he is emergently taken to the OR for exploratory laparotomy. He undergoes splenectomy and partial colectomy with colostomy. Once negative pressure vacuum wound dressings are applied and hemodynamic stability is attained, the patient is taken to the surgical intensive care unit. On the fourth postoperative day, the nurse reports redness and tenderness along the patient's incision margins. The patient is taken back to the OR, where purulent material is drained and nonviable tissue along the margins are debrided. Introduction to Wound Management In trauma setting, challenge is to identify all injuries, both obvious and non-obvious login to view 1 more bullet Presentation Types of wounds and stages of wound healing affect management login to view 14 more bullets STUDIES Primary and secondary survey with resuscitation login to view 6 more bullets Management Focus on control of bleeding, pain, potential infection Bleeding login to view 3 more bullets Pain login to view 3 more bullets Infection login to view 9 more bullets Amputated body parts login to view 3 more bullets Clean, Minor WoundAll Other WoundsVaccination historyVaccinate Based on AgeTetanus ImmunoglobulinVaccinate Based on Age Tetanus ImmunoglobulinUnknown of < 3 dosesYesNoYesYes≥ 3 dosesOnly if last dose > 10 years agoNoOnly if last dose > 5 years agoNo