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Updated: Aug 7, 2026

Murine Model of Wound Healing
Published on: May 28, 2013
Wound repair in children
Ronan O'Sullivan1, Ed Oakley, Mike Starr
1Emergency Department, Royal Children's Hospital, Melbourne, Victoria.
Insights
This guide outlines a systematic approach to managing minor wounds in children, focusing on effective cleaning, pain relief, and appropriate closure techniques to ensure optimal healing and minimize scarring.
Area of Science:
- Pediatric Medicine
- Wound Care
- Emergency Medicine
Background:
- Minor injuries are frequent in pediatric general practice.
- Effective wound management is crucial for children's health.
- Standardized approaches improve patient outcomes.
Purpose of the Study:
- To describe a systematic method for assessing and treating pediatric wounds.
- To provide guidance on wound care in a general practice setting.
- To optimize healing and minimize scarring in pediatric patients.
Main Methods:
- Systematic assessment and treatment protocols for pediatric wounds.
- Emphasis on gaining child's trust and early pain relief.
- Utilizing water for cleaning superficial wounds and topical anesthetics for pain management.
- Tissue adhesives for wound closure in suitable cases.
Main Results:
- Superficial wounds can be effectively managed with proper cleaning.
- Topical anesthetics and tissue adhesives offer good pain control and cosmetic results.
- Exploration under general anesthesia is indicated for deep wounds with suspected neurovascular or tendon damage.
Conclusions:
- Prioritize holistic patient care, focusing on the child's well-being.
- Achieve optimal wound healing by preventing infection, managing pain, and minimizing scars.
- Ensure adequate tetanus prophylaxis for all injured children.
Background:
Minor injuries in children are extremely common in the general practice setting.
Objective:
This article describes a systematic approach to the assessment and treatment of wounds in children.
Discussion:
Wound management goals are to avoid infection, minimise discomfort, facilitate healing and minimise scar formation. The care of the patient as a whole should be the first management priority. Successful examination requires gaining the child's trust, relieving pain early, and using a flexible and creative examination technique. Superficial abrasions and lacerations can be safely cleaned with good quality water, and all foreign material removed. Deeper wounds with suspected damage to nerves, tendons or circulation need formal exploration under general anaesthetic. Good local anaesthesia can be produced by topical preparations, and many wounds can be closed with tissue adhesives with an excellent cosmetic result. All children with injuries should be checked for adequate tetanus cover for prrophylaxis.
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