[Wounds and wound treatment, prevention of tetanus]

The care principles of injuries base on founded knowledge about the phases of wound healing, the causes of wound healing disturbances and the development of wound infections. The wound care includes the judgement of injuries, the surgical wound treatment and the aftercare. The wound evaluation with four categories makes a different therapeutic approach possible. The primary union is aspired to all non-infected wounds by direct wound closure. Suspicious infected and infected wounds are treated open after adequate wound excision. A secondary suture with a delayed primary wound closure is possible when the inflammation symptoms are recurrent. Other important aspects of wound care are a correct wound dressing, wound control and the checking for tetanus prophylaxis.