Wound dressings in accident and emergency departments

This paper describes the difference between wounds which heal by first and secondary intention. A brief overview of the stages of healing is then given: inflammation, granulation, epithelialisation and contraction plus the difficulties sometimes associated with the scarring of wounds. The properties of the ideal dressing for optimum wound healing rate are outlined, plus references to associated research. The litigation aspects of acute wound care in Accident and Emergency are covered, and then each dressing family is explored with indications given for appropriate application. Pain, infection, stab and gunshot wounds, plus the influence of factors delaying wound healing and the importance of patient education, are covered under separate headings. The importance of the nurse in planning and evaluating wound care is stressed.