Today the puncture seems sealed, but you can see in the picture evidence of the wound still weeping. In a few hours I will decide if I want to do wound debride, to open it back up and let it continue to drain. Puncture need to heal from the inside out. A scab can trap bacteria inside. Will consult my CAV. Abd will try to find an article on wound care.
Will put pictures in a row. I do wish I had a picture of the wound on day one, but I w as focused on emergency care....and the whole stress had him passing out from shock and weakness from starvation.. The first picture is from day 3, the second from day 6, and third is Today day 7
https://www.ncbi.nlm.nih.gov/books/NBK507882/
Excerpt from above:
" Wound Debridement
Manna B, Nahirniak P, Morrison CA.
Publication Details
Introduction
The concept of preparing the wound bed to promote reepithelialization of chronic wounds has been applied to wound management for more than a decade. The 4 general steps to follow for better preparation are compassed in the acronym DIME.[1][2][3][4][5]
D: Debridement of nonviable tissue within the Wound.
I: Management of Inflammation and Infection
M: Moisture control
E: Environmental and Epithelialization assessment
The DIME approach to chronic wound management is a global concept approach from which a more detailed pathway can be initiated to bring about wound resolution.
The primary goal of debridement is to remove all the devitalized tissue from the wound bed to promote wound healing. Debridement is also used for removal of biofilm, bioburden along with senescent cells, and it is suggested to be performed at each encounter.[6][7][8] "
A little clarity on above terms, biofilm is that first sealing of wound by proteins before scab forms. Bio burden seems like a pretty fancy term for trying to remove as much bacteria from wound as possible....
