4328 Emergency Department treatment of Low - Exuding Traumatic Wounds, Sutured or Otherwise, with A Ready-to-Apply Adhesive Interface

J.P. Rifler, MD , Hopital Intercommunal, Head of the Emergency Department, Montbard, France
Serge Bohbot, MD , Laboratoires URGO, Medical Director, 21300 Chenove, France
This clinical case series included low-exuding traumatic wounds, sutured or otherwise, where an interface is often used, covered with absorptive padding and secured with an adhesive. The lipidocolloid interface is widely used on this type of wound. It has the advantage of being able to be left in place for several days without drying out, making removal of the dressing atraumatic and painless. The new adhesive lipidocolloid dressing was developed with the aim of facilitating wound care and saving time, two important  parameters in the emergency department. This is a lipidocolloid interface, combined with a thin absorptive pad and a high-tolerance adhesive support made of unwoven polyurthane. In the ED, we use this new contact layer on low-exuding traumatic wounds, with little bleeding which has usually been able to to be sutured when seen early on. When there was a high risk of local infecction, the wound was first treated with lipidocolloid contact layer impregenated with silver, then followed by lipidocolloid dressing combined with the absorbant pad and adhesive border until completely healed. The three clinical case studies that we report illustrate the different wound locations and types, in particular wounds caused by falls in elderly people (72 to 90 years old). In these patients with thin, fragile skin we observed a very good tolerance of the dressing and in particular the adhesive of wich removal was atraumatic, both for the wound bed and the surrounding skin. This new lipidocolloid adhesive dressing has therefore been included in the range of dressings used inthe emergency department to cover low-exuding wounds, sutures or otherwise.
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