Page 164 - LECTURE NOTES

2. The health worker responsibility for wound

I. For wounds in which hemorrhage is not sever
1. Wash you hands thoroughly with clean water and soap

2. Cleanse the injured part thoroughly, using plain soap and boiled water
which is cooled at room temperature or clean with running water and soap

3. Apply a dry sterile or dry clean material and bandage it.
4. Tell the patient to go to the clinic or hospital if evidence of infection

appears.

II. For wounds in which hemorrhage is sever
1. Direct pressure should be applied over the wound with thick pad or clean

cloth. In an emergency situation a piece of clothing or even bare hands

will be used. After the bleeding has been controlled apply additional layer
of cloth and in the mean time elevated the bleeding part of limbs.

N.B. Do not remove any layers of cloth that is already found on the wound

since it may cause bleeding of the part.
2. Pressure will be apply to supplying vessel, for especial quick action, here

you can use your fingers or the palm of your hands to press the supply

vessels and then after bleeding is stop dress the wound and based on the
severity refer him or her to the clinic.

III. Infected wound

The patient with an infected wound should always be under the care of a hospital

or health centre so, the health worker has to soaked the foot or the hand in
solution of 2 table spoons of salt in to one liter of boiled waters for 15-20 minute,

this can help to localized the infection.

N.B. In any case the health worker should not forget to send or refer the

Victim and clinic for assessment and treatment of tetanus.

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