Treatment of wounds during prolonged evacuation: key points 1. initial processing. stop the bleeding The wound should be immediately flushed with sterile saline (if not available, clean drinking water) to mechanically remove dirt, soil, clothing remnants, and foreign particles.
2. Antiseptic treatment. The wound should be irrigated with chlorhexidine (does not cause chemical burns, effective against most bacteria). Povidone-iodine (Betadine) should be applied mainly to the edges and the skin around the wound, without pouring deeply. It is acceptable to dust with sulfanilamide (streptocid) powder after treatment with an antiseptic - as an addition, not as a substitute.
3. bandage and control. The first bandage is sterile, moderately tight (without interfering with blood flow). daily change; When wet with ichor or pus - more often. At each shift, check the wound: monitor redness, smell, color of secretions. If there are signs of infection, apply irrigation with chlorhexidine with each dressing, remove pus with tampons, and if present, apply water-soluble ointments (levomekol).
4. Maintaining a general condition. Provide the victim with warmth, access to water and minimal nutrition. Avoiding hypothermia and dehydration (reducing tissue regeneration and harming the supply of drugs). We are in TG, we are in Max.