TY  - CHAP
M1  - Book, Section
TI  - Wounds, Bites, and Stings
A1  - Cross, Alisa
A1  - Celii, Amanda
A1  - Albrecht, Roxie M.
A2  - Feliciano, David V.
A2  - Mattox, Kenneth L.
A2  - Moore, Ernest E.
Y1  - 2020
N1  - 
T2  - Trauma, 9e
AB  - KEY  POINTSThe  four  phases  of  wound  healing  are  hemostasis,  inflammation,  proliferation,  and  maturation/remodeling.Significant  influences  on  wound  healing  include  age,  nutrition,  body  habitus,  and  social  history.The  decision  to  use  antibiotics  for  a  wound  will  depend  on  host  factors  (eg,  age,  comorbidities,  immunocompromised  state),  wound  characteristics,  and  location.Wounds  with  significant  contamination,  ischemia,  or  tissue  loss  are  left  open  to  heal  by  secondary  intention.Transmission  of  HIV  or  hepatitis  C  through  saliva  from  a  bite  is  rare,  and  HIV  testing  after  human  bites  is  not  necessary.Jaws  of  larger  dogs  are  capable  of  generating  200  to  450  pounds  per  square  inch  of  pressure,  and  fractures  under  the  injury  to  soft  tissue  should  be  ruled  out.Rabies  is  a  vaccine-preventable  viral  disease  primarily  caused  by  the  bite  of  a  rabid  animal  and  has  a  worldwide  distribution.In  up  to  40%  of  patients,  the  bite  of  a  brown  recluse  spider  will  lead  to  necrosis  of  soft  tissue  due  to  local  ischemia.Pit  vipers  including  rattlesnake,  water  moccasin,  and  copperhead  snakes  have  a  heat-sensing  pit  located  behind  their  nostrils.Although  the  mouth  of  a  snake  is  colonized  with  bacteria  like  all  animals,  local  infection  following  a  snakebite  is  rare.  
SN  - 
PB  - McGraw Hill
CY  - New York, NY
Y2  - 2024/04/19
UR  - accesssurgery.mhmedical.com/content.aspx?aid=1175135472
ER  -