HARTMANN Skin Tear Management Guide* Skin Tear Category Category 1a Category Description Treatment Objectives for all categories A skin tear where the edges can be realigned to the normal anatomical position (without undue stretching) and the skin is not pale, dusky or darkened •Stop bleeding •Sorbalgon ® Calcium Alginate to stop bleeding •Clean the wound •Remove old blood Category 1b A skin tear where the edges can be realigned to the normal anatomical position (without undue stretching) and the skin is pale, dusky and darkened Dressing Suggestions •HydroTac ® •Replace flap into original position •Protect the wound until healed Foam dressing for protection and providing a moist environment for healing wound bed PermaFoam •If the flap is pale and dusky, •Foam dressing for increased ® Category 2a A skin tear where the edges cannot be realigned to the normal anatomical position and the skin or flap colour is not pale, dusky or darkened Category 2b A skin tear where the skin flap is completely absent For further information about HARTMANN Wound Care Products call 1800 805 838 Atrauman Ag •Antimicrobial dressing to ® • Change dressing according to the changing needs of the wound reduce level of bacteria •If exudate level is moderate or •Peha-haft Bandage latex free more use an absorbent dressing or Coverflex Tubular Bandage ® ® •If wound starts to show signs Category 3 exudate •Document the category in notes A skin tear where the edges cannot be realigned to the normal anatomical position and the skin or flap is pale, dusky or darkened review after 24–48 hours of bacterial imbalance use antimicrobial dressing • Protect surrounding skin from further damage www.hartmann.com.au * Adapted from Carville,K., Lewin,G., Newall,N., Haselhurst,P., Michael,R., Santamaria,N., and Roberts,P. (2007). STAR: A consensus for skin tear classification. Primary Intention ,15(1), 18–22. PAUL HARTMANN Pty Ltd. ABN 35 000 099 589 Level 6, 5 Rider Boulevard, Rhodes NSW 2138. ® Registered trademark PAUL HARTMANN AG. 9166093 For protection of surrounding skin •Always indicate direction of skin flap with arrow on top of dressing to ensure atraumatic removal HARTMANN Wound Care Products HydroTac may be covered with a retention dressing, such as a crepe, cohesive or tubular bandage such as Peha-haft®. Secondary Dressings To achieve maximum results, a wound dressing must allow the wound to “rest”, therefore contributing to the healing process. The dressing can be left on the wound for up to three days. However, it should be changed sooner if clinically indicated. Frequency of Dressing Changes Note: No known contraindications. HydroTac is suitable to treat slight to moderately exuding wounds in the early cleansing, granulation and epithelialisation phase. HydroTac Comfort should be used after a TenderWet® and/or PermaFoam® therapy. HydroTac can normally be used until the wound is closed. However, very dry wounds may be better treated with Hydrosorb® Gel. Contraindications • are treated with foams or hydrocolloids Suitable for use under compression bandaging tears •SLegkinulcers •ressure ulcers •PSlightly • or moderately exuding chronic wounds in the granulation and epithelialisation phase which Indications PAUL HARTMANN Pty Ltd. ABN 35 000 099 589 Level 6, 5 Rider Boulevard, Rhodes NSW 2138. ® Registered trademark PAUL HARTMANN AG. HARTMANN Wound Care Products To learn more about HARTMANN HydroTac® call 1800 805 839 or visit www.hartmann.com.au 1. Remove cover papers 2. Place dressing on the wound 3. Remove the remaining 1 and 2 from HydroTac cover papers 3 and 4 Comfort Application: HydroTac Comfort 1. Remove cover papers 2. Place dressing on the wound 3. Secure the absorbent 1 and 2 from HydroTac dressing with retention tape or bandage Application: HydroTac ® HydroTac hydroactive dressing Clinical Application Guide