HARTMANN Skin Tear Management Guide • *

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
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* 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