35 Bite wounds

Today we talk to Zoë Halfacree, senior lecturer in soft tissue surgery here at the RVC, about bite wounds and some things to consider in how to approach them, after initial patient assessment and stabilisation.

Analgesia; full mu opioid based upon pain score

Antibiotics; broad spectrum, such as potentiated amoxicillin

Culture where possible

Diagnostic imaging

When to explore; preferably within 4-6 hours of presentation

Lavage techniques; isotonic crystalloid (e.g. compound sodium lactate) using a 25ml syringe and 19-gauge needle. If you attach the fluid bag to an extension set and that to a three-way tap, with the needle and syringe, if makes it a little easier to flush

Wet to dry dressing vs placing a drain

Zoë discussed these aspects of bite wound management. Although this is a relatively common problem that we encounter, there is little information in the literature to help guide us on ways to manage these challenging patients.

Enjoy!

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