The document discusses guidelines for wound management, with the goals of quick closure, avoiding infection, and excellent cosmetic results. It outlines the "golden period" for wound repair being within 6 hours for extremities and 24 hours for face/scalp wounds. Tetanus-prone wounds are defined as being over 6 hours old, deep, contaminated, or involving dead tissue. Physical exam evaluates location, size, neurovascular status, and presence of foreign bodies. Wound preparation involves irrigation and cleaning without use of detergents or hydrogen peroxide. Closure techniques include primary, delayed primary, and secondary depending on wound characteristics. Appropriate materials include sutures, staples, tissue adhesives, or tapes depending

1. Wound Management Emerg Med Clin N Am, 25 (August 2007) 873–899

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