Wound Care: Cleaning, Wound Glue, Strips, and Dressings
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Proper wound care is an essential part of first aid and subsequent healing. Even a minor cut or scrape, if not properly cleaned or left unattended, can become a source of bacterial infection. Choosing the right supplies—from cleaning to edge closure and securing—ensures rapid tissue recovery and reduces the risk of scarring.
Initial Wound Assessment and Hygiene
Before treating a wound, it is necessary to assess its depth, location, and bleeding intensity. If bleeding is pulsating or severe, the first step is always to stop the bleeding. If the wound is deep, with visible damage to muscles, tendons, or bones, you must call 112 (or your local emergency services) and seek medical attention immediately.
The responder must always practice personal hygiene. Before touching damaged tissues, you must wash your hands or put on protective nitrile gloves. This protects the injured person from microorganisms entering the wound.
Wound Cleaning and Foreign Body Removal
The main goal of wound cleaning is to remove foreign objects (sand, dirt, glass shards) and reduce the bacterial load. The wound should be rinsed with clean running water or sterile saline solution.
Cleaning Procedure and Rules:
- Rinsing: Rinse the wound with an ample amount of water. Do not use aggressive chemical liquids (such as pure alcohol or strong hydrogen peroxide) directly in a deep wound, as they damage healthy cells and slow down healing.
- Foreign Body Removal: Small surface dirt or glass shards can be carefully removed. Use a sterile anatominis pincetas 14.5 cm (anatomical forceps 14.5 cm) for this purpose. Deeply embedded foreign objects must never be pulled out by yourself—they should be immobilized and removed only by medical professionals.
- Drying: Carefully dry the edges of the wound using a sterile cloth. AMEDIPLUS sterilios marlinės servetėlės 5x5cm (AMEDIPLUS sterile gauze swabs 5x5 cm) are suitable for this.
Wound Edge Closure: Strips and Glue
If a wound is linear, clean, has straight edges, and is not actively bleeding, its edges can be approximated without traditional sutures. Modern medicine uses two main methods for this.
The first method is special skin closure strips. For this, use žaizdų užklijavimo juostelės RUDANAHT (RUDANAHT wound closure strips). They are applied across the wound line while gently bringing the skin edges together with your fingers. This method is suitable for small cuts on limbs or the torso.
The second method is tissue adhesive. For this, apply sterile žaizdų klijai Exofin 1 ml (Exofin wound glue 1 ml). Glue is applied ONLY to the outer approximated skin edges (it must never be poured inside the wound). The applied adhesive sets quickly, forming a flexible, waterproof film that protects the wound from bacteria and allows the skin to heal.
Selecting and Securing Dressings
After cleaning and closing the wound, it must be covered with a dressing to protect it from external impact and absorb residual exudate.
Dressing materials are categorized into primary and secondary:
- Primary Dressing: A sterile pad or gauze swab in direct contact with the skin. The dressing should be non-adherent so that changing it does not tear away the formed scab.
- Securing Bandage: Used to hold the primary dressing in place. An elastic conforming bandage like PEHA-FIX 8 cm x 4 m is ideal for this. It easily conforms to body contours without constricting tissues.
- Tape Fixation: To secure the edges of the dressing, use strong šilkinis vyniojamas ir plėšomas pleistras 5cm x 9,14m (silk tearable tape 5 cm x 9.14 m).
Comparison of Wound Care Products
| Product | Indications | Advantages | Limitations / Contraindications |
|---|---|---|---|
| RUDANAHT strips | Superficial linear cuts | Easy to use, does not damage skin | Not suitable for high-tension areas (joints) |
| Exofin wound glue | Clean, short cuts on the face or body | Waterproof protection, no sutures needed | Do not pour inside the wound or on bloody surfaces |
| AMEDIPLUS gauze swabs | Wound cleaning, drying, covering | Sterile, highly absorbent | Requires secondary fixation with a bandage |
| PEHA-FIX bandage | Securing dressings on limbs | Elastic, non-slip, non-constricting | Not sterile (apply ONLY over a primary dressing) |
Practical Checklist: Wound Care Steps
When treating an everyday home injury, follow these steps:
- Disinfect Your Hands: Put on protective gloves. You can find guidance on assembly in our guide on home first aid kit contents.
- Stop the Bleeding: If necessary, apply pressure to the wound with a gauze swab. For more detailed information, see our guide on hemostatic dressings and wound packing.
- Clean: Rinse the wound with water, remove surface debris with forceps.
- Close the Edges: If the cut is clean, use RUDANAHT strips or Exofin glue.
- Cover and Secure: Apply a sterile gauze swab and wrap with a PEHA-FIX bandage.
- Monitor Healing: If redness, swelling, warmth, or pus develops after a few days, consult a physician immediately. Also seek medical care if the wound is contaminated with dirt or caused by an animal bite, as tetanus prophylaxis may be required.
Want to learn these skills in hands-on practice? We organize tactical medicine training courses—more information at mokymai@parakomanai.lt.
Didn't find the product you need? Write to us at parduotuve@parakomanai.lt—we're here to help.
Sources
- European Resuscitation Council (ERC): erc.edu
- Lithuanian Red Cross: redcross.lt
- Ministry of Health of the Republic of Lithuania: sam.lrv.lt
- World Health Organization: who.int



