Skin Wounds and Lacerations Blisters Abrasions Minor/superficial cuts Lacerations Definition Usually caused by friction of the skin from poorly fitting skates or shoes, improper taping or overuse A disruption to the top layers of the skin that is susceptible to re injury and infection A disruption of the deeper layers of the skin A disruption of the deeper layers of the skin resulting in increased risk of infection and possible scar formation Symptoms Player reports Pain Pain Pain and discomfort Pain, possible numbness Signs You see Warm reddened area on the skin (hot spot) or a clear liquid filled “bubble” Reddened raw area of skin – possible bleeding Bleeding Bleeding – if severe the blood may be pulsating/spurting Management • Do not break a blister • If it breaks, treat as an open wound • Cleanse and cover • Protect the area with second skin or a nonadherent pad • Use elastic tape to firmly secure the pad • May need to apply donut pad • Clean with antibacterial soap and water or sterile saline • Apply dressing or band aid • Do not apply any creams or ointments to the wound • Clean with antibacterial soap and water or sterile saline • Apply dressing or band aid • Do not apply any creams or ointments to the wound • Refer to physician if there is any doubt as to deepness • Place gauze dressing on wound, apply pressure and elevate when possible • Ice may be applied to the area to control bleeding • Activate EAP if bleeding is severe • Refer player to physician Notes • Petroleum jelly or skin lube applied to the covered area, sock and inside the skate boot will further reduce friction • Keep wound covered during play Keep the wound covered during play until completely healed which may take several weeks Keep the wound covered during play until completely healed which may take several weeks Neck Laceration • Any laceration in the neck area is dangerous and can be life threatening. • Pressure with pressure bandage (large gauze dressing or clean towel) should be placed over the area and kept until medical help arrives. • Activate EAP • Leave player in position found • Keep feet clean and dry • Appropriate socks • Properly fitted skates and training shoes Wear clean dry underclothing under equipment to avoid skin irritation Prevention
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