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Nov 8, 2021 · Introduction to the intersection of platelet activation and tissue injury/repair. The induction and regulation of hemostasis belongs to the primary functions of platelets and can be found among the first steps of tissue repair. However, platelet activation also affects other parts of the wound healing process.
Nov 12, 2018 · The breakdown of tissue barriers during injury also enables the invasion of microorganisms and might provoke tissue infections. Thus, the initiation and regulation of immune reaction against invading pathogens represents an important step in tissue healing. Platelets have been shown to contribute to this process.
Jul 7, 2024 · Evoked potentials are the electrical signals generated by the nervous system in response to stimuli. Somatosensory evoked potentials (SSEPs) consist of a series of waves that reflect sequential activation of neural structures along the somatosensory pathways. SSEPs are of particular interest in critical care, due to their role in ...
- Acute Stage | Protection Phase. A soft tissue injury is termed as acute from the initial time of injury and while the pain, bleeding, and swelling is at its worst.
- Sub-Acute Stage | Repair Phase. A soft tissue injury is termed as sub-acute when the initial acute phase makes a transition to repairing the injured tissues.
- Late Stage | Remodelling Phase. Your body does not magically just stop tissue healing at six-week post-injury. Healing is a continuum. At six weeks post-soft tissue injury your healing tissue is reasonably mature but as you stretch, strengthen and stress your new scar tissue it often finds that it is not strong enough to cope with your increasing physical demand.
- Final Stage | Ongoing Repair and Remodelling. The final stage of tissue repair can last from 3 months up to 12 months. Scar tissue needs time to properly align and gain tensile strength needed for the forces placed on it.
- Definition
- Prognosis
- Pathophysiology
- Mechanism of action
- Formation
- Function
- Mechanism
- Signs and symptoms
- Analysis
- Symptoms
Soft tissue healing is defined as the replacement of destroyed tissue by living tissue in the body.[1] This process consists of two parts - regeneration and repair.[2] During the regeneration component, specialized tissue is replaced by the proliferation of surrounding undamaged specialized cells. In the repair component, lost tissue is replaced b ...
Short phase immediately after injury, lasting about 6-8 hours, and up to 24 hours after a crush injury. The time of the bleeding will depend on the extend of the soft tissue injury and the management thereof. The more vascular the injured structures, the more bleeding will occur.[2]
The goal of the inflammation phase is to stop the bleeding phase. This is achieved by vasoconstriction, retraction of injured blood vessels, fibrin deposition and clotting. The blood supply to the area increases in this time, causing oedema and redness. This phase starts rapidly within a 6-8 hours after the soft tissue injury, reaches the maximal r...
Bradykinin, a major plasma protease present during inflammation, increases vessel permeability and stimulates nerve endings to cause pain[3].
Formation of granulation tissue is a central event during the proliferative phase. Its formation occurs 3-5 days following injury and overlaps with the preceding inflammatory phase. Granulation tissue includes inflammatory cells, fibroblasts, and neovasculature in a matrix of fibronectin, collagen, glycosaminoglycans, and proteoglycans.[4]
A rich blood supply is vital to sustain newly formed tissue and is appreciated in the erythema of a newly formed scar. The macrophage is essential to the stimulation of angiogenesis and produces macrophage-derived angiogenic factor in response to low tissue oxygenation. This factor functions as a chemo-attractant for endothelial cells. Basic fibrob...
Angiogenesis results in greater blood flow to the wound and, consequently, increased perfusion of healing factors. Angiogenesis ceases as the demand for new blood vessels ceases. New blood vessels that become unnecessary disappear by apoptosis.[4]
Contraction results in a decrease in wound size, appreciated from end to end along an incision; a 2-cm incision may measure 1.8cm after contraction. The maximal rate of contraction is 0.75 mm/d and depends on the degree of tissue laxity and shape of the wound. Loose tissues contract more than tissues with poor laxity, and square wounds tend to cont...
This classification is based on a treatment protocol of Clanton et al.[6], but it is similar to other classifications. It is possible that some phases overlap, dependable on the individual response to healing and the type of injury. Not every patient undergoes all phases to achieve a full rehabilitation.
This phase starts when signs of inflammation begin to reduce. Inflammation signs are heat, swelling, redness and pain.
Oct 26, 2024 · Exposure Prone Procedures (EPPs) are procedures where the worker's gloved hands may be in contact with sharp instruments, needle tips or sharp tissues (e.g. bone) inside a patient's open body cavity or wound where the hands or fingertips may not be completely visible at all times.<br><br>A sharps injury to the healthcare worker undertaking an EPP may result in the patient being ...
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EPPs are those procedures where the worker's gloved hands may be in contact with sharp instruments, needle tips or sharp tissues (e.g. bone or teeth) inside a patient's open body cavity or wound, where the hands or fingertips may not be completely visible at all times. A sharps injury to the healthcare worker undertaking an EPP may result in the patient being contaminated with the blood of the ...