Abrasion and crush wounds

    At first the wound have to be cleaned with tap water. Then the 
wound 
is covered with an alginate dressing and covered with an adhesive 
tape, 
which can be non-sterile. The next day, the wound is evaluated. Aft
the removal of the dressing, it is washed with tap water. The next 
steps 
vary by locations; the facial wound is covered with a hydrocolloid 
dressing and other wounds need to be covered with multi-layered 
dressings (i.e. , Plusmoist(TM) ). After the dressings change, the 
patient removes and changes the dressings everyday. The goal of the
treatment is an exudate-free and fully covered epithelialization. 
Exposure of the wound to sunlight should be avoided, because 
ultraviolet 
light enhances pigmentations of the wound scar.
    A contaminated wound have to be cleaned after local anesthesia 
applied. The foreign body must be removed completely. After that, t
procedure described as above is performed.
     Deep wounds with exposure of fat, muscles or bones, are also 
treated in the same manner.
Case-1: A facial abrasion wound
Case-2: Upper lip defect by dog-bite