Assessment of abrasions

For a structured review of a wound, see Assessing patients with an ulcer or wound.

Ensure haemostasis and undertake a primary survey. The primary survey consists of assessing danger, response, airway, breathing and circulation to identify life-threatening injuries. After the primary survey, undertake a secondary survey (ask about details of the accident and undertake a detailed patient assessment) to determine the extent, depth and implications of the injury. Assess the patient for bruises, haematomas and fractures.

Contamination of the wound with dirt or soil is common; knowing when, how and why the injury occurred assists in treatment and prevention strategies. If contaminants cannot be easily removed (eg gravel), refer to a plastic surgeon.