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4 days on the ground ... Detersion to the sacrum bone... Faeces 4 Times a day in the dressing... What would you do?

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Patient, male, 52 years old, without illnesses. Victim of being run over 1 month ago, admitted to the ICU for treatment of hemopneumotorax, lung contusions and rib fractures. Currently at home, he has a 3x1.5cm ulcer on the right scapular region resulting from the accident, possibly caused by a stone pressed against the region during a run over. 4 days ago we started dressing with alginate with silver and hydrophilic foam. I have doubts about the whitish yellow fabric inside, could it be crumbling? Any suggestion? Thank you very much in advance.

As of today, that's how it looks. 4 days after surgery

4 days later after antibiotics vinegar soaks

4 wheeler accident. Barbed wire fence caused laceration.

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