Product selection guide

Product Categories Indications Skin Tear Type Considerations
Non-Adherent Mesh Dressings. (Example: lipido-colloid mesh, impregnated gause mesh, silicone mesh, petrolatum) Dry or exudative wound 1,2,3 Maintains moisture balance for multiple levels of wound exudate,
Atraumatic removal
May need secondary cover dressing
Foam dressing Moderate exudate
Longer wear time (2-7 days depending on exudate levels)
2,3 Caution with adhesive border foams, use non-adhesive versions when possible to avoid periwound trauma
Hydrogels Donates moisture for dry wounds 2,3 Caution: may result in peri wound maceration if wound is exudative
for autolytic debriment wounds with low exudate
Secondary cover dressing required
2-octyle cyanoacrylate topical bandage (skin glue) To approximate wound edges 1 Use in a similar fasion as sutures within first 24 hours post injury, relatively expensive, medical directive/protocol may be required
Calcium Alginates Moderate to heavy exudate 1,2,3 May dry out wound bed if inadequate exudate
Secondary cover dressing required
Hydrofibre Moderate to heavy exudate 2,3 No hemostatic properties
May dry out wound bed if inadequate exudate
Secondary cover dressing required
Acrylic Dressing Mild to moderate exudate without any evidence of bleeding, may remain in place for an extended period of time 1,2,3 Care on removal
Should only be used as directed and left on for extended wear time

Special Consideration for Infected Skin Tears

Product Categories Indications Skin Tear Type Considerations
Methylene Blue and Gentian Violet Dressings Effective broad spectrum antimocrobial action including antibiotic resistant organisms 1,2,3 Non-traumatic to wound bed
Use when local or deep tissue infection is suspected of confirmed
Secondary dressing required
Ionic Silver Dressings Effective broad spectrum antimicrobial action including antibiotic resistant organisms 1,2,3 Should not be used indefinitely.
Contraindicated in patients with silver allergy
Use when local or deep infectionis suspected or confirmed
Use non-adherent products whenever possible to minimize risk of further trauma