Indeed, we recommend employing gentle cleansing techniques and refraining from scrubbing, as it can potentially exacerbate any existing trauma.

Pediatric populations indeed present unique challenges in preventing and managing skin tears. In children, skin tears often result from trauma during dressing or device removal, or even from handling the child, particularly in neonates with delicate skin. While the appearance of these tears may resemble those in adults, the mechanisms of injury differ significantly.

The suitability of using bordered foam dressings like Allevyn Gentle Border depends on the condition of the peri-wound and surrounding skin. While they can be utilized, it's crucial to conduct a careful assessment beforehand. If there's any concern regarding the risk of additional trauma, such as Medical Adhesive-Related Skin Injury (MARSI), consider incorporating skin barriers or protectants.

Foam dressings are suitable for managing exudate, but it's essential to conduct a thorough assessment of moisture levels to weigh the risk of maceration against maintaining a moist environment. If the risk of infection is deemed low, leaving a foam dressing in place for five days can be acceptable. However, it's crucial to monitor the patient for any changes in the condition of their wound or limb during this time.

Polymeric dressings consist of a hydrophilic polyurethane matrix infused with a gentle wound cleanser (surfactant), a moisturizing agent (glycerol), a superabsorbent material, and a semi-permeable film backing. They serve as valuable tools in managing localized wound pain.

When considering flap thickness, while it may not necessitate further analysis, it holds significance during the process of repositioning and categorizing the skin tear.

There's insufficient evidence supporting the use of zinc specifically for skin tears. Zinc oxide ointment is typically indicated for diaper/nappy rash or other minor skin irritations. ISTAP does not recommend its use for treating skin tears.

If the flap is anchored or fixed at one end, it's advisable to remove the dressing from the fixed edge of the flap to prevent pulling the flap in the wrong direction.

Foam dressings are specifically designed to absorb exudate; however, their absorption capacities can vary. It's important to refer to the manufacturer's indications for use to ensure suitability for managing heavy exudate within the first 24 hours.

The Table of Dressings is included in our 2018 Best Practice Recommendations Document. This document is accessible for free to ISTAP Members on our website at https://www.skintears.org/publications.

Acrylic dressings are included in our 2018 Best Practice Recommendations Document. This document is accessible for free to ISTAP Members on our website at https://www.skintears.org/publications.

For initial wound care, opt for gentle cleansing methods such as irrigating with saline. Avoid dislodging the skin tear flap and refrain from using products that could cause debridement. However, if the skin tear occurred in a dirty environment and there's a risk of debris or contamination, more thorough cleansing may be necessary. Additionally, Tetanus status should be considered if there's a potential for contamination.

A skin graft is very different to a skin tear, they are not the same.

The necessity of removing and cleaning the wound may vary depending on the time since the injury. If the skin tear occurred within the last 24 hours and was adequately cleansed at the time, there might not be a need for further cleansing unless indicated otherwise. It's important to inquire whether the skin tear flap was repositioned during initial care. Additionally, having photos of the skin tear would be beneficial in this situation.

ISTAP is actively striving to incorporate more diverse photos of skin tears, including various skin tones. We have reached out to our members, requesting them to share relevant photos. If you have permission to share any photos, please feel free to send them to us at info@skintears.org.

The frequency of dressing changes varies based on clinical indications, particularly exudate levels. If the dressing experiences strike-through, it should be replaced. Some dressings can remain in place for several days. Daily dressing changes may be necessary in cases of infection.

We currently lack specific data on the infection rates of skin tears. However, similar to other open wounds, skin tears are susceptible to infection, with risk influenced by various factors including patient comorbidities.

A hematoma can range from a bruise (ecchymosis) to a significant blood collection. Given that skin tears often result in bleeding, it's probable that there will be a blood clot present at the injury site. In managing a skin tear, it's crucial to gently cleanse the wound to remove any blood accumulation, facilitating the repositioning of the skin tear flap.

2-Octyl cyanoacrylate topical bandage, commonly known as skin glue, can be used for Type 1 skin tears.

It's essential to differentiate between a moisture lesion and a skin tear in this scenario. Skin tears typically occur in other body areas rather than the buttock cheeks. However, if it is indeed a skin tear, treatment should align with the Type classification and the guidelines outlined in the 2018 Best Practice Recommendations Document. This resource is available free of charge to ISTAP Members on our website at https://www.skintears.org/publications.