Best management for a contaminated wound with necrotic material
Necrotic tissue acts as foci of infection and slows down healing. So Debridement is neccesary after initial assessment. Debridement : A wound should be explored and debrided to the limit of blood staining. Devitalized tissue must be excised until bleeding occurs with obvious exceptions of nerves, vessels and tendons.
Debridement
Tetanus toxoid
Gas gangrene serum
Broad spectrum antibiotics
General surgery