Managing Blisters After a Car Accident: Signs of Infection to Watch For - Surgery

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Management of blisters after a car accident?


Hello, doctor.
I was in a car accident on April 19, and I have two blisters near my ankle—one the size of a five-dollar coin and the other slightly larger than a fifty-dollar coin.
However, on April 22, my blisters burst, and some skin was missing.
When I changed the dressing on April 23, I noticed some redness and swelling on the dorsum of my foot, and there was edema.
I went to see a doctor at that time, but they didn't say much, only that the wound was a bit deep and would take about two to three weeks to heal completely (I also forgot to ask if there were any signs of infection).
Today, on April 24, when I changed the dressing, I noticed that the redness is still present, and the swelling on the dorsum of my foot seems to be around 2+ to 3+.
Is this a normal reaction, or could I be experiencing an infection or inflammation? Thank you, doctor.

Xiao Jiang, 20~29 year old female. Ask Date: 2019/04/24

Dr. Li Zhonghuai reply Surgery


Hello! First, it is important to confirm whether you were burned by the motorcycle's exhaust pipe at the time of the accident.
If it is a burn, then treat it accordingly.
If the wound is red, it indicates an infection; if it is very dirty, debridement should be performed to promote faster healing.
Take care! Changhua Hospital cares about you!

Reply Date: 2019/04/24

More Info


After a car accident, managing blisters and monitoring for signs of infection is crucial for proper healing. In your case, you experienced blisters near your ankle, which is common after trauma. The fact that one of your blisters has burst and that there is some redness and swelling in the area raises valid concerns about potential infection.


Signs of Infection to Watch For
1. Increased Redness: While some redness around a wound is normal, especially after a blister has burst, if the redness is spreading or becoming more intense, it could indicate an infection.

2. Swelling: Mild swelling can be a part of the healing process, but significant swelling (like the 2+ to 3+ you mentioned) can be a sign of inflammation or infection. If the swelling is not improving or is worsening, it’s important to seek medical attention.

3. Heat: An infected area may feel warm to the touch compared to surrounding skin. This warmth is a sign of increased blood flow to the area as your body responds to the infection.

4. Pain: While some discomfort is expected after an injury, increasing pain or tenderness in the area can indicate that an infection is developing.

5. Discharge: If you notice any pus or unusual discharge from the wound, this is a strong indicator of infection. Healthy wounds typically do not produce pus.

6. Fever: A systemic response, such as a fever, can also indicate that an infection is present. If you develop a fever, it’s essential to contact a healthcare provider.


What to Do Next
Given your symptoms, it’s advisable to follow up with your healthcare provider. Here are some steps you can take:
- Keep the Wound Clean: Continue to clean the area gently with mild soap and water. Avoid using alcohol or hydrogen peroxide directly on the wound, as these can irritate the tissue.

- Dress the Wound Properly: Use a sterile dressing to cover the area. Change the dressing regularly, especially if it becomes wet or soiled.

- Monitor Symptoms: Keep a close eye on the symptoms mentioned above. If you notice any worsening of redness, swelling, or pain, or if you develop a fever, seek medical attention promptly.

- Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and reduce inflammation.

- Follow-Up: If your doctor did not provide specific instructions regarding follow-up care, it’s a good idea to schedule a follow-up appointment to reassess the wound and discuss your concerns about infection.


Conclusion
In summary, while some redness and swelling can be part of the healing process after a blister has burst, significant changes in these symptoms can indicate an infection. It’s essential to monitor your condition closely and seek medical advice if you have any concerns. Proper wound care and monitoring are key to preventing complications and ensuring a smooth recovery.

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