Vacuum Injury Medical Information

• Severe internal body damage may be hidden from outer skin.
• Bruising may be varied and delated: it may not predict internal damage.
• Massive pooling of blood near injury may cause circulatory collapse.
• Closely monitor vital signs & prepare for quick fluid replacement & resuscitation.
• Water for compartment syndrome to the affected muscular area, large hematomas & very sizes of skin disruption/lacerations.
• Consider surgical consultation.
• Imaging should be considered to assess internal soft tissue damage
• Wounds may be contaminated.
• Tetanus status may need to be updated.

Waterjet Injury Medical Information

• Evaluation & management should parallel that of a gunshot wound.
• External manifestations of injury cannot predict the extent of internal damage.
• Stabilize & thoroughly examine neurovascular.
• X-ray to assess subcutaneous air & foreign bodies distant from the site of injury.
• Injuries to extremities may involve extensive nerve, muscle, & vessel damage, may also create a distal compartment syndrome.
• Injuries to the torso can involve internal organ damage.
• Aggressively irrigate and debride.
• Bandages with hygroscopic solution (MgSO4) & hyperbolic oxygen treatment can decrease pain, edema, & subcutaneous emphysema.
• Contaminated water injection dictates necessity for broad spectrum, intravenous antibiotics.
• Consider surgical consultation.
•  Do NOT surgically close wounds due to contamination.