Wound Care Plan

Crush injury – foot

Last Updated

15 April 2026

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Quick Overview

Reference ID Number: WL-WCP-16

Scope of Practice (ScOP) Designation

Medical Officer,Registered Nurse (RN),Enrolled Nurse (EN)

Treatment Goals

To support primary closure by stabilising the suture line and managing moisture in a partially open crush injury.

Aim of Dressing

To facilitate epithelialisation of the open crushed area while utilising a low-profile dressing to enable mobilisation with suitable footwear.

Frequency of Dressing Change

3 Days(s) Min - 7 Days (Max)

References

Shopping List

Dressing Pack (Small),Normal Saline,UrgoStart (10cm x 10cm),Hypafix (5cm x 10m),Tubular Form – Size D (26 – 35cm)

Page Table of Contents

Product Selection Disclaimer:

The wound care products being currently used are a suggestion ONLY. They do not take into account your patient's individual needs which you must assess. No funding from medical companies has been provided and wound care products are chosen on their merit and what is available on the NSW Health State Wound Care Contract. Where an exact brand name product is not available we suggest you review the alternative tab or use another wound care product from its category eg. Hydrofibre

Photo Gallery

Care Plans

Single crush injury to right foot

middle-aged man sustained a crush injury to the foot following a pallet falling onto it.

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Step 1

Setup sterile field

Prepare a sterile field and arrange all sterile products using aseptic technique.

Products Used

Dressing Pack (Small),Normal Saline,UrgoStart (10cm x 10cm)

Step 2

Clean the wound

Gently cleanse the wound, taking care not to disturb the suture line.

Products Used

Gauze squares,Normal Saline

Step 3

Apply Urgo Start

Double-layer UrgoStart may be required to accommodate tissue loss from the crush injury; a single layer may be used if the wound bed is relatively flat.

Products Used

UrgoStart (10cm x 10cm)