The clinical course of RAS

Most typical for the initially infected wounds. In it there are three periods, which differ in the features of the clinical picture and do not completely coincide with the described periods (phases of wound process.
The incubation periodin which pathogens, localised in the wound cavity and on its walls, clinically do not manifest themselves. The duration of this period may vary from several hours to 3-4 days for purulent infection and up to 5-6 days for anaerobic. However, these extreme figures are rare; most constant can be considered the duration of the incubation of these infections equal to 24 hours.
This digit as the middle and put in a basis of different settlements in the organization of assistance to the wounded in war. Putrid infection almost always develops as a secondary or superinfection; duration of stay of pathogens in the wound before the infection is extremely different.
In the incubation period cannot tell a wound infected from bacterial contaminated. About the likelihood of infection can be assessed only with regard to the wound as such, and it is always better to exaggerate the likely than be underestimated. Therefore, before the expiration of possible incubation (in the first 4-5 days from the date of injury) random, and especially firearms combat wounds in the vast majority should be interpreted and treated as infectious. As uninfected can be considered only sliced and chopped wounds of the face, cut wounds of the hand and fingers caused clean (in the everyday sense) tool, cut (not minced!) the wounds of the scalp, puncture wounds inflicted by a small instrument (needle, Shilo and so on), and all this - in the absence of explicit, visible contamination of the wound. Firearms can be considered neinfizirovanne wounds makaokalani and drobovii (separate druzyami)and perforating gunshot (especially caused a pistol bullet). In the wounds of soft tissues not penetrating, without bruising around perforated of wound apertures, without bruising and infiltrates in the course of the wound canal infection develops relatively seldom, mostly in the localization of these wounds in the lower half of the body, mostly on foot.