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February 9, 2012

Dog Bite Treatment

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How many dog bites occur?

Almost 75 million dogs live in the United States, and since many victims of dog bites don't seek medical care or report the attack, it may be that the U.S. Center for Disease Control and Prevention (CDC)'s estimate of 4.5 million dog bites each year in the U.S. may be too low. Approximately 880,000 dog bite victims seek emergency medical care at hospitals in the U.S. every year.

Dogs have rounded teeth, and it is the pressure exerted by their jaws that can cause significant damage to the tissues under the skin, including bones, muscles, tendons, blood vessels, and nerves.

More than 30,000 victims of dog bites undergo reconstructive surgery each year, and 15-20 people die of dog bites yearly.

Who is at risk for a dog bite?

The risk of being bitten by a dog increases if thee is a dog in the home; the more dogs there are, the greater the risk. Men are more frequent victims than women (who are bitten by cats more often).

Children between the ages of 5 and 9 are more likely to be bitten by a dog than other age groups. Children are also more likely to present for medical attention.

What should I do if someone is bitten by a dog?

The dog bite victim needs to be taken to a safe place away from the assailant dog to prevent further attack and injury. Since dog bites can cause significant damage beneath the skin, a type of injury that cannot always easily be appreciated, medical care should be accessed by a health care practitioner.

Wounds should be kept elevated and, if possible, washing the wound with tap water may be attempted.

Information should be obtained from the dog's owner about the dogs rabies immunization status, but if this is not possible, hospital, animal control centers, or law enforcement personnel will help gather any required information.



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Dog Bite (Treatment)

Why is wound closure important?

The ability to close a skin wound is an important skill learned by medical care providers. Whether the skin injury was made by a scalpel in the operating room or by a fall in the street, the decision as to how and when to repair the damage needs to be individualized for each patient and situation.

The skin has many layers from the epidermis on the outside to the subcutaneous tissue and the dermis in between. Each of these layers has other sub-layers that help the skin perform its functions. The skin provides a barrier to the outside world and the dangers of infection, environmental hazards and chemicals, and temperature. It contains melanocytes that can darken or tan the skin while protecting from ultraviolet radiation and it also plays an important role in temperature regulation.

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