SGEM #9: Who Let the Dogs Out? (Wound Care)

Studi estratti dal podcast di Dr. Ken Milne

• 2008Current Management of Acute Cutaneous WoundsEmergency & ResuscitationInpatients with acute lacerations, bites or burns, this review weighsmodern cleansing, closure and dressingagainsttraditional wound careforhealing and cosmesis
• 2000Patient Priorities with Traumatic LacerationsEmergency & ResuscitationAmong724 ED patients and visitors,normal functionoutrankedavoiding infection and cosmesisas top laceration priority, exceptcosmesis for facial wounds
• 2001Risk Factors for Infection in Patients with Traumatic LacerationsEmergency & ResuscitationIn 5521 patients with repaired traumatic lacerations, diabetes or a retained foreign body raised wound infection compared with patients without these factors.
• 2022Water for wound cleansing (Cochrane Review)Emergency & ResuscitationIn2504 patients with acute or chronic wounds,cleansing with tap waterhad uncertain effects onwound infection and healingcompared withnormal saline or no cleansing
• 1986Use of sterile gloves in the management of sutured hand wounds in the A&E departmentEmergency & ResuscitationIn 242 sutured hand wounds in an A&E department, sterile gloves reduced late purulent wound infection compared with suturing without gloves.
• 2004Sterile versus Nonsterile Gloves for Repair of Uncomplicated Lacerations in the Emergency DepartmentEmergency & ResuscitationIn816 immunocompetent patients with uncomplicated lacerations,clean nonsterile glovesgave similar rates ofwound infectionassterile gloves.
• 2003Epinephrine in digital blocks: refuting dogmaEmergency & ResuscitationInpatients undergoing digital nerve blocks,lidocaine with epinephrinecaused nodigital gangrenecompared withplain lidocaineacross four appraised studies.
• 2002Suturing versus conservative management of lacerations of the handEmergency & ResuscitationIn91 patients with 95 uncomplicated hand lacerations <2 cm,conservative managementmatchedsuturingforcosmetic appearance at three months, with less pain