Wound Management Principles
نویسنده
چکیده
The goals of emergency wound treatment are to restore function, repair tissue integrity with strength and optimal cosmetic appearance, and minimize risk of infection. Risk of infection depends on the location, mechanism, host, and care. The risk for a clean facial wound produced by incision is less than 1%, whereas a dirty crush injury to the lower extremity may have more than a 20% risk. Wound infection generally results in delayed healing, decreased strength, and a poor cosmetic result. These facts highlight the need for high-quality wound care. Understanding the biology of wound healing and the technical aspects of wound treatment facilitates emergency management of these patients. Emergency physicians must also be aware of the medicolegal risk associated with soft tissue injuries. Including injuries to the hand, wound-related complaints are the fourth most common cause of malpractice claims against emergency physicians. Missed foreign body, wound infection, and missed tendon or nerve injury are the most common complications leading to these claims.
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