BACKGROUND Some children feel pain during wound closures using tissue adhesives. We sought to determine whether a topically applied analgesic solution of lidocaine-epinephrine-tetracaine would decrease pain during tissue adhesive repair. METHODS We conducted a randomized, placebo-controlled, blinded trial involving 221 children between the ages of 3 months and 17 years. Patients were enrolled...

OBJECTIVE To audit the clinical management preceding peripartum hysterectomy and evaluate if peripartum hysterectomies are potentially avoidable and by which means. MATERIAL AND METHODS We developed a structured audit form based on explicit criteria for the minimal mandatory management of the specific types of pregnancy and delivery complications leading to peripartum hysterectomy. We evaluat...

INTRODUCTION Emergency department manages several kinds of wounds including simple, non-bite traumatic wounds and lacerations. Prophylactic antibiotic therapy is one of pre-scribed treatment in these conditions. We aimed to compare the clinical efficacy of the two day regimen of prophylactic antimicrobial agents with the five day regimen in simple traumatic but highly contaminated wounds. MET...

We appreciate the great interest expressed by Leoncini [1] in our report on tracheal lacerations after endotracheal intubation [2]. The recent experience with 23 tracheal lacerations reported by the author from San Martino Hospital in Genoa [3] seems to be an external validation of our morphological classification. Indeed, Leoncini is right in taking into account the clinical condition of the p...

Perineal laceration is trauma to the perineum due tearing of birth canal or an episiotomy at time expulsion fetus from uterus. One causes infection and bleeding perineal laceration. Old wound healing can increase risk so it necessary fulfill nutritional intake, especially protein which will help growth new cells in that process be accelerated. This study aims determine whether administration bo...

Abstract Aim This audit aimed to assess the quality of documentation sensory function assessment in hand trauma patients treated at a regional referral unit. The was based on British Orthopaedic Association Standards for Trauma and Orthopaedics (BOAST) “Peripheral Nerve Injury” national guideline, last updated December 2021. Method scope included all referrals received between 1st 10th March 20...

The potential problems faced on setting up a hand clinic and how they may be overcome are discussed. In its first 12 months there were 199 new referrals over 50% of which were either lacerations, fingertip injuries or fractures. The management of these cases is discussed.

Intrapartum hemorrhage is a serious and sometimes life-threatening event. Several etiologies are known and include placental abruption, uterine atony, placenta accreta, and genital tract lacerations. Prompt recognition of blood loss, identification of the source of the hemorrhage, volume resuscitation, including red blood cells and blood products when required, will result in excellent maternal...

We appreciate the great interest expressed by Leoncini [1] in our report on tracheal lacerations after endotracheal intubation [2]. The recent experience with 23 tracheal lacerations reported by the author from San Martino Hospital in Genoa [3] seems to be an external validation of our morphological classification. Indeed, Leoncini is right in taking into account the clinical condition of the p...