RT Book, Section
A1 Reeder, Timothy
A2 Cline, David M.
A2 Ma, O. John
A2 Cydulka, Rita K.
A2 Meckler, Garth D.
A2 Handel, Daniel A.
A2 Thomas, Stephen H.
SR Print(0)
ID 56271607
T1 Chapter 9. Evaluating and Preparing Wounds
T2 Tintinalli's Emergency Medicine Manual, 7e
YR 2012
FD 2012
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-178184-8
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=56271607
RD 2024/04/24
AB Traumatic  wounds  are  regularly  encountered  in  the  emergency  department.  It  is  important  to  document  important  historical  information  such  as  the  mechanism,  timing,  and  location  of  injury,  and  the  degree  of  contamination.  Associated  symptoms  of  pain,  swelling,  paresthesias,  and  loss  of  function  should  be  identified.  Ascertain  factors  that  affect  wound  healing,  such  as  the  patient's  age,  location  of  injury,  medications,  chronic  medical  conditions  (eg,  diabetes,  chronic  renal  failure,  or  immunosuppression),  and  previous  scar  formation  (keloid).  Patients  with  the  sensation  of  a  foreign  body  are  much  more  likely  to  have  retained  a  foreign  body.  Patient  characteristics  of  handedness,  occupation,  tetanus  status,  and  allergies  (eg,  to  analgesics,  anesthetics,  antibiotics,  or  latex)  should  be  documented.  When  caring  for  wounds,  the  ultimate  goal  is  to  restore  the  physical  integrity  and  function  of  the  injured  tissue  without  infection.