Management of traumatic wounds in the Emergency Department: position paper from the Academy of Emergency Medicine and Care (AcEMC) and the World Society of Emergency Surgery (WSES)

Prevaldi, Carolina; Paolillo, Ciro; Locatelli, Carlo; Ricci, Giorgio; Catena, Fausto; Ansaloni, Luca; Cervellin, Gianfranco

doi:10.1186/s13017-016-0084-3

Cited by 30 publications

(33 citation statements)

References 36 publications

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“…Nowadays, recommendations are not very precise concerning wounds' care after discharge from the ED. [ 27 28 ] In our study, the advice sheet was based on actual recommendations (French Emergency Medicine Society, 2018). This could explain the absence of any difference regarding dressing application, dressing change frequency, discarding of supplies, and aseptic procedure between the two groups.…”

Section: Discussionmentioning

confidence: 99%

Establishing a written advice sheet to patients consulting for wound to emergency ward improves postemergency care

et al. 2021

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OBJECTIVES: Sutures require follow-up visits for favorable evolution. To improve postemergency wound care, we decided to include a standardized advice sheet for patients based on current recommendations. The objective is to assess its effectiveness on outpatients' compliance after being discharged from the emergency department (ED). METHODS: We performed a prospective, pre–post design trial in an ED of a teaching hospital. We included for two consecutive months all patients aged ≥16 years old and consulting for wounds that needed suturing, and we excluded chronic wounds, burns, and hand wounds since they all need special care. During the 1 st month, all patients received during ED visit usual verbal instructions concerning the postemergency care (Group A). During the 2 nd month, all patients received usual verbal instructions and a standardized written advice sheet that detailed postemergency wound care (Group B). We organized telephone follow-up after the suture removal date and asked about dressing changes, appearance of infection signs, and respect of suture removal date. We compared patients;' characteristics in the two groups and performed a multivariable logistic regression using compliance to discharge instructions as our endpoint. RESULTS: For 2 months, 509 patients consulted for wounds. 119 (23.4%) patients were included in the study and followed. Baseline characteristics of patients did not differ between the two groups. Patients who received the advice sheet (Group B) had a better compliance in postemergency care (91.7% vs. 72.9%; P = 0.01). Moreover, there were significantly less dressing changes in Group B than in Group A (5.3 [2.2] vs. 12.9 [7.7]; P < 0.01) and suture removal date was more in agreement with recommendations in Group B (83.9% vs. 66.7%; P = 0.03). Occurrence of infection was not significantly different between groups (9.7% vs. 13.7%; P = 0.37). CONCLUSION: For the management of wound care, discharge hospital process including a written advice sheet improves outpatients' compliance and postemergency care.

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Section: Discussionmentioning

confidence: 99%

Establishing a written advice sheet to patients consulting for wound to emergency ward improves postemergency care

et al. 2021

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“…For example, the tetanus vaccine is commonly delivered in EDs across the country, and it is the standard of care to ask patients with trauma or lacerations about their tetanus immunization status. 8 However, between 2000 and 2013, Canada averaged only 3 cases of tetanus per year. 9 Despite influenza’s markedly higher prevalence and direct impact on the ED, many EDs do not routinely offer influenza immunization.…”

Section: Discussionmentioning

confidence: 99%

Pharmacy-initiated immunizations in the emergency department—HaliVax PIIE

et al. 2018

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“…However, this pathogen is one of the most commonly isolated bacteria in chronic wounds (Altoparlak et al, 2004; Gjødsbøl et al, 2006; Kirketerp-Møller et al, 2008). Elderly (>65 years) and immunocompromised patients as well as patients with an underlying pathology such as diabetes or vascular diseases, who are at risk of developing chronic ulcers of the skin, have higher risk of developing infection (Serra et al, 2015; Prevaldi et al, 2016).…”

Section: Pseudomonas Aeruginosa Infections In Cutaneous Corneal Airmentioning

confidence: 99%

Repair Process Impairment by Pseudomonas aeruginosa in Epithelial Tissues: Major Features and Potential Therapeutic Avenues

Ruffin

Brochiero

2019

Front. Cell. Infect. Microbiol.

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Epithelial tissues protecting organs from the environment are the first-line of defense against pathogens. Therefore, efficient repair mechanisms after injury are crucial to maintain epithelial integrity. However, these healing processes can be insufficient to restore epithelial integrity, notably in infectious conditions. Pseudomonas aeruginosa infections in cutaneous, corneal, and respiratory tract epithelia are of particular concern because they are the leading causes of hospitalizations, disabilities, and deaths worldwide. Pseudomonas aeruginosa has been shown to alter repair processes, leading to chronic wounds and infections. Because of the current increase in the incidence of multi-drug resistant isolates of P. aeruginosa , complementary approaches to decrease the negative impact of these bacteria on epithelia are urgently needed. Here, we review the recent advances in the understanding of the impact of P. aeruginosa infections on the integrity and repair mechanisms of alveolar, airway, cutaneous and corneal epithelia. Potential therapeutic avenues aimed at counteracting this deleterious impact of infection are also discussed.

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Management of traumatic wounds in the Emergency Department: position paper from the Academy of Emergency Medicine and Care (AcEMC) and the World Society of Emergency Surgery (WSES)

Cited by 30 publications

References 36 publications

Establishing a written advice sheet to patients consulting for wound to emergency ward improves postemergency care

Establishing a written advice sheet to patients consulting for wound to emergency ward improves postemergency care

Pharmacy-initiated immunizations in the emergency department—HaliVax PIIE

Repair Process Impairment by Pseudomonas aeruginosa in Epithelial Tissues: Major Features and Potential Therapeutic Avenues

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