Complicated, Chronic, and Aging Skin Wounds

May 12, 2019 by in ANESTHESIA Comments Off on Complicated, Chronic, and Aging Skin Wounds

Key Practice Points ▪ Deep cutaneous and necrotizing infections are often heralded by severe pain before skin signs appear. ▪ Microorganisms responsible for deep infections can include community-associated methicillin-resistant Staphylococcus…

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Bite Wounds

May 12, 2019 by in ANESTHESIA Comments Off on Bite Wounds

Key Practice Points ▪ All animal bites exhibit similarities, but there are enough differences that each one needs to be evaluated and managed individually. ▪ The most important steps in…

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Infiltration and Nerve Block Anesthesia

May 12, 2019 by in ANESTHESIA Comments Off on Infiltration and Nerve Block Anesthesia

Key Practice Points ▪ A gentle and empathetic approach to patients is necessary when administering local anesthesia because of the near universal fear of injections and needles. ▪ The onset…

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Instruments, Suture Materials, and Closure Choices

May 12, 2019 by in ANESTHESIA Comments Off on Instruments, Suture Materials, and Closure Choices

Key Practice Points ▪ Lacerations and wounds can be managed with a few well-chosen instruments: needle holders, tissue forceps, and scissors. ▪ Each instrument requires special handling (described in this…

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Wound Cleansing and Irrigation

May 12, 2019 by in ANESTHESIA Comments Off on Wound Cleansing and Irrigation

Key Practice Points ▪ Thorough wound cleansing and irrigation are the most important steps in repairing wounds and lacerations. ▪ Povidone-iodine solution (not scrub preparation) is the most effective skin,…

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Emergency Wound Care: An Overview

May 12, 2019 by in ANESTHESIA Comments Off on Emergency Wound Care: An Overview

Key Practice Points ▪ The average laceration cared for by emergency caregivers is 1 to 3 cm in length, with 13% of lacerations considered significantly contaminated. ▪ The most common…

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Patient Evaluation and Wound Assessment

May 12, 2019 by in ANESTHESIA Comments Off on Patient Evaluation and Wound Assessment

Key Practice Points ▪ To prevent unexpected syncope and to provide for patient comfort during wound care, the patient is placed in the supine position. Parents or friends, who want…

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Wound Care and the Pediatric Patient

May 12, 2019 by in ANESTHESIA Comments Off on Wound Care and the Pediatric Patient

Key Practice Points ▪ Addressing the emotional needs of children and parents is as important as wound care. ▪ If the history is inconsistent with the wounds, physical abuse of…

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