Revolutionary Advances in the Management of Traumatic Wounds in the Emergency Department During the Last 40 Years: Part I

Richard F. Edlich, George T. Rodeheaver, John G. Thacker, Kant Y. Lin, David B. Drake, Shelley S. Mason, Courtney A. Wack, Margot E. Chase, Curt Tribble, William B. Long, Robert J. Vissers

Research output: Contribution to journalArticlepeer-review

27 Scopus citations

Abstract

Background and Objectives: This report provides an overview of advances in wound repair devised by our research team during the last four decades. This collective review is presented in two parts. Discussion: The following components are included in Part I: 1) search and treat life-threatening trauma; 2) conduct a thorough history; 3) examine the wound using aseptic technique; 4) anesthetize the wound before cleansing; 5) hair removal, skin disinfection, hemostasis, surgical debridement, and mechanical cleansing; 6) antibiotics, drains, and open wound management. Conclusion: On the basis of these comprehensive research studies, we have noted a marked reduction in the incidence of wound infection in traumatic wounds.

Original languageEnglish
Pages (from-to)40-50
Number of pages11
JournalJournal of Emergency Medicine
Volume38
Issue number1
DOIs
StatePublished - Jan 2010

Keywords

  • antibiotics
  • aseptic technique
  • hair removal
  • life-threatening trauma
  • local anesthesia
  • open wound management
  • trauma wound repair

ASJC Scopus subject areas

  • Emergency Medicine

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