Evidence-Based Management Of Acute Hand Injuries In The Emergency Department.

Autor: Bowen WT; Section of Emergency Medicine, Louisiana State University Health Sciences Center, New Orleans, LA., Slaven EM; Clinical Associate Professor of Medicine, Section of Emergency Medicine, Louisiana State University Health Sciences Center, New Orleans, LA.
Jazyk: angličtina
Zdroj: Emergency medicine practice [Emerg Med Pract] 2014 Dec; Vol. 16 (12), pp. 1-25; quiz 26-7. Date of Electronic Publication: 2014 Dec 01.
Abstrakt: Although injuries of the hand are infrequently life-threatening, they are common in the emergency department and are associated with significant patient morbidity and medicolegal risk for physicians. Care of patients with acute hand injury begins with a focused history and physical examination. In most clinical scenarios, a diagnosis is achieved clinically or with plain radiographs. While most patients require straightforward treatment, the emergency clinician must rapidly identify limb-threatening injuries, obtain critical clinical information, navigate diagnostic uncertainty, and facilitate specialist consultation, when required. This review discusses the clinical evaluation and management of high-morbidity hand injuries in the context of the current evidence.
Databáze: MEDLINE