Each year in the United States, more than 12 million traumaticwounds are treated in emergency departments.1 When nonemergencyor elective incisions are included, approximately 90 millionskin-suturing procedures are performed each year.2 Traumaticlacerations occur most often in young men, typically on theface, scalp, and hands.3 More than 50 percent of all lacerationsare caused by blunt injury that produces shear forces, and mostothers by sharp objects, such as metal, glass, and wood.3,4Only a minority of wounds are caused by mammalian or nonmammalianbites.3
The ultimate goals of wound management are to avoid infectionand achieve . . . [Full Text of this Article]
Evaluation of Patients
Examination of the Wound
Wound Preparation
Anesthesia
Hair Removal
Irrigation
Débridement
Wound Closure
Postoperative Care
Future Prospects
Source Information
From the Department of Emergency Medicine, State University of New York, Stony Brook (A.J.S.); the Department of Emergency Medicine, University of Pennsylvania, Philadelphia (J.E.H.); and the Section of Emergency Medicine, University of Michigan, Ann Arbor (J.V.Q.).
Address reprint requests to Dr. Singer at the Department of Emergency Medicine, University Medical Center, State University of New York, Stony Brook, NY 11794-8350.
References
Related Letters:
Management of Traumatic Lacerations
Spencer J. M., Deitchman S., Jagger J., Kaufman J. L., Kaiser C. W., Karpinski R. H.S., Singer A. J., Hollander J. E., Quinn J. V.
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Full Text
N Engl J Med 1998;
338:474-476, Feb 12, 1998.
Correspondence
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Spencer, J. M., Deitchman, S., Jagger, J., Kaufman, J. L., Kaiser, C. W., Karpinski, R. H.S., Singer, A. J., Hollander, J. E., Quinn, J. V.
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