This study investigated the effects of a TeleWound program on the use of service and financial outcomes among homebound patients with chronic wounds. The TeleWound program consisted of a Web-based transmission of digital photographs together with a clinical protocol. It enabled homebound patients with chronic pressure ulcers to be monitored remotely by a plastic surgeon. Chronic wounds are high...

BACKGROUND A medical emergency call is citizens' access to pre-hospital emergency care and ambulance services. Emergency medical dispatchers are gatekeepers to provision of pre-hospital resources and possibly hospital admissions. We explored causes for access, emergency priority levels, and temporal variation within seasons, weekdays, and time of day for emergency calls to the emergency medical...

BACKGROUND Minor abrasions and skin tears are usually treated with gauze dressings and topical antibiotics requiring frequent and messy dressing changes. OBJECTIVE We describe our experience with a low-cost, cyanoacrylate-based liquid dressing applied only once for minor abrasions and skin tears. METHODS We conducted a single-center, prospective, noncomparative study in adult emergency depa...

BACKGROUND To investigate the emergency treatment on facial laceration of dog bite wounds and identify whether immediate primary closure is feasible. METHODS Six hundred cases with facial laceration attacked by dog were divided into two groups randomly and evenly. After thorough debridement, the facial lacerations of group A were left open, while the lacerations of group B were undertaken imm...

of the clinical presentation of the disease. The diagnosis can be suspected but not confirmed in the emergency depart­ ment (ED). In addition to recognizing the clinical presentation of tetanus, EPs play a vital role in the prevention of the disease. Primary pediatric vaccination and regular decennial booster vaccination are the mainstays of disease prevention and sever­ ity modulation. Herd im...

background the optimal management of hemodynamically stable asymptomatic patients with anterior abdominal stab wounds (aasws) remains controversial. the goal is to identify and treat injuries in a safe cost-effective manner. common evaluation strategies are local wound exploration (lwe), diagnostic peritoneal lavage (dpl), serial clinical assessment (scas) and computed tomography (ct) imaging. ...

OBJECTIVE To quantify and characterize injuries resulting from paintball game related activities among persons >/=7 years in the United States. SETTING Hospitals included in the National Electronic Injury Surveillance System (NEISS); these are composed of a stratified probability sample of all hospitals in the United States with emergency departments. METHODS Using NEISS, non-fatal injury d...

Background Burn is still a majordevastating condition in emergency medicine departments among both genders and all age groups in all developed and developing countries, leading to physical, psychological scars and economical burden. The present study aimed to determine the healing effect of topical treatment with Arnebia euchroma on second-degree burn wound in rats. Methods Fifty rats were ...

OBJECTIVE This report describes ambulatory care visits to hospital emergency departments in the United States. Statistics are presented on selected patient and visit characteristics. METHODS The data presented in this report were collected from the 1995 National Hospital Ambulatory Medical Care Survey (NHAMCS). NHAMCS is part of the ambulatory care component of the National Health Care Survey...

A meta-analysis was conducted to determine whether prophylactic systemic antibiotics prevent infection in patients with nonbite wounds that are managed in the emergency department (ED). A literature search was performed to identify published, randomized trials of prophylactic antibiotics for nonbite wounds. Blinded review of trial methods was used to select trials that randomly assigned patient...