background prehospital management of gunshot-wounded (gw) patients influences injury-induced morbidity and mortality. objectives to evaluate prehospital management to gw patients emphasizing the protocol of patient transfer to appropriate centers. patients and methods this prospective study, included all gw patients referred to four major, level-i hospitals in mashhad, iran. we evaluated demogr...

As America's emergency departments witness an increase in care provided to an aging population, the emergency physician increasingly evaluates and treats manifestations of chronic disease. Nonhealing wounds are often a presenting manifestation of chronic disease. They are a source of pain and disability for this population. Emergency physicians should possess a fundamental knowledge in the mana...

on the last wednesday of every year iranians celebrate the sanctity of fire in the annual festival of chaharshanbeh soori. each year many cases of firecracker-related injuries (fri) are reported during this festival. the aim of this study was to assess the pattern of injuries and the frequency of disabilities during this period. in 2011, a cross-sectional study was conducted at the emergency de...

OBJECTIVE To determine the incidence of plantar puncture wound infections. METHODS Ambulatory emergency patients were surveyed with regard to a previous history of plantar puncture wounds and any subsequent infections. RESULTS 200 questionnaires were analysed. Forty four percent of respondents had previously sustained at least one plantar puncture wound. Of 156 wounds, 79 (50%) came to the ...

The emergency clinician is frequently called upon to treat burn wounds secondary to thermal, chemical, electrical, or radiation injury. Most burn wounds seen in veterinary medicine are relatively minor, possibly because animals with severe burns and smoke inhalation are less likely to be rescued from the scene of a house fire. However, life threatening burns and inhalation injury are being seen...

This article discusses the assessment, management and treatment of patients with stab wounds on arrival in the emergency department. It describes the immediate approach to assessment. The assessment of stab wounds to the chest, abdomen and limbs is also examined.

BACKGROUND Wounds, particularly chronic wounds, are a common presentation to the Emergency Department (ED), and in severe cases can contain maggots. Maggot debridement therapy is a popular technique for wound debridement, but is limited to the use of sterilized larvae due to concerns of contamination and invasion of "wild" maggots into healthy tissue. Wild maggots in chronic wounds, therefore, ...

BACKGROUND The modern management of abdominal stab wounds remains controversial and subject to continued reappraisal. In the present study we reviewed patients with abdominal stab wounds to examine and validate a policy of selective non-operative management with serial physical abdominal examination in a busy urban trauma centre with a high incidence of penetrating trauma. METHODS Over a 12-m...

Five hundred and six clean minor surgical procedures were carried out in an emergency theatre. One theatre was used for both clean and septic conditions; clean cases preceding the septic lesions. Sepsis rates were assessed prospectively and complete follow-up was obtained in 491 patients. Four hundred and fifty (91.6%) patients achieved primary healing. Thirty (6.1%) patients developed a mild s...