García-Gubern Carlos F, Colon-Rolon Lissandra, Bond Michael C
Department of Emergency Medicine, Ponce School of Medicine/Hospital San Lucas, Ponce, PR 00731, USA.
Emerg Med Clin North Am. 2010 Nov;28(4):951-67. doi: 10.1016/j.emc.2010.06.009. Epub 2010 Aug 4.
The practice of wound care has greatly improved and evolved over the years. The emergency provider (EP) can choose from a wide variety of sutures, adhesives, strips, and surgical staples, and uses proven wound closure techniques to address this common Emergency Department (ED) patient complaint. All EPs should be comfortable and proficient in the management and care of wounds in the ED. Because wound care is responsible for a large number of malpractice claims, EPs need to be aware of practices that can limit bad outcomes and thus decrease their liability risk. EPs should follow a standard examination and ensure that there is no damage to underlying structures (ie, nerves, tendons, and vasculature), and that foreign bodies are meticulously looked for and removed if found. Discharge instructions that alert the patient on warning signs of infection, and having all patients return within 48hours for a wound check are 2 ways to optimize patients' outcomes.
多年�多年来，伤口护理的实践有了很大的改进和发展。急诊医护人员（EP）可以从各种各样的缝线、粘合剂、创可贴和手术吻合钉中进行选择，并采用经过验证的伤口闭合技术来处理急诊科（ED）患者的这一常见诉求。所有急诊医护人员都应该能够自如且熟练地处理急诊科的伤口管理和护理工作。由于伤口护理引发了大量医疗事故索赔，急诊医护人员需要了解那些能够减少不良后果从而降低其责任风险的做法。急诊医护人员应进行标准检查，确保深层结构（即神经、肌腱和脉管系统）没有损伤，并且要仔细查找异物，如有发现应予以清除。提醒患者注意感染警示信号的出院指导，以及让所有患者在48小时内返回进行伤口检查，是优化患者治疗效果的两种方法。
