Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, Wales.
Department of Plastic and Reconstructive Surgery, Royal Free Hospital, and Division of Surgery and Interventional Science, University College London, London, England.
Emerg Nurse. 2021 May 4;29(3):29-33. doi: 10.7748/en.2021.e2065. Epub 2021 Jan 26.
Hand injury is a common presentation in the emergency department (ED). The accurate assessment of hand injuries is essential to ensure optimal management, which may need to include referral to a tertiary trauma centre. However, hand injury assessment can be challenging, particularly in children. A better understanding of the accuracy of hand injury referrals to tertiary care can help improve clinical practice and clinician training. This article reports on a service improvement project that aimed to determine the accuracy of hand injury referrals from EDs and general practices to a tertiary trauma centre. The retrospective investigation found the accuracy of referrals to be high, but also identified areas where hand injury assessment required improvement, one of them being the training of clinicians referring complex cases to tertiary care.
手部损伤在急诊科（ED）较为常见。准确评估手部损伤对于确保最佳治疗至关重要，这可能需要将患者转介至三级创伤中心。然而，手部损伤评估具有一定难度，尤其是对于儿童。更好地了解手部损伤转介至三级治疗的准确性，有助于改善临床实践和临床医生的培训。本文报告了一项旨在确定 ED 和普通诊所将手部损伤转介至三级创伤中心的准确性的服务改进项目。回顾性调查发现，转介的准确性较高，但也确定了需要改进的手部损伤评估领域，其中之一是培训将复杂病例转介至三级治疗的临床医生。
