Wound Care

Pediatric Emergencies ◽

10.1093/med/9780190073879.003.0026 ◽

2020 ◽

pp. 295-301

Author(s):

Shweta R. Iyer ◽

Ee Tein Tay

Keyword(s):

Emergency Department ◽

Antibiotic Treatment ◽

Wound Repair ◽

Wound Care ◽

Pediatric Emergency ◽

Pediatric Emergency Department ◽

Tissue Adhesives ◽

Common Complaint ◽

Child Friendly ◽

Suturing Methods

Wound care is a common complaint in the pediatric emergency department, and depending on the type of wound, there are a myriad of options for treatment. Various options exist for analgesia and anxiolysis, including child-friendly techniques and topical, oral, intranasal, and injectable medications. Options for wound repair include nonsuture techniques, which may be favorable in children when appropriate (e.g., hair apposition technique and tissue adhesives). This chapter discusses types of wounds, analgesia, cleaning, repair of wounds (including topical adhesives, sutures, and staples), and tetanus prophylaxis. Suturing methods and various types of sutures with their respective indications are reviewed. It also discusses common complications and indications for antibiotic treatment, imaging, consultations, and disposition.

Download Full-text

Improved Documentation of Wound Care With a Structured Encounter Form in the Pediatric Emergency Department

Ambulatory Pediatrics ◽

10.1367/a04-196r.1 ◽

2005 ◽

Vol 5 (4) ◽

pp. 253-257 ◽

Cited By ~ 13

Author(s):

John T. Kanegaye ◽

Jerry C. Cheng ◽

R. Ian McCaslin ◽

Douglas Trocinski ◽

Patricia D. Silva

Keyword(s):

Emergency Department ◽

Wound Care ◽

Pediatric Emergency ◽

Pediatric Emergency Department

Download Full-text

The Story of Post-exposure Rabies Prophylaxis at the Pediatric Emergency Department

Journal of Pediatric Infectious Diseases ◽

10.1055/s-0040-1714708 ◽

2020 ◽

Vol 15 (05) ◽

pp. 248-256

Author(s):

Gökce Celep

Keyword(s):

Emergency Department ◽

Wound Care ◽

Public Health Problem ◽

Holistic Approach ◽

Pediatric Emergency ◽

Common Source ◽

Pediatric Emergency Department ◽

Major Public Health Problem ◽

Event Time ◽

Rabies Vaccination

Abstract Objectives This study aimed to determine the epidemiological and medical features of suspected rabies exposures at a pediatric emergency department in a small city center in middle-northern Turkey. Methods Data were abstracted from a standard “Rabies Suspected Animal Contact Cases Examination Form.” The following information was recorded: sociodemographic and clinical features of the victim, history of rabies vaccination, date of event, time to hospital administration, animal species and its vaccination history with owner records, type of suspected contact, wound care, tetanus prophylaxis, rabies vaccination, and forensic notifications. Immunoprophylaxis was determined as “appropriate” or “inappropriate” in accordance with the Rabies Field Guideline (2014). Discussion A total of 306 cases were evaluated at the emergency department of the hospital. The age of the victims ranged between 1.5 and 17 years old, and 61.4% of them were males. Cat scratches were the most common source of suspected rabies exposure. Meanwhile, primary wound care and tetanus immunoprophylaxis were the frequent inappropriate medical applications. Rabies prophylaxis was completed in 76.5% of the cases. However, forensic notifications were missing. In addition, the rate of animal immunization was lower than it should be. Conclusion Our city is rabies free; however, risky exposures are frequent among children. Lack of knowledge about first aid and animal vaccination is revealed to be a major public health problem. Health care workers should follow current guidelines to provide a holistic approach to the treatment of potential rabies exposures.

Download Full-text