Anatomical distribution of soft tissue sepsis sites in intravenous drug misusers attending an accident and emergency department

Addiction ◽  
1990 ◽  
Vol 85 (11) ◽  
pp. 1495-1495 ◽  
Author(s):  
M. H. STONE ◽  
D. H. STONE ◽  
HELEN A. R. MacGREGOR
Keyword(s):  
Emergency Department ◽  
Soft Tissue ◽  
Intravenous Drug ◽  
Anatomical Distribution ◽  
Accident And Emergency ◽  
Accident And Emergency Department

scholarly journals The Ortho-Plastic Approach to Soft Tissue Management in Trauma

2014 ◽  
Vol 8 (1) ◽  
pp. 399-408 ◽  
Author(s):  
Daniel J Jordan ◽  
Marco Malahias ◽  
Wasim Khan ◽  
Sandip Hindocha
Keyword(s):  
Emergency Department ◽  
Soft Tissue ◽  
Soft Tissue Injuries ◽  
British Association ◽  
Current Evidence ◽  
Soft Tissue Management ◽  
Initial Management ◽  
Accident And Emergency ◽  
Accident And Emergency Department ◽  
British Orthopaedic Association

Fractures with associated soft tissue injuries, or those termed ‘open,’ are not uncommon. There has been much discussion regarding there management, with the guidance from the combined British Orthopaedic Association and British Association and Aesthetic Surgeons teams widely accepted as the gold level of therapy. We aim to discuss the current evidence about the initial management of this group of injuries, taking a journey from arrival in the accident and emergency department through to the point of definitive closure. Other modes of therapy are also reviewed.

Intravenous Drug Misusers Presenting to the Accident and Emergency Department of a Large Teaching Hospital a Failure of Clinical Management?

1989 ◽  
Vol 34 (2) ◽  
pp. 428-430 ◽  
Author(s):  
M.H. Stone ◽  
D.H. Stone ◽  
H.A.R. MacGreggor
Keyword(s):  
Emergency Department ◽  
Clinical Management ◽  
Hiv Transmission ◽  
Intravenous Drug ◽  
Drug Misuse ◽  
Royal Infirmary ◽  
Accident And Emergency ◽  
Large Teaching Hospital ◽  
Accident And Emergency Department

The records of all 77,686 attendances at or via the accident and emergency department of the Glasgow Royal Infirmary in 1986 were examined. Of these, 488 (0.6%) contained evidence of intravenous drug misuse (IDM). Most (68%) of the 354 attenders were male. The mean age of attenders in both sexes was 22 years. Over half of the presenting conditions were ‘surgical’ (mainly abscesses), while ‘psychiatric’ (including explicitly drug-related) conditions comprised about 30%. In almost two-thirds of cases, patients were discharged without specialist follow-up or care. Only 5% were referred for specialist assessment of their drug misuse. About a fifth were admitted. It is argued that these findings appear to represent a serious failure of clinical management requiring an urgent remedy, particularly in the light of the growing problem of HIV transmission in this group.

Use of an accident and emergency department observation ward in the management of head injury

1993 ◽  
Vol 80 (8) ◽  
pp. 1079-1079 ◽  
Author(s):  
A. F. T. Brown ◽  
G. J. Wilkes ◽  
C. T. Myers ◽  
R. E. Maclaren
Keyword(s):  
Emergency Department ◽  
Head Injury ◽  
Accident And Emergency ◽  
Accident And Emergency Department

Hand Infections: An Audit of 160 Infections Treated in an Accident and Emergency Department

1993 ◽  
Vol 18 (1) ◽  
pp. 115-118 ◽  
Author(s):  
J. STEVENSON ◽  
I. W. R. ANDERSON
Keyword(s):  
Emergency Department ◽  
Complete Resolution ◽  
Wound Care ◽  
Duration Of Treatment ◽  
Mean Delay ◽  
Accident And Emergency ◽  
Accident And Emergency Department ◽  
The Mean ◽  
Careful Assessment

160 consecutive hand infections presented to an Accident and Emergency department over a four-month period. All but one were treated solely on an out-patient basis. The mean delay to presentation was three days, the mean duration of treatment was six days. Follow-up to complete resolution was achieved in 89% of cases. No patients were treated with parenteral antibiotics. The need for careful assessment, early aggressive surgery, and meticulous attention to the principles of wound care by experienced clinicians is emphasized.

Sign in / Sign up

Export Citation Format

Share Document