RT Book, Section
A1 Murray, Brittany L.
A2 Tenenbein, Milton
A2 Macias, Charles G.
A2 Sharieff, Ghazala Q.
A2 Yamamoto, Loren G.
A2 Schafermeyer, Robert
SR Print(0)
ID 1155296435
T1 Soft-Tissue Injury and Wound Repair
T2 Strange and Schafermeyer's Pediatric Emergency Medicine, 5e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259860751
LK accesspediatrics.mhmedical.com/content.aspx?aid=1155296435
RD 2024/04/24
AB In  assessing  a  child  with  a  soft  tissue  injury,  exclude  more  serious,  sometimes  occult,  injuries  that  take  precedence  in  management.Assess  the  length  and  depth  of  the  injury,  circulatory  status,  motor  and  sensory  function,  involvement  of  deep  structures,  and  the  presence  of  foreign  bodies  and  contaminants.Topical  anesthetics  provide  effective  anesthesia  and  are  a  necessary  adjuvant  for  pediatric  lacerations.Many  lacerations  are  suitable  for  closure  using  noninvasive  methods  of  closure.Splint  a  wound  overlying  a  joint  in  the  position  of  function  for  7  to  10  days  for  optimal  healing.Antibiotics  are  indicated  for  patients  who  have  significant  immune-compromising  disease,  who  present  with  a  wound  infection,  who  present  with  a  heavily  contaminated  wound,  and  in  certain  specific  instances  (intraoral  lacerations,  animal  and  human  bites).Patient  and  parents  should  be  given  thorough  aftercare  instructions  about  care  of  the  wound,  what  to  expect,  and  return  precautions.