RT Book, Section
A1 Murray, Brittany L.
A1 Sullivan, D. Matthew
A2 Schafermeyer, Robert
A2 Tenenbein, Milton
A2 Macias, Charles G.
A2 Sharieff, Ghazala Q.
A2 Yamamoto, Loren G.
SR Print(0)
ID 1105681790
T1 Soft-Tissue Injury and Wound Repair
T2 Strange and Schafermeyer's Pediatric Emergency Medicine, 4e
YR 2014
FD 2014
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-182926-7
LK accesspediatrics.mhmedical.com/content.aspx?aid=1105681790
RD 2024/04/25
AB In  assessing  a  child  with  a  minor  wound,  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,  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.Antibiotics  are  indicated  for  patients  who  have  significant  immune-compromising  disease,  who  present  with  a  wound  infection,  who  present  for  care  late  (12–24  hours),  and  in  certain  specific  instances  (intraoral  lacerations,  wounds  of  the  hand,  and  cat  bites).Patient  and  parents  should  be  given  thorough  after-care  instructions  about  care  of  the  wound  and  what  to  expect.