Wounds and Lacerations: Emergency Care and Closure

Overview

The revised and updated new edition covers all of the major clinical issues surrounding the care and closure of wounds and lacerations, including basic and complex wound care, anatomy, wound healing, infiltration anesthesia, cleansing, irrigation, choice of suture materials, consultations, and more. It provides clear, concise guidance on everything from the patient’s arrival in the ED to discharge and follow-up care. And, more than 445 detailed illustrations—over 130 new to this edition—depict techniques for ...
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Overview

The revised and updated new edition covers all of the major clinical issues surrounding the care and closure of wounds and lacerations, including basic and complex wound care, anatomy, wound healing, infiltration anesthesia, cleansing, irrigation, choice of suture materials, consultations, and more. It provides clear, concise guidance on everything from the patient’s arrival in the ED to discharge and follow-up care. And, more than 445 detailed illustrations—over 130 new to this edition—depict techniques for wound care and offer step-by-step guidance.
  • Uses a structured guideline approach to wound care derived from expert opinion and research.
  • Discusses basic wound care knowledge, as well as information on materials, instruments, and techniques.
  • Examines the advantages and disadvantages of various technique and instruments, and offers “real-life” solutions to clinical problems in the emergency setting.
New to this edition:
  • Presents a brand new chapter, Emergency Wound Care: An Overview, that discusses the goals of wound care * patient expectations * and the risks of wound care.
  • Covers deep cutaneous and necrotizing infections, infections and laceration repair, and chronic skin ulcerations in a new chapter on Complicated and Chronic Wounds.
  • Features all new 2-color artwork, including over 130 new figures, that enhance understanding of techniques.
  • Uses an all new 2-color design to highlight key information and make navigation even easier than before.

The book contains black-and-white illustrations.

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Editorial Reviews

Jeffrey L. Mesuk
This second edition book on wounds and lacerations is quite well organized, a strength shared by the prior edition. The editor has provided indexed citations in the text and references are provided at the end of each chapter. There are many references cited between 1990 and 1995. However, quite a few references still date prior to 1990. The editor's primary objective with this new edition is to incorporate new scientific and clinical advances in emergency wound care. This new edition, he asserts, better reflects scientific investigation, including recent advances in our understanding of wound care. This very readable text appears well suited for advanced practitioners as well as residents and medical students. Dr. Trott is a Professor of Emergency Medicine at the University of Cincinnati, a well-regarded teaching center in emergency medicine, making him well qualified for authorship. The book has two new chapters, one on caring for the pediatric patient and another on cutaneous abscesses. In addition, there is a new section on cyanoacrylate wound adhesives. This edition also features more and higher quality illustrations than its predecessor, including many photographs illustrating nerve blocks. This is an important text in the emergency medicine literature. Although many of the chapters of the first edition were perhaps a bit too basic, this new edition makes a significantly improved effort to cite the scientific literature and contains many novel recommendations based on new data. It represents a welcome and authoritative addition to the emergency medicine literature.
From The Critics
Reviewer: Jeffrey L. Mesuk, MD (University of Chicago Pritzker School of Medicine)
Description: This second edition book on wounds and lacerations is quite well organized, a strength shared by the prior edition. The editor has provided indexed citations in the text and references are provided at the end of each chapter. There are many references cited between 1990 and 1995. However, quite a few references still date prior to 1990.
Purpose: The editor's primary objective with this new edition is to incorporate new scientific and clinical advances in emergency wound care. This new edition, he asserts, better reflects scientific investigation, including recent advances in our understanding of wound care.
Audience: This very readable text appears well suited for advanced practitioners as well as residents and medical students. Dr. Trott is a Professor of Emergency Medicine at the University of Cincinnati, a well-regarded teaching center in emergency medicine, making him well qualified for authorship.
Features: The book has two new chapters, one on caring for the pediatric patient and another on cutaneous abscesses. In addition, there is a new section on cyanoacrylate wound adhesives. This edition also features more and higher quality illustrations than its predecessor, including many photographs illustrating nerve blocks.
Assessment: This is an important text in the emergency medicine literature. Although many of the chapters of the first edition were perhaps a bit too basic, this new edition makes a significantly improved effort to cite the scientific literature and contains many novel recommendations based on new data. It represents a welcome and authoritative addition to the emergency medicine literature.
Booknews
An up-to-date source of the principles and techniques of emergency wound care for medical personnel actively caring for emergency wounds or in training to do so. Addresses general wound-care fundamentals, basic and advanced techniques, and specific problems including lacerations, bite wounds, rabies exposure, abrasions, soft-tissue foreign bodies, burns, and disorders of the fingertip. Annotation c. Book News, Inc., Portland, OR (booknews.com)

3 Stars from Doody
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Product Details

  • ISBN-13: 9780801651540
  • Publisher: Mosby, Incorporated
  • Publication date: 9/1/1990
  • Edition description: Older Edition
  • Edition number: 1
  • Pages: 332

Table of Contents

Ch. 1 Emergency wound care : an overview 1
Ch. 2 Patient evaluation and wound assessment 5
Ch. 3 Anatomy of would repair 13
Ch. 4 Surface injury and wound healing 19
Ch. 5 Wound care and the pediatric patient 35
Ch. 6 Infiltration and nerve block anesthesia 49
Ch. 7 Wound cleansing and irrigation 83
Ch. 8 Instruments and suture materials 93
Ch. 9 Decisions before closure : timing, debridement, and consultation 107
Ch. 10 Basic laceration repair : principles and techniques 119
Ch. 11 Complex wounds : advanced repair techniques 135
Ch. 12 Special anatomic sites 153
Ch. 13 The hand 177
Ch. 14 Tissue adhesives and alternative wound closure 209
Ch. 15 Bite wounds 223
Ch. 16 Common would care problems 239
Ch. 17 Minor burns 253
Ch. 18 Cutaneous and superficial abscesses 263
Ch. 19 Complicated and chronic wounds 271
Ch. 20 Wound dressing and bandaging techniques 277
Ch. 21 Tetanus immunity and antibiotic wound prophylaxis 305
Ch. 22 Suture removal and wound aftercare 311
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