Current trends in wound management.
Laceration and wound are common emergencies for which children are brought to emergency room. Pediatricians can manage most of these himself. Recently few more methods have become available for wound closure, which are very useful to pediatricians in their office settings. This article stresses on the current trends in wound management. A tidy wound can be repaired primarily while untidy wound requires conversion to tidy wound before closure. Host and environmental factors, which can affect wound healing, should be identified and managed accordingly. Parental presence can be very useful in certain cases. Wound should be examined and irrigated thoroughly to remove foreign bodies and debris. Associated injuries should be assessed and treated appropriately. Suturing, staplers or tissue adhesives can do the wound closure. Last method is particularly useful in pediatric office settings. Antibiotics are needed in certain selected conditions.
Vidyarthi
Kapil
K
Sir Ganga Ram Hospital, New Delhi, India. kapilv@eth.net
Gupta
Suresh
S
D002648:Child; D003646:Debridement / Q000379:methods; D004632:Emergency Medical Services / Q000379:methods* / Q000639:trends; D006801:Humans; D007194:India; D010353:Patient Education as Topic / Q000379:methods; D010808:Physical Examination / Q000379:methods; D012648:Self Care / Q000379:methods; D013536:Suture Techniques; D007507:Therapeutic Irrigation / Q000379:methods; D014014:Tissue Adhesives; D014945:Wound Healing / Q000502:physiology; D014947:Wounds and Injuries / Q000503:physiopathology / Q000534:rehabilitation / Q000628:therapy*
D014014:Tissue Adhesives