title: Profiling wound management in the emergency department: A descriptive analysis.
abstract: BACKGROUND
  The service profile of wound, skin and ulcer presentations to emergency departments is an area that lacks an existing published commentary. Knowledge of these presentations would inform the allocation of resources, staff training, and, in turn, patient outcomes. The aim of this study was to describe the discharge and referral status of adult patients presenting to one Australian emergency department with a wound, skin or ulcer condition.
  
  
  METHODS
  A retrospective descriptive review was conducted of all emergency presentations including discharge and referral statuses for skin, wound and ulcer related conditions from 1st January 2014 until 31st December 2014.
  
  
  RESULTS
  A total of 4231 wound, skin and ulcer conditions were managed, accounting for 7% of the total emergency presentations. Wound conditions were the most prevalent (n=3658; 86%). Males were more likely to present for all three conditions. For all conditions, discharge to home was the most common destination. Following discharge to home, over half all patients were referred to the local medical officer.
  
  
  CONCLUSIONS
  Nursing workforce models, education and training needs to reflect the skill set required to respond to wound, skin and ulcer conditions to ensure that high quality skin and wound care continues outside of the emergency department.
authors.affiliation: La Trobe University, Alfred Clinical School, Australia; The Alfred Hospital, Emergency and Trauma Centre, Australia. Electronic address: r.cross@latrobe.edu.au.
authors.forename: Rachel
authors.initials: R
authors.lastname: Cross
authors.affiliation: The Alfred Hospital, Emergency and Trauma Centre, Australia.
authors.forename: Natasha
authors.initials: N
authors.lastname: Jennings
authors.affiliation: La Trobe University, Alfred Clinical School, Australia.
authors.forename: William
authors.initials: W
authors.lastname: McGuiness
authors.affiliation: La Trobe University, Alfred Clinical School, Australia.
authors.forename: Charne
authors.initials: C
authors.lastname: Miller
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge / Q000706:statistics & numerical data; D012017:Referral and Consultation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012867:Skin / Q000293:injuries; D012883:Skin Ulcer / Q000628:therapy*; D014739:Victoria; D014945:Wound Healing / Q000502:physiology; D014947:Wounds and Injuries / Q000628:therapy*; D055815:Young Adult
keywords: Emergency department; Nurse; Patient discharge; Patient referral; Ulcer; Wound and skin injuries