Necessity breeds invention: a study of outpatient management of low velocity gunshot wounds.

Emergency Medicine Journal : EMJ
A Byrne, P Curran

Abstract

Since the late 1980s, the emergency department (ED) at the Mater Hospital, Belfast, has implemented a policy of treating conservatively patients who sustain low velocity gunshot wounds to the lower limbs. Wounds are cleaned and minimally debrided under local anaesthetic in the ED. Patients are given oral antibiotics, and reviewed 48 hours later at the ED review clinic. To investigate the outcome of outpatient ED management of low velocity gunshot wounds to the lower limbs. This was a retrospective, observational study from January 2000 to September 2004 inclusive. Notes were retrieved of those patients who had gunshot wound mentioned in the triage text. Patients were included if they presented with a low velocity gunshot wound to the lower limbs. Demographics and treatment regimen were recorded. In total, 90 patients sustained low energy injuries to the lower limb, with 70.5% of wounds involving the skin and soft tissue only. Most patients (n = 67) were treated as outpatients, which included 80% of unilateral injuries and 46.6% of bilateral injuries presented. There were 56 patients reviewed at clinic. Three patients developed minor complications Irrigation and minimal debridement in the outpatient setting is an acceptable meth...Continue Reading

References

Feb 1, 1994·Pediatric Emergency Care·B N VictoroffC Wright
Mar 1, 1993·The Journal of Trauma·G J OrdogW C Shoemaker

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Citations

Sep 22, 2010·Pediatric Surgery International·Andrew A StoebnerGregory H Borschel
Dec 15, 2010·Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences·W G P EardleyJ C Clasper
Dec 5, 2009·Journal of the American College of Surgeons·Javid SadjadiGregory P Victorino
Aug 2, 2008·Journal of Orthopaedic Trauma·Eric B HarrisAndrew S Flotten
Feb 6, 2020·Foot & Ankle International·Tyler GonzalezJohn Y Kwon
May 26, 2021·The Journal of Hand Surgery·Andrew J StraszewskiJason A Strelzow

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