کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2614110 1135001 2014 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
They Had Me in Stitches: A Grand Canyon River Guide’s Case Report and a Review of Wilderness Wound Management Literature
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب اورژانس
پیش نمایش صفحه اول مقاله
They Had Me in Stitches: A Grand Canyon River Guide’s Case Report and a Review of Wilderness Wound Management Literature
چکیده انگلیسی

We present a case of failed conservative management of a traumatic wound sustained in a wilderness setting. The patient was initially treated with a povidone-iodine scrub, suture closure, and expectant management by 2 physicians who were paying clients on a multiday river rafting expedition. Empiric antibiotic coverage and irrigation of the dehisced wound were initiated several days after initial treatment. The patient arranged his own evacuation 8 days after injury. Hospitalization, intravenous (IV) antibiotics, and surgical debridement with wound vacuum placement led to a full recovery. This case presents several common wound care pitfalls. The sequelae to these pitfalls are more dramatic in a wilderness setting and underscore the importance of early aggressive management and considering prompt evacuation when treating wounds sustained in the wilderness.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Wilderness & Environmental Medicine - Volume 25, Issue 2, June 2014, Pages 182–189
نویسندگان
, ,