May 19, 2021

Take Home Points
  • If youre concerned about a retained foreign body make sure to get imaging
  • There is a higher risk of wound infection associated with age, diabetes, wound size, contamination, and a location not on the head or neck. Other conditions that impair wound healing include renal failure, obesity, malnutrition, immunocompromised status. 
  • Prophylactic antibiotics are not recommended for routine use in wound care.. Antibiotics have a role in select wounds considered high risk for infection.
  • Pain control and administration of an anesthetic may be required before a patient can fully cooperate with examination. 
  • Its ok to get consultation - sometimes the wound is outside of our scope of practice

May 5, 2021

Take Home Points
  • There is no strict golden hour for wound closure. Location, contamination and patient factors all should be taken into account
  • Dog bites can be closed primarily. Bites on the hand and foot are higher risk for infection. If you close, strongly consider adding antibiotic prophylaxis
  • Sterile water is unnecessary for wound decontamination as are additives (ie betadine). Tap water under reasonable pressure (45 psi) is adequate.

January 11, 2021

Background: Current trauma resuscitation prioritizes control of bleeding and uses massive transfusion protocols to prevent and treat coagulopathy. This is typically done in the form of massive transfusion protocols delivered in proportions that approach the composition of whole blood. Two strategies to help guide this replacement of blood products are conventional coagulation tests and viscoelastic hemostatic assays.