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Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 7e
Chapter 263. Penetrating Trauma to the Extremities
Sections: Penetrating Trauma to the Extremities: Introduction, Epidemiology, Pathophysiology, Clinical Presentation, Diagnostic Imaging, ED Management and Disposition, Disposition and Follow-Up, Acknowledgment, References.
Topics Discussed: extremity injury.
Excerpt:"Emergency management of penetrating extremity injuries and advances in
surgical technique enable arterial repair with an extremely low
rate of postoperative thrombosis, making the recognition and rapid
treatment of arterial injury important. Associated injury to soft
tissue, nerve, and bone is now the primary determinant of limb salvage.
Emergency physicians play a crucial role in the management of penetrating
extremity injuries by identifying injuries early and promptly initiating
care crucial to limb rescue. Unnecessary delays (>6 to 12 hours)
in treatment can lead to irreversible limb ischemia and subsequent
limb loss...."
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