Wound management in disaster settings

Wuthisuthimethawee, Prasit, Lindquist, Samuel J., Sandler, Nicola, Clavisi, Ornella, Korin, Stephanie, Watters, David and Gruen, Russell L. 2015, Wound management in disaster settings, World journal of surgery, vol. 39, no. 4, pp. 842-853, doi: 10.1007/s00268-014-2663-3.

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Title Wound management in disaster settings
Author(s) Wuthisuthimethawee, Prasit
Lindquist, Samuel J.
Sandler, Nicola
Clavisi, Ornella
Korin, Stephanie
Watters, DavidORCID iD for Watters, David orcid.org/0000-0002-5742-8417
Gruen, Russell L.
Journal name World journal of surgery
Volume number 39
Issue number 4
Start page 842
End page 853
Total pages 12
Publisher Springer
Place of publication Berlin, Germany
Publication date 2015-04
ISSN 0364-2313
Summary Background Few guidelines exist for the initial management of wounds in disaster settings. As wounds sustained are often contaminated, there is a high risk of further complications from infection, both local and systemic. Healthcare workers with little to no surgical training often provide early wound care, and where resources and facilities are also often limited, and clear appropriate guidance is needed for early wound management. Methods We undertook a systematic review focusing on the nature of wounds in disaster situations, and the outcomes of wound management in recent disasters. We then presented the findings to an international consensus panel with a view to formulating a guideline for the initial management of wounds by first responders and subsequent healthcare personnel as they deploy. Results We included 62 studies in the review that described wound care challenges in a diverse range of disasters, and reported high rates of wound infection with multiple causative organisms. The panel defined a guideline in which the emphasis is on not closing wounds primarily but rather directing efforts toward cleaning, debridement, and dressing wounds in preparation for delayed primary closure, or further exploration and management by skilled surgeons. Conclusion Good wound care in disaster settings, as outlined in this article, can be achieved with relatively simple measures, and have important mortality and morbidity benefits. © 2014 Société Internationale de Chirurgie.
Language eng
DOI 10.1007/s00268-014-2663-3
Field of Research 110399 Clinical Sciences not elsewhere classified
Socio Economic Objective 920199 Clinical Health (Organs, Diseases and Abnormal Conditions) not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Springer
Persistent URL http://hdl.handle.net/10536/DRO/DU:30069412

Document type: Journal Article
Collections: Faculty of Health
School of Medicine
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