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Puncture Wound

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2. Puncture Wound

Puncture Wound Puncture Wound Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Puncture Wound Puncture Wound Aka: Puncture Wound (...) , Plantar Puncture Wound From Related Chapters II. Pathophysiology See Foreign body Puncture Wound Bottom of foot (plantar) affected in 50% of cases Other common sites: s, Arms and hands Puncture causes Nails (account for 90% of cases) Other common causes: wood, metal, plastic and glass III. Causes of Infection Soft tissue infections (or Osteochondritis) (90% of cases) IV. Risk factors for complication (especially infection) Depth of wound (most important factor) Presentation beyond 24 hours V

2018 FP Notebook

3. Plantar and Pedal Puncture Wounds in Children: A Case Series Study From a Single Level I Trauma Center. (PubMed)

Plantar and Pedal Puncture Wounds in Children: A Case Series Study From a Single Level I Trauma Center. The purpose of this study was to describe our experience in treatment of pediatric patient presenting with pedal puncture wound to our level I trauma center and describe our results for the need for hospitalization and/or surgery for these patients.Children and adolescents 18 years and younger presenting with pedal puncture wounds from September 2009 to December of 2013 were retrospectively (...) studied. Exclusion criteria included adult patients, wounds related to animal bites, lacerations associated with a motor vehicle collision or all-terrain vehicle accidents, gunshot wounds, degloving injuries, or injuries resulting in complex lacerations to the foot.A total of 147 children presented to emergency department (ED) with a pedal puncture wound. Average age was 9.8 years. Prophylactic antibiotic therapy was administered in 107 cases (72.8%). Fifteen patients (10%) were treated

2016 Pediatric Emergency Care

4. International Consolidated Wound Infection Guideline (ICWIG)

CDC Guidelines or universal precautions and sterile procedures according to institutional protocols when feasible to apply clean or sterile dressings to open wounds. A (Hospenthal et al., 2011; Chaby G, et al. 2007. SR) High SOR = 0.92, CVI = 0.88 I.C.2.a. Allow unclean wounds such as bites or punctures to heal using secondary closure with optional negative pressure to avoid trapping foreign matter or microorganisms, which can result in infection. B (Leininger B et al. 2006; Velmahos et al., 2002 (...) according to CDC Guidelines within 3 hours or as early as possible after wounding for serious open trauma, fracture or burn wounds such as: crush wound, puncture, dog bite, degloved, mangled, or pulseless extremity wounds; penetrating injuries of head, neck, trunk, torso and extremities to elbow or knee; amputation proximal to wrist or ankle or chest wall instability or deformity. A (De La Cal et al., 2005; Hospenthal et al., 2011; Patzakis et al., 2000; Poole D et al. 2014) High SOR = 0.89, CVI = 0.87

2018 Association for the Advancement of Wound Care

5. Nonsterile Gloves for ED Wound Closure

Nonsterile Gloves for ED Wound Closure Emergency Medicine > Journal Club > Archive > January 2016 Toggle navigation January 2016 Nonsterile Gloves for ED Wound Closure Vignette Mr. C. is a healthy 45 year old male who has been constructing a covered porch in his backyard (imagine it is springtime). While working on it earlier today, he tripped over a 2x4 and stumbled through a pane of glass. After getting up, he noticed that he had cut his right thigh. The brisk bleeding subsided after his wife (...) held pressure with a towel for 15 minutes (he was unable to do so himself as he nearly fainted at the sight of his own blood). He did not hit his head or suffer any other injuries. Upon seeing the gaping wound, several centimeters long with subcutaneous fat poking through, she promptly brought him to the ED for stitches. In the ED, his vitals are BP 126/85, P 68, RR 18, T 37.1°C, and 100% oxygen saturation on room air. He is in no acute distress, and his exam is unremarkable, except for a 6cm

2017 Washington University Emergency Medicine Journal Club

6. CRACKCast E059 – Wound Management Principles

situations where antibiotic prophylaxis is indicated in wound management Cat bites – all. (Staphylococcus, streptococcus and Pasturella multocida). Amox clav (875mg x 7d) Dog bites – controversial. Guidelines say limit to hand, very dirty, older patients, deep puncture and immunocompromised. Amox clav x7d Fight bites – human bites or assumed to the hand. First thoroughly look for tendon or joint damage. Streptococcus, staphylococcus, eikenella corrodens and bacteroides. Amox Clav , plastic surgery (...) consultant opinion Puncture wound of foot – no data supporting but should be considered especially in puncture through rubber shoe (pseudomonas). Ciproflox for pseudomonas, keflex for staph/strep. ?MRSA Septra or Doxycycline Delayed primary closure in high risk patients Open fractures High velocity missile wounds Wise Cracks 1) Evidence guided tips for scar healing Silicone dressings? Cochrane: There is weak evidence of a benefit of silicone gel sheeting as a prevention for abnormal scarring in high-risk

2017 CandiEM

7. The Effect of Anterior Stromal Puncture Using Q-Switched Nd:YAG Laser on Corneal Wound Healing (PubMed)

The Effect of Anterior Stromal Puncture Using Q-Switched Nd:YAG Laser on Corneal Wound Healing Recurrent corneal erosion occurs when the wounded corneal epithelium failed to adhere to the underlying stroma. Therefore, this work aimed to assess the effect of treatment of corneal injury using Q- switched Nd:YAG laser.Twenty one New Zealand male rabbits weighing 2-2.5 kg and 3 months old were classified into three main groups. The control group: did not received any treatment (n=3 rabbits (...) ). The rest of the animals (n= 18 rabbits), corneal epithelium was injured by syringe needle and blade 15 and divided into:(A) Normal healing group: which was divided into three subgroups (n=3 rabbits each), and the animals were left for normal healing for1 day, 1 week, and 4 weeks respectively, (B) Laser treated group: divided into three subgroups (n=3 rabbit seach) and subjected to anterior stromal puncture using Q-switched Nd: YAG laser on corneal sub-epithelium or superficial stroma, and the animals

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2014 Journal of lasers in medical sciences

8. The retrievable puncture anchor traction method for EUS-guided gallbladder drainage: a porcine study. (PubMed)

-GBD against EUS-GBD without RPAT using a porcine model.In total, 16 Bama mini pigs (weighing 15-20 kg) were randomly divided into an experimental group (n = 8) and a control group (n = 8). The RPAT method was performed in the experimental group and EUS-GBD without retrievable puncture anchor was performed in the control group. Incidence of operative adverse events, wound healing, and success rates of EUS-GBD were compared and analyzed between the experimental group and the control group.All EUS (...) The retrievable puncture anchor traction method for EUS-guided gallbladder drainage: a porcine study. EUS-guided gallbladder drainage (EUS-GBD) is a challenging technique for endoscopists that requires a high level of skill. EUS-GBD is challenging because the gallbladder can be easily collapsed. To resolve this issue, we aimed to develop a retrievable puncture anchor traction (RPAT) method for EUS-GBD. We evaluated and compared the success rate, safety, and outcomes of the RPAT method for EUS

2018 Gastrointestinal endoscopy

9. The Occurrence of Post Dural Puncture Headache After Epidural Blood Patch

Participant Data (IPD) Sharing Statement: Plan to Share IPD: No Layout table for additional information Studies a U.S. FDA-regulated Drug Product: No Studies a U.S. FDA-regulated Device Product: No Keywords provided by Pattrapun Wongsripuemtet, Siriraj Hospital: Post-Dural Puncture Headache [C10.228.140.546.699.124] Blood Patch, Epidural [E02.319.267.530.580.300.145] Additional relevant MeSH terms: Layout table for MeSH terms Headache Wounds and Injuries Post-Dural Puncture Headache Pain Neurologic (...) The Occurrence of Post Dural Puncture Headache After Epidural Blood Patch The Occurrence of Post Dural Puncture Headache After Epidural Blood Patch - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more

2017 Clinical Trials

10. Comparison between Primary and Secondary Tracheoesophageal Puncture Prosthesis: A Systematic Review. (PubMed)

Comparison between Primary and Secondary Tracheoesophageal Puncture Prosthesis: A Systematic Review. Since the introduction of tracheoesophageal puncture (TEP) and placement of voice prosthesis, this has become the method of choice to achieve speech rehabilitation after total laryngectomy.To compare the complications and success in speech rehabilitation of patients undergoing rehabilitation after primary and secondary TEP (TEP1 and TEP2) through a systematic review.The literature survey (...) included research in MedLine, Scielo, Lilacs, Cochrane and Websco until June 2016.The rate of leakage around the prosthesis was higher in TEP1 (22.5 vs. 6.9%, p = 0.03). There were higher rates of wound infection (9.1 vs. 3.9%) and tracheal stenosis (8.5 vs. 4.5%) in the TEP1 group compared to TEP2, however with no statistical significance. The evaluation of speech quality was not possible due to the heterogeneity of the studies.There is a reduction in the risk of leakage around the prosthesis among

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2017 ORL; journal for oto-rhino-laryngology and its related specialties

11. Acute Mental Stress During Lumbar Puncture

, Rigshospitalet, Denmark: Stress Performance of procedures Lumbar Puncture Additional relevant MeSH terms: Layout table for MeSH terms Headache Wounds and Injuries Stress, Psychological Pain Neurologic Manifestations Signs and Symptoms Behavioral Symptoms (...) Acute Mental Stress During Lumbar Puncture Acute Mental Stress During Lumbar Puncture - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Acute Mental Stress During Lumbar Puncture The safety and scientific

2017 Clinical Trials

12. Sphenopalatine Ganglion Nerve Block for Postdural Puncture Headache in Obstetrics

, 2019 Last Verified: February 2019 Individual Participant Data (IPD) Sharing Statement: Plan to Share IPD: No Layout table for additional information Studies a U.S. FDA-regulated Drug Product: Yes Studies a U.S. FDA-regulated Device Product: No Product Manufactured in and Exported from the U.S.: No Additional relevant MeSH terms: Layout table for MeSH terms Headache Wounds and Injuries Post-Dural Puncture Headache Cerebrospinal Fluid Leak Pain Neurologic Manifestations Signs and Symptoms Headache (...) Sphenopalatine Ganglion Nerve Block for Postdural Puncture Headache in Obstetrics Sphenopalatine Ganglion Nerve Block for Postdural Puncture Headache in Obstetrics - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding

2017 Clinical Trials

13. Role of Prophylaxis by Oral Fluid Supplementation in Prevention of Postdural Puncture Headache

Last Update Posted: February 2, 2017 Last Verified: February 2017 Individual Participant Data (IPD) Sharing Statement: Plan to Share IPD: Undecided Keywords provided by Nantes University Hospital: Spinal Puncture Dural puncture Nursing Additional relevant MeSH terms: Layout table for MeSH terms Headache Wounds and Injuries Post-Dural Puncture Headache Pain Neurologic Manifestations Signs and Symptoms Headache Disorders, Secondary Headache Disorders Brain Diseases Central Nervous System Diseases (...) Role of Prophylaxis by Oral Fluid Supplementation in Prevention of Postdural Puncture Headache Role of Prophylaxis by Oral Fluid Supplementation in Prevention of Postdural Puncture Headache - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one

2016 Clinical Trials

14. Ultrasound Assisted Lumbar Puncture in the Neonate

, 2018 Last Verified: October 2018 Individual Participant Data (IPD) Sharing Statement: Plan to Share IPD: No Keywords provided by Children's Hospital of Philadelphia: Ultrasonography Infant Newborn Lumbar puncture Spinal puncture Cerebrospinal fluid Additional relevant MeSH terms: Layout table for MeSH terms Wounds and Injuries (...) Ultrasound Assisted Lumbar Puncture in the Neonate Ultrasound Assisted Lumbar Puncture in the Neonate - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Ultrasound Assisted Lumbar Puncture in the Neonate

2016 Clinical Trials

15. Evaluation of the Effectiveness and Tolerance of Tetracosactide Synacthen® in the Treatment of Post Dural Puncture Headaches (ESYBRECHE)

for MeSH terms Headache Wounds and Injuries Post-Dural Puncture Headache Pain Neurologic Manifestations Signs and Symptoms Headache Disorders, Secondary Headache Disorders Brain Diseases Central Nervous System Diseases Nervous System Diseases Cosyntropin Hormones Hormones, Hormone Substitutes, and Hormone Antagonists Physiological Effects of Drugs (...) Evaluation of the Effectiveness and Tolerance of Tetracosactide Synacthen® in the Treatment of Post Dural Puncture Headaches (ESYBRECHE) Evaluation of the Effectiveness and Tolerance of Tetracosactide Synacthen® in the Treatment of Post Dural Puncture Headaches (ESYBRECHE) - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study

2016 Clinical Trials

16. [Puncture Point Hemostatic Effect Observation of Different Materials with Modified Seldinger Technique in PICC Catheter]. (PubMed)

, respectively, using gauze pad, calcium alginate wound dressings, calcium alginate wound dressings with hemostatic gauze pad three methods to puncture point, compare the three groups within 48 h after puncture biopsy in patients with some local bleeding, treatment times and catheter after 1 week of the maintenance costs of the catheter.Compared with A, B two groups, patients of group C tube after 48 hours the puncture point local oppression hemostasis effect is better than that of group A and B (...) [Puncture Point Hemostatic Effect Observation of Different Materials with Modified Seldinger Technique in PICC Catheter]. To explore the improvement the dingle technology through the PICC catheter puncture point elbow hemostatic effect. Selection.Between January 2013 and December 2013, chest hospital affiliated to Shanghai jiaotong university under the guidance of ultrasound improved the Ding Gehang PICC catheter patients of 997 cases were randomly divided into three groups A, B, C

2016 Zhongguo yi liao qi xie za zhi = Chinese journal of medical instrumentation

17. A Post-Market Study of BandGrip in Traumatic Wound Closure Compared to Suture

at site of active rash/skin lesion making evaluation difficult. Previously treated wound or has failed to heal. Puncture wound. Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03628690 Contacts Layout table for location contacts Contact: Dennis J (...) A Post-Market Study of BandGrip in Traumatic Wound Closure Compared to Suture A Post-Market Study of BandGrip in Traumatic Wound Closure Compared to Suture - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more

2018 Clinical Trials

18. Puncture Wound

Puncture Wound Puncture Wound Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Puncture Wound Puncture Wound Aka: Puncture Wound (...) , Plantar Puncture Wound From Related Chapters II. Pathophysiology See Foreign body Puncture Wound Bottom of foot (plantar) affected in 50% of cases Other common sites: s, Arms and hands Puncture causes Nails (account for 90% of cases) Other common causes: wood, metal, plastic and glass III. Causes of Infection Soft tissue infections (or Osteochondritis) (90% of cases) IV. Risk factors for complication (especially infection) Depth of wound (most important factor) Presentation beyond 24 hours V

2015 FP Notebook

19. Percutaneous Mesh Expansion (PME): A Regenerative Wound Closure Alternative. (PubMed)

Percutaneous Mesh Expansion (PME): A Regenerative Wound Closure Alternative. Puncture wounds in the 1-mm range usually heal without scars. Stacking rows of these punctures offers a scarless method to generate tissue by mesh expansion. The authors developed a percutaneous mesh expansion procedure and present their experience for its wound closure application.Over a 6-year period, the authors applied percutaneous mesh expansion to 65 consecutive patients aged 58 to 101 years (mean, 72 years (...) ) with 67 full-thickness calvarial defects ranging in size from 2.5 × 3 cm to 7 × 8 cm (mean, 14 cm) that would have all required flaps for closure. Thirty-six were still anticoagulated, and 20 had prior scalp resections. After tumescent epinephrine anesthesia, the authors temporarily approximate the wound by placing it under strong tension. Using 1.1-mm cutting point needles that selectively sever tissues under tension, the authors inflict rows of staggered alternating punctures over a distance five

2017 Plastic and reconstructive surgery

20. A Case of Localized, Unilateral (Cephalic) Wound Botulism. (PubMed)

A Case of Localized, Unilateral (Cephalic) Wound Botulism. We describe a rare presentation of botulism originally presenting with exclusively unilateral cranial nerve deficits following a puncture wound to the face. Cephalic tetanus was initially suspected but laboratory testing confirmed botulism. Botulism caused by local diffusion of toxin from a contaminated head wound can be confused with cephalic tetanus.Published by Oxford University Press for the Infectious Diseases Society of America

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2017 Clinical Infectious Diseases

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