Wound Management in Urgent Care
This text outlines, from a surgeon's standpoint, how wounds can be expeditiously and effectively managed in the Urgent Care setting by physicians and mid-level providers with Primary Care training. The main topics addressed include the principles of
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Wound Management in Urgent Care
Brittany Busse
Wound Management in Urgent Care
Brittany Busse, MD Med 7 Urgent Care Folsom, CA, USA
ISBN 978-3-319-27426-3 ISBN 978-3-319-27428-7 DOI 10.1007/978-3-319-27428-7
(eBook)
Library of Congress Control Number: 2015958777 Springer Cham Heidelberg New York Dordrecht London © Springer International Publishing Switzerland 2016 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer International Publishing AG Switzerland is part of Springer Science+Business Media (www.springer.com)
Preface
Lacerations, burns, and other wounds are a common reason for patients to present to the Urgent Care. The Center for Disease Control National Center for Health Statistics reports over 3.1 million visits to health care professionals for accidental cutting or piercing injuries in 2012, over 480,000 visits for burns, and over 5.3 million visits for diseases of the skin and subcutaneous tissues (i.e. cellulitis and/or abscess). Many of these patients present to an Urgent Care or Acute Care Center with a variety of acute and chronic wounds. Expedient assessment and treatment is often expected by the patient and leaves little time for the providers to educate themselves on the nuances of surgical wound care. It is often hard to establish best practice standards in the case of acute and chronic wounds. Lacerations occur in a variety of locations on the body and each wound requires a specialized evaluation and treatment approach. A “one-size fits all” approach to laceration repair can result in suboptimal wound healing and poor patient outcomes. In addition, the treatment of chronic wounds due to illness or neglect on the part of the patient or caregiver can involve a significant level of training and expertise. Due to the difficulty encountered in staying up to date with evidencebased medicine, many providers will fall back on dogma and prior training without realizing that these practices have been shown to lack be
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