Revolutionary advances in the management of traumatic wounds in the emergency department during the last 40 years: part I

Abstract

Background and objectives: This report provides an overview of advances in wound repair devised by our research team during the last four decades. This collective review is presented in two parts.

Discussion: The following components are included in Part I: 1) search and treat life-threatening trauma; 2) conduct a thorough history; 3) examine the wound using aseptic technique; 4) anesthetize the wound before cleansing; 5) hair removal, skin disinfection, hemostasis, surgical debridement, and mechanical cleansing; 6) antibiotics, drains, and open wound management.

Conclusion: On the basis of these comprehensive research studies, we have noted a marked reduction in the incidence of wound infection in traumatic wounds.