Management of the injured hand - basic principles of care
Author(s) -
Kolitha P. Karunadasa
Publication year - 2015
Publication title -
sri lanka journal of surgery/sri lanka journal of surgery
Language(s) - English
Resource type - Journals
eISSN - 2279-2201
pISSN - 0379-8240
DOI - 10.4038/sljs.v33i1.8123
Subject(s) - medical journal , sri lanka , medicine , work (physics) , alternative medicine , quality (philosophy) , medical education , public relations , library science , family medicine , political science , sociology , engineering , south asia , pathology , computer science , ethnology , mechanical engineering , philosophy , epistemology
Hand injuries present either as an isolated injury or as a component of multiple injuries. In poly-traumatized patients hand injuries are not uncommon; often these patients are referred late. Resuscitation, stabilization and dealing with potentially life threatening injuries take priority over the injured hand. Haemostasis and initial wound irrigation along with a scrub of the injured hand is an acceptable during the initial management of multi trauma patient. Surgical management of the hand can be deferred till the patient is stabilized. However, there can be a significant negative impact on long-term quality of life if the hand injuries are not treated or significantly delayed [1].
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