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Immediate Care of Open Extremity Fractures : Where Can We Improve?
Joint Authors
Braithwaite, I.
Wood, E.
Walton, R.
Manara, J.
Elamin, Salma Eltoum
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-02-03
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Clear guidelines are set by the British Orthopaedic Association (BOA) and British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS) on the preoperative management of open fractures.
This as well as the clinical consequences of poor management of open fractures means the patient workup for surgery is important as well as the timing of surgery.
Experience suggests few patients are managed 100% as per the guidelines and we look to test this hypothesis.
A retrospective analysis was undertaken of all open long bone fractures (total 133), excluding hand injuries, which presented to a district general hospital over a 5-year period.
The implementation of 7 defined key tasks for initial management was recorded.
101 cases were eligible, with the majority of cases (71.4%) having initial orthopaedic assessment outside normal working hours.
The mean number of tasks completed was 3.23/7.
Assessment out of hours was associated with less tasks being implemented but doctor seniority and the presence of polytrauma made no difference to the quality of acute care.
Staff involved in the acute care of open fractures require targeted education to improve the delivery of initial preoperative care.
We recommend that other centres assess their performance against this data.
American Psychological Association (APA)
Walton, R.& Manara, J.& Elamin, Salma Eltoum& Braithwaite, I.& Wood, E.. 2014. Immediate Care of Open Extremity Fractures : Where Can We Improve?. BioMed Research International،Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-499684
Modern Language Association (MLA)
Walton, R.…[et al.]. Immediate Care of Open Extremity Fractures : Where Can We Improve?. BioMed Research International No. 2014 (2014), pp.1-6.
https://search.emarefa.net/detail/BIM-499684
American Medical Association (AMA)
Walton, R.& Manara, J.& Elamin, Salma Eltoum& Braithwaite, I.& Wood, E.. Immediate Care of Open Extremity Fractures : Where Can We Improve?. BioMed Research International. 2014. Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-499684
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-499684