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Related Experiment Videos

Photographic wound documentation after open fracture.

M C Solan1, J D Calder, C E Gibbons

  • 1Princess Royal Hospital, Lewes Road, Haywards Heath, RH16 4EX, West Sussex, UK.

Injury
|February 13, 2001
PubMed
Summary

UK accident and emergency departments struggle to photograph open fracture wounds, hindering adherence to guidelines aimed at reducing infection. This practice is essential for timely surgical debridement and preventing complications.

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Area of Science:

  • Orthopaedic Surgery
  • Trauma Care
  • Infection Control

Background:

  • Over 3000 open fractures occur annually in the UK, necessitating prompt assessment and treatment.
  • Complications from open fractures can be severe if not managed meticulously.
  • Working party recommendations advocate for immediate wound photography before dressing application to prevent infection.

Purpose of the Study:

  • To assess the current practice of photographing open fracture wounds in UK accident and emergency departments.
  • To identify barriers to implementing recommended photographic procedures.
  • To evaluate adherence to guidelines aimed at reducing nosocomial infection in open fracture cases.

Main Methods:

  • A telephone questionnaire survey was conducted.

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  • Fifty-one accident and emergency departments across the UK participated.
  • The survey focused on the availability and accessibility of cameras for photographing open fracture wounds.

    • Main Results:

    • 41% of surveyed departments were unable to photograph open fracture wounds.
    • An additional 20% lacked camera access outside of standard office hours.
    • These findings indicate a significant gap between recommended practice and actual implementation.

    Conclusions:

    • Current practices in UK accident and emergency departments fall short of recommended guidelines for managing open fractures.
    • Lack of immediate photographic documentation poses a risk for infection and complications.
    • Simple, cost-effective recommendations by the Working Party are not being consistently followed, highlighting a need for improved infrastructure and training.