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Related Concept Videos

Burn Injuries01:22

Burn Injuries

Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
Phases of Wound Repair01:28

Phases of Wound Repair

Following injury, the integrity of the injured tissues must be reestablished. For example, in skin tissue, wound repair involves coordination among resident skin cells, blood mononuclear cells, extracellular matrix, growth factors, and cytokines to complete the healing cascade.
Formation of Blood Clot
In case of deep injuries, trauma to blood vessels results in blood loss. In the meantime, phospholipids released from the ruptured endothelial cellular membrane are converted into arachidonic...
Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses, temperature changes,...
Venous Thrombosis IV: Nursing Management01:30

Venous Thrombosis IV: Nursing Management

Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...

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A Simplified Technique for Producing an Ischemic Wound Model
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A Simplified Technique for Producing an Ischemic Wound Model

Published on: May 2, 2012

Standard wound coverage techniques for extremity war injury.

Anand R Kumar1

  • 1Medical Corps, United States Navy, USA.

The Journal of the American Academy of Orthopaedic Surgeons
|September 28, 2006
PubMed
Summary

Aggressive forward care for extremity war injuries presents challenges in limb salvage versus amputation decisions. Optimal timing for wound closure and flap selection in reconstruction requires further investigation.

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Murine Model of Wound Healing
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Murine Model of Wound Healing

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Murine Model of Wound Healing
05:39

Murine Model of Wound Healing

Published on: May 28, 2013

Area of Science:

  • Orthopedic Surgery
  • Trauma Care
  • Military Medicine

Background:

  • Extremity war injuries require staged medical management, from forward resuscitation to definitive care at specialized facilities.
  • Advances in forward care and transport allow complex treatments but complicate limb salvage decisions.

Purpose of the Study:

  • To evaluate short-term data on the management of complex extremity war injuries.
  • To identify areas for further research in limb reconstruction, specifically wound closure timing and flap selection.

Main Methods:

  • Retrospective review of patients with complex lower and upper extremity wounds treated at the National Naval Medical Center (September 2004 - June 2006).
  • Analysis focused on initial management and short-term outcomes.

Main Results:

  • Useful short-term data were collected on the management of these complex injuries.
  • Key questions regarding optimal timing for definitive wound closure and fracture stabilization remain unanswered.

Conclusions:

  • Definitive management of extremity war injuries is complex, involving critical decisions about limb salvage.
  • Further research is needed to determine optimal surgical strategies, including wound coverage and flap choices, for long-term limb function and patient outcomes.