1. SOFT TISSUE INJURY MR BRIAN BURGESS

2. INTRODUCTION COMMON PRESENTATIONS TO THE EMERGENCY DEPARTMENT CURRENT TREATMENT REGIMES POINTS FOR DISCUSSION

3. WOUNDS TAKE FULL HISTORY ? FALL – FURTHER EVALUATE UNDERLYING CAUSE GLASS / CERAMIC – X-ray TETANUS STATUS DIABETES / IMMUNOSUPPRESSION

4. WOUNDS EXAMINATION SITE OF INJURY INCISION v. LACERATION DEPTH DISTAL NEUROVASCULAR FUNCTION DOCUMENTATION

5. INVESTIGATION X-RAY – Glass OR Bony Injury BLOODS

6. TREATMENT LOCAL WOUND TOILET DEBRIDEMENT L.A. SUTURE / STERISTRIP / GLUE ANTISEPTIC ? TOPICAL ANTIBIOTIC DRESSING SYSTEMIC ANTIBIOTIC

7. WOUND INFECTIONS ASSESSMENT INCLUDES DOCUMENTING: SITE OF WOUND – VASCULARITY (FACE v. LEG) NATURE OF WOUND – PUNCTURE, BITES

8. TREATMENT LOCAL TREATMENT I&D CELLULITIS ANTIBIOTIC CHOICE ? ADMIT/ CELLULITIS PATHWAY TETANUS

9. INSECT BITE

10. INFECTED WOUND

11. BURNS FULL HISTORY – EXPLOSION, CLOSED SPACE– ATLS THERMAL AIRWAY INJURY INHALATION INJURY OTHER INJURIES

12. BURN CLASSIFICATION PARTIAL THICKNESS DEEP DERMAL FULL THICKNESS DIFFERENTIATED BY SENSORY LOSS AND APPEARANCE

13. ERYTHEMA IS NOT A BURN

14. TREATMENT ATLS ANALGESIA ASSESSING SIZE OF THE BURN (“RULE OF NINES” SPECIAL SITES FLUID REPLACEMENT CONSIDERATIONS

15. DRESSINGS MEPETIL v. JELONET CLINGFILM REVIEW REFERRAL TO BURNS UNIT

16. ERYTHEMA & P.T. BURN

17. P.T. BURN & DEEP DERMAL

18. PT BURN & MACERATION

19. SPECIAL CONSIDERATIONS

20. NAIL COMPLEX

21. NAIL BED NAIL FOLD / GERMINAL MATRIX VOLAR OBLIQUE v. DORSAL OBLIQUE COMPOUND # / STERILITY FUNCTIONAL RESULT ? PLASTICS REFERRAL

22. LAC NAILBED

23. LAC NAIL

25. FLAP LACERATIONS LOCATION – VASCULARITY APEX PROXIMAL v. APEX DISTAL SUTURE v. STERISTRIP

26. DEEP PRE-TIBIAL LAC

27. FLAP LAC KNEE

28. TENDON SHEATH INFECTION

29. SPRAINS ANKLE – OTTAWA RULES NECK – CANADIAN RULES A-C JOINT OTTAWA KNEE RULES WRIST INJURIES – SPLINT v. X-RAY (WRISTS IN CHILDREN) TOE & TUFT FRACTURES

30. QUESTIONS

31. SUMMARY WIDE RANGE OF INJURY CAREFUL ASSESSMENT JUDICIOUS REFERRAL TO SPECIALIST COLLEAGUES