David Gaus


Se realiza una revisión de la evolución de las heridas traumáticas para comprender el manejo de las mismas en emergencia.  Cada herida requiere una evaluación completa para determinar el manejo inicial.  El uso de solución salina bajo presión, en vez de agentes tóxicos tisulares para la irrigación, es de suma importancia.   

Palabras clave

Heridas en emergencia, salud rural, manejo de heridas, actualización

Texto completo:

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Jorgensen LN. Collagen deposition in the subcutaneous tissue during wound healing in humans: a model evaluation. APMIS Suppl 2003; (115):1-56.

Diegelmann RF, Evans MC. Wound healing: an overview of acute, fibrotic and delayed healing. Front Biosci 2004; 283-9.

Diegelmann, et al.

Leaper DJ. Tarumatic and surgical wounds. BMJ 2006;332(7540):532-5

Angeras MH, Brandberg A, Falk A, et al. Comparison between sterile solucion and tap water for the cleaning of acute traumatic soft tissue wounds. Eur J Surg 1992;158(6-7):347-50

Leaper DJ

Schober A, Weber C. Mechanisms of monocyte recruitment in vascular repair after injury. Antioxid Redox Signal 2005;7(9-10):1249-57.

Swift ME, Kleinman HK, DiPrieto LA. Impaired wound repair and delayed angiogenesis in aged mice. Lab Invest 1999;79(12):1479-87

Diegelmann, et al.

Witte MB, Barbul A. Role of Nitric Oxide in wound repair. Am J Surg 2002;183(4):406-12.

Wilson JR, Mills JG, Prather ID, etal. A toxicity index of skin and wound cleansersused on in vitro fibroblasts and keratinocytes. Adv Skin Wound Care 2005;18(7):373-8.

Souza BR, Santo JS, Costa AM. Blockade of beta-1 and beta-2 adrenoreceptors delays wound contraction and re-epithelialization in rats. Clin EXp Pharmacol Physiol 2006;33(5-6):421-30.

Arboleda B, Cruz NI. The effect of systemic isotretinion on wound contraction in guinea pigs. Plast Reconstr Surg 1989;83(1):118-21.

Modolin M, Bevilacqua RG, Margarido NF, et al. The effects of protein malnutrition on wound contraction: an experimental study. Ann Plast Surg 1984; 12(5):428-30.

Ballas CB, Davidson JM,. Delayed wound healing in aged rats is associated with increased collagen gel remodeling and contraction by skin fibroblasts, not with differences in apoptotic or myofibroblast cell populations. Wound Repair Regen 2001;9(3):223-37.

Campbell RM, Perlis CS, Fisher E, et al. Gentamicin ointment versus petrolatum for management of auricular wounds. Dermatol Surg 2005;31(6):664-9.

Mahaffey PJ. Something old, something new in wound dressings. BMJ 2006;332(7546)916.

Wilson JR, Mills JG, Prather ID, et al.

Paddle-Ledinek J, Nasa Z, Cleland H. Effect of different wound dressings on cell viability and proliferation. Plast Reconstr Surg 2006;117(7):110S-8S

Zia S, Ndoye A, Lee TX, et al. Receptor-mediated inhibition of keratinocyte migracion by nicotine involves modulations of calcium influx and intracellular concentration. J Pharmacol Expo Ther 2000;293(3):973-81.

Desmouliere A, Chaponnier C, Gabbiani G. Tissue repair, contraction, and the myofibroblast. Wound Repair Regen 2005;13(1):7-12.

Robson MC, Duke WF, Krizek TJ, et al. Rap[id bacyterial screening in the treatment of civilian wounds. J Surg Res 1973;14:426-30

Berk WA, Osbourne DD, Taylor DD. Evaluation of the "golden period" for wound repair: 204 cases from a third world emergency department. Ann Emerg Med 1988;17(5):496-500.

Berk WA, Welch RD, Bock BF. Controversial issues in clinical management of the simple wound. Ann Emerg Med 1992;21(1)72-80.

Moreira ME, Markovchick VJ. Wound Management. Emergency Medicine Clinics of North America. 2007;3(25):873-899.

Trott A. Decisions before closure-timing, debridement, consultation. Wounds and Lacerations emergency care and closure. St. Louis (MO): Mosby; 1997, p 119.

Bansal BC, Wiebe RA, Perkins SD, et al. Tap water for irrigation of lacerations. Am J Emerg Med. 2002;20:469-72.

Chisolm CD, Wound evaluation and cleansing. Emerg Med Clin North Am 1992;10(4):665-72

Knapp JF. Updates in wound management for the pediatrician. Pediatric Clin North Am 1999;46(6):1201-13.

Hollander JE, Singer AJ. Laceration management. Ann Emerg Med 1999;34(3):356-67.

Hollander JE, Singer AJ. Laceration management. Ann Emerg Med 1999;34(3):356-67.

Schultz GS, Sibbald RG, Falanga V, et al. Wound bed preparation: a systematic approach to wound management. Wound Repair Regen 2003;11:1-28.

Hollander JE, Singer AJ. Laceration management. Ann Emerg Med 1999;34(3):356-67.

Steve E, Lindblad AJ, Allan GM. Non-sterile gloves in minor lacerations and excisions? Can Fam Physician. 2017 Mar; 63(3):217.

Lo S, Aslam N. A review of tissue glue use in facial lacerations: potential problems with wound selectionin accident and emergency. Eur J Emerg Med 2004;11(5):277-9.

Singer AJ, Quinn JV, Clark RE, et al. Closure of lacerations and incisions with octylcyanoacrylate: a multicenter randomized controlled trial. Surgery 2002;131:270-6.

Perron AD, Garcia JA, Hays EP, et al. The efficacy of cyanoacrylate-derived surgical adhesive for use in the repair of lacerations during competitive athletics. Am J Emerg Med 2000;18(3):261-3.

Zempsky WT, Parrotti D, Grem C, et al. Randomized controlled comparison of cosmetic outcomes of simple facial lacerations closed with Steri strip skin closures or dermabond tissue adhesive. Pediatr Emerg Care 2004;20(8):519-24.

Katz KH, Desciak EB, Maloney ME. The optimal application of surgical adhesive tape strips. Dermatol Surg 1999;25(9):686-8.

Cummings P, Beccaro M. Antibioticos to prevent infection of simple wounds: a meta-analysis of randomized studies. Amer J Emerg Med. 1995;4(13):396-400.

Emmerson M. A microbiologist's view of factors contributing to infection. New Horizons. 1998;6 (suppl 2):S3-S10.

Murray CK. Field Wound Care: Prophylactic Antibiotics. Wilderness & Env Medicine. 2017;28: S90-102.

Hospenthal DR, Green AD, Crouch HK, et al. Infection Prevention and Control in Deployed Military Medical Treatment Facilities. J Trauma, Injury, Infection, Crit Care. 2011;71(2):S290-298.

Tong MJ. Septic complications of war wounds. JAMA. 1972;219:1044-1047.

Vento TJ, Cole DW, Mende K, et al. Multidrug-resistant gram negative bacteria colonization of healthy US military personnel in the US and Afghanistan. BMC Inf Dis. 2013;68(13):1-11

Herindrainy P, Randrianirina F, Ratovoson R, et al. Rectal carriage of extended-spectrum beta-lactamase-producing gram-negative bacilli in community settings in Madagascar. PLoS One 2011, 6:e22738

Gaus D, Herrera D, Larco D. MRSA infected wounds in a community hiospital in rural tropical Ecuador. 2018;7(1). DOI: http://dx.doi.org/10.23936/pfr.v0i7.203.g261

Tufino A, Penafiel S. Enterobacter cloacae multiresistente causante de infeccion de heridas a nivel comunitario: reporte de casos. 2018;7(1). DOI: http://dx.doi.org/10.23936/pfr.v0i7.203.g261

DOI: http://dx.doi.org/10.23936/pfr.v0i8.208

DOI (Ver en línea /): http://dx.doi.org/10.23936/pfr.v0i8.208.g271

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