Wounds and Lacerations: Emergency Care and Closure » (3rd Edition)

Trott, Alexander T., MD (Univ of Cincinnati)

Both contributors are from the department of pediatrics at Univ of Cincinnati.

The revised and updated new edition covers all of the major clinical issues surrounding the care and closure of wounds and lacerations, including basic and complex wound care, anatomy, wound healing, infiltration anesthesia, cleansing, irrigation, choice of suture materials, consultations, and more. It provides clear, concise guidance on everything from the patient's arrival in the ED to discharge and follow-up care. And, more than 445 detailed illustrations—over 130 new to this edition—depict techniques for wound care and offer step-by-step guidance.

• Uses a structured guideline approach to wound care derived from expert opinion and research.
• Discusses basic wound care knowledge, as well as information on materials, instruments, and techniques.
• Examines the advantages and disadvantages of various technique and instruments, and offers "real-life" solutions to clinical problems in the emergency setting.

• Presents a brand new chapter, Emergency Wound Care: An Overview, that discusses the goals of wound care
  • patient expectations
  • and the risks of wound care.
• Covers deep cutaneous and necrotizing infections, infections and laceration repair, and chronic skin ulcerations in a new chapter on Complicated and Chronic Wounds.
• Features all new 2-color artwork, including over 130 new figures, that enhance understanding of techniques.
• Uses an all new 2-color design to highlight key information and make navigation even easier than before.

Jeffrey L. Mesuk

This second edition book on wounds and lacerations is quite well organized, a strength shared by the prior edition. The editor has provided indexed citations in the text and references are provided at the end of each chapter. There are many references cited between 1990 and 1995. However, quite a few references still date prior to 1990. The editor's primary objective with this new edition is to incorporate new scientific and clinical advances in emergency wound care. This new edition, he asserts, better reflects scientific investigation, including recent advances in our understanding of wound care. This very readable text appears well suited for advanced practitioners as well as residents and medical students. Dr. Trott is a Professor of Emergency Medicine at the University of Cincinnati, a well-regarded teaching center in emergency medicine, making him well qualified for authorship. The book has two new chapters, one on caring for the pediatric patient and another on cutaneous abscesses. In addition, there is a new section on cyanoacrylate wound adhesives. This edition also features more and higher quality illustrations than its predecessor, including many photographs illustrating nerve blocks. This is an important text in the emergency medicine literature. Although many of the chapters of the first edition were perhaps a bit too basic, this new edition makes a significantly improved effort to cite the scientific literature and contains many novel recommendations based on new data. It represents a welcome and authoritative addition to the emergency medicine literature.