[Stab wounds in emergency department]

Presse Med. 2013 Dec;42(12):1572-8. doi: 10.1016/j.lpm.2013.09.003. Epub 2013 Oct 28.
[Article in French]

Abstract

Stab wounds represent the most common cause of penetrating wounds, occurring mainly in case of aggression or suicide attempt. Clinical severity depends on the superficial or penetrating aspect of the wound, its location and damaged organs. Medical management must be known because the vital risk is involved in penetrating wounds. Hemodynamically unstable patients should be operated without delay after performing a chest X-ray and ultrasound Focus assisted sonography for trauma (FAST) to guide the surgery. In the stable patients, the general clinical examination, exploration of the wound and medical imaging detect injuries requiring surgical management. Stab penetrating wounds require close and rapid collaboration between medical teams, tailored to the institution's resources.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Abdominal Injuries / diagnosis
  • Abdominal Injuries / epidemiology
  • Abdominal Injuries / therapy
  • Diagnostic Imaging
  • Emergency Medical Services / methods*
  • Emergency Service, Hospital*
  • Hemodynamics / physiology
  • Hemostatic Techniques
  • Humans
  • Thoracic Injuries / diagnosis
  • Thoracic Injuries / epidemiology
  • Thoracic Injuries / therapy
  • Wounds, Stab / diagnosis
  • Wounds, Stab / epidemiology
  • Wounds, Stab / therapy*