geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

The utility of routine x-rays in all glass-caused wounds


, : The utility of routine x-rays in all glass-caused wounds. American Journal of Emergency Medicine 24(2): 233-236

It is a common practice to routinely obtain x-rays before clinical evaluation and cleaning of glass-caused wounds to assess for possible retained foreign bodies (FBs). [Am J Surg 1982;144(July):63-5; Ann Emerg Med 1983;12(July):434-7; Emerg Med Clin NorthAm 1985;3(2):383-91; Emerg Med Clin North Am 1992;10:163-77; Ann Emerg Med 1988 17(12):125-34; Emerg Med Clin North Am 1992;10(4):757-79] This prospective study was designed to question whether routine x-rays are necessary for all patients with glass-caused wounds. Plain films were taken before clinical exam but not reviewed until after the exam was completed. Wounds were categorized according to depth, whether or not the clinician was able to adequately explore the wound, and whether or not an FB was found clinically. Glass FBs were found in 23 (8.7%) of 264 wounds. Approximately half of the wounds were no deeper than subcutaneous fat. Almost all of these superficial wounds (99.2%, 133/134) could be adequately explored. There were clinically undetected FBs (ie, wounds that benefited from x-ray) in 2 (1.5%) of 134 superficial wounds and 10 (7.7%) of 130 deeper wounds. In light of the benign nature of the 2 superficial wounds in which an FB was missed clinically, we conclude that there exists a subset of glass-caused wounds that are superficial and adequately explorable, and, therefore, do not need routine x-rays.

US$19.90

PMID: 16490657

DOI: 10.1016/j.ajem.2005.06.008


Other references

Bernardo, G.; Marroccoli, M.; Nobili, M.; Telesca, A.; Valenti, G.L., 2007: The use of oil well-derived drilling waste and electric arc furnace slag as alternative raw materials in clinker production. Through laboratory burnability tests and industrial runs carried out for 1 month in a dry processcement kiln it has been found that an oil well-derived drilling waste and an electric arc furnace (EAF) slag generated in a steel plant are suitable p...

Kuzuya, M.; Ando, F.; Iguchi, A.; Shimokata, H., 2006: Preproghrelin Leu72Met variant contributes to overweight in middle-aged men of a Japanese large cohort. Objective: To investigate whether Leu72Met polymorphism of the preproghrelin gene is associated with overweight/obesity in middle-aged and older Japanese.Design: Cross-sectional analysis.Subjects: A total of 2238 community-dwelling middle-aged an...

Shepardson, M., 1978: Changes in Navajo mortuary practices and beliefs. American Indian Quarterly 4(4): 383-396

Tchórzewski, M.; Krokowski, D.; Boguszewska, A.; Liljas, A.; Grankowski, N., 2003: Structural characterization of yeast acidic ribosomal P proteins forming the P1A-P2B heterocomplex. Acidic ribosomal P proteins form a distinct lateral protuberance on the 60S ribosomal subunit. In yeast, this structure is composed of two heterocomplexes (P1A-P2B and P1B-P2A) attached to the ribosome with the aid of the P0 protein. In solution,...

Cuevas, Jé.M.; Gonzalez, M.; Torres-Puente, M.; Jiménez-Hernández, N.; Bracho, Mía.A.; García-Robles, I.; González-Candelas, F.; Moya, Aés., 2009: The role of positive selection in hepatitis C virus. Hepatitis C virus (HCV) is a major health problem worldwide, infecting an estimated 170 million people. In this study, we have employed a large data set of sequences (14,654 sequences from between 25 and 100 clone sequences per analyzed region and...

Shcherbakov V.P.; Shevchenko N.A.; Norenko N.P.; Gumanov L.L., 1971: Protein biosynthesis in cells of escherichia coli infected with phage t 4b effect of uv irradiation. Molecular Biology (English Translation of Molekulyarnaya Biologiya (Moscow)) 5(1): 33-39

Miller, H.L.; Ney, C.; Puljic, S., 1976: Xanthogranulomatous pyelonephritis: with emphasis on angiographic findings. New York State Journal of Medicine 76(6): 919-924

Urschel, J.D.; Hameed, S.M.; Grewal, R.P., 1994: Neurogenic thoracic outlet syndromes. Postgraduate Medical Journal 70(829): 785-789

Roder, H.; Von., 1888: Bemerkungen zur Dipteren-Gattung Ecoprosopa. Wiener Entomologische Zeitung, VII 97 & 98

Nolan, M.B.; Martin, D.P.; Thompson, R.; Schroeder, D.R.; Hanson, A.C.; Warner, D.O., 2017: Association Between Smoking Status, Preoperative Exhaled Carbon Monoxide Levels, and Postoperative Surgical Site Infection in Patients Undergoing Elective Surgery. Cigarette smoking is a risk factor for many perioperative complications, including surgical site infection (SSI). The duration of abstinence from smoking required to reduce this risk is unknown. To evaluate if abstinence from smoking on the day of...