Forgive me being provocative. Many well trained
Emergency Physicians /A&E Doctors are clearly putting
lots of time & energy into these deserving patients -
but why?
Since pre-tibial lacs are well within the skills of
both senior E.D. nurses and practice nurses, doctors
in Bath E.D. virtually never see them. It is possible
to free yourselves up to see the truly sick patients
who need your skills by getting others to see the cuts
n bruises. Who knows..you might end up not needing a
clinic!
Can you all explain why you spend so much time and
energy on such unchallenging patients?
The purchasers will not be inspired by the idea of 24
hour Emergency Physicians providing round the clock
cover ....for pretibial lacerations
Steve Meek
--- [log in to unmask] wrote:
> A recent audit of our Pretibial lacerations showed a
> cellulitis rate
> 3% with a regimen of Meticulous clean, steristrip to
> close the flap,
> cover with an Inadine dressing.
> We check the first time at around 5 days
> We use topical metronidazole for local "smelly
> infection"
> We don't use oral antibiotics unless we see
cellulitis
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