Children present to the ED with a variety of issues ranging from benign to life-threatening. The ability to recognize potentially devastating diseases early facilitates care and ensures an optimal outcome for the child.
Emergency medicine clinicians need to be adept at the acute treatment of both minor and major burns and be confident in their ability to decide which patients need referral to a burn center. The authors outline current recommendations for the treatment of minor burns, the initial treatment of more serious thermal injury, and the decision-making algorithm for burn center referral.
Although showering with hot water and harsh soap daily may not be optimal, studies have shown that regular bathing with good soap and water reduces the risk of infection in individuals colonized with Staphylococcus aureus.
Although rashes are not usually an emergency, it is common for emergency physicians to see patients come in with a rash. Sometimes the rash is new onset, and sometimes it has been present for a while and refractory to treatment.
Skin and soft tissue infections are encountered commonly in primary care practices, presenting as a range of disorders, from uncomplicated cellulitis, impetigo, folliculitis, erysipelas, and focal abscesses to necrotizing fasciitis. Each year between 1998-2006 in the United States, there were 650,000 hospital admissions for cellulitis, with estimates of 14.5 million cases annually treated as outpatients, accounting for $3.7 billion in ambulatory care costs.
Skin and soft tissue infections are encountered commonly in the emergency department, presenting as a range of disorders, from uncomplicated cellulitis, impetigo, folliculitis, erysipelas, and focal abscesses to necrotizing fasciitis.
This article reviews the current management options for simple cutaneous abscesses in patients, including review of the epidemiology, differential diagnosis, diagnostic studies, and changing practice of wound cultures and antibiotic therapy.