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Use of Tissue Adhesive as a Field Expedient Barrier Dressing for Hand Wounds in Disaster Responders

Published online by Cambridge University Press:  23 December 2013

Matthew J. Levy  and
Nelson Tang
Matthew J. Levy*
Affiliation:
Johns Hopkins University, School of Medicine, Department of Emergency Medicine, Baltimore, Maryland USA
Nelson Tang
Affiliation:
Johns Hopkins University, School of Medicine, Department of Emergency Medicine, Baltimore, Maryland USA
*
Correspondence: Matthew J. Levy, DO, MSc Johns Hopkins University School of Medicine Department of Emergency Medicine 5801 Smith Ave Davis Building, Suite 200 Baltimore MD, 21209 E-mail [email protected]
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Abstract

Injuries sustained by disaster responders can impede the affected individuals’ ability to perform critical functions and often require the redirection of already scarce resources. Soft-tissue injuries to the hand are commonly experienced by disaster workers and even seemingly mild lacerations can pose the potential for significant complications in such hazard-filled environments. In this report, the authors describe their experience utilizing tissue adhesive to create a functional and effective barrier dressing for a hand injury sustained by a responder at the West, Texas USA fertilizer plant explosion. This technique of wound management allowed the patient to continue performing essential onsite functions for a sustained period following the explosion and the subsequent investigative processes. At the 30-day follow-up, the wound was well healed and without complications. This technique proved to be a valuable method of field expedient wound management and is worthy of consideration in similar future circumstances.

Levy MJ, Tang N. Use of Tissue Adhesive as a Field Expedient Barrier Dressing for Hand Wounds in Disaster Responders. Prehosp Disaster Med. 2014;29(1):1-3 .

Keywords

disaster responder injuriesextended operations medical carewound adhesive
Type
Brief Report
Information
Prehospital and Disaster Medicine , Volume 29 , Issue 1 , February 2014 , pp. 107 - 109
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2014 

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References

1. Mitchell, CS, et al. Worker Health and Safety. In: Ciottone GR. Disaster Medicine, 1st ed. Philadelphia, Pennsylvania USA: Mosby Elsevier; 2006:157-162.Google Scholar
2. Freitas, RL. Scene Safety in Disaser Response. In: Ciottone GR. Disaster Medicine, 1st ed. Philadelphia, Pennsylvania USA: Mosby Elsevier; 2006:15-223.Google Scholar
3. Simon, B, Hern, HG. Wound Management Principles. In: Marx JA. Rosen's Emergency Medicine, 7th ed. Philadelphia, Pennsylvania USA: Mosby Elsevier; 2009:698-714.Google Scholar
4. Guidelines for the prevention and management of wound infection. World Health Organization website. http://www.who.int/hac/techguidance/tools/Prevention%20and%20management%20of%20wound%20infection.pdf. Accessed May 27, 2013.Google Scholar
5. Best practice guidelines for wound care in disaster situations. Centers for Disease Control and Prevention website. http://www.bt.cdc.gov/disasters/woundcare.asp. Accessed May 25, 2013.Google Scholar
6. Lammers, RL. Principles of Wound Management. In: Roberts JR. Clinical Procedures in Emergency Medicine, 5th ed. Philadelphia,Pennsylvania USA: Saunders Elsevier. 2010:563-591.CrossRefGoogle Scholar
7. Farion, K, Osmond, MH, Hartling, L, et al. Tissue adhesives for traumatic lacerations in children and adults. Cochrane Database of Syst Rev. 2002; (3):CD003326.Google Scholar
8. Quinn, JV, Osmund, MH, Yurack, JA, Moir, PJ. N-2-butylcyanoacrylate: risk of bacterial contamination with an appraisal of its antimicrobial effects. J Emerg Med. 1995;13(4):581-585.Google Scholar