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Home > EB Store > Evidence-Based Management Of Mammalian Bite Wounds
Evidence-Based Management Of Mammalian Bite Wounds - $30.00
This issue includes 4 AMA PRA Category 1 CreditsTM; 4 ACEP category 1 credits; and 4 AAP Prescribed credits.
Authors
Brian Rempe, MD Associate Program Director, Emergency Medicine Residency Allegheny General Hospital, Pittsburgh, PA
Mara Aloi, MD Program Director, Emergency Medicine Residency Allegheny General Hospital, Pittsburgh, PA
Kara Iskyan, M.D. Resident Physician, Emergency Medicine/Internal Medicine Combined Residency Allegheny General Hospital, Pittsburgh, PA
Peer Reviewers
Steven A. Godwin, MD, FACEP Associate Professor And Program Director, Department Of Emergency Medicine, University Of Florida College Of Medicine – Jacksonville, Jacksonville, FL
Troy Turner, MD, FRCPC Assistant Professor, Department Of Pediatrics, University Of Alberta, Edmonton, AB, Canada
Publication Date: September 2009; Volume 6, Number 9
Excerpt from the issue...
Mammalian bites are fairly common presentations in the emergency
department (ED). In fact, half of all Americans will be bitten by an
animal or another human during their lifetime.1,2 Not surprisingly, domestic cats and dogs are responsible for most bites. That said, emergency clinicians must be prepared to address bites from all types of animals,
including exotic and wild species. Bite injuries can cause morbidity
from pain, cosmetic disfigurement, poor functional outcome, and
infectious complications. The emotional impact to patients and their
families must also be managed. Closure techniques and the treatment of
clinically apparent infections are relatively straightforward. The
major controversies surrounding mammalian bites involve their initial
management. Should patients with bite wounds be given antibiotics
prophylactically at presentation? Should bite wounds be closed primarily, or does this procedure increase the risk of infection? Although the examples of mammalian bites given in
the vignettes may appear extreme, emergency clinicians will likely be
confronted with these types of treatment decisions multiple times
during their career.
This article reviews the available research on mammalian bite wounds in
children to help the emergency clinician choose a strategy for managing
the care of their pediatric patients.
