Pediatric Wound Care in the Emergency Department - Trauma EXTRA Supplement (Trauma CME)

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Delivery Method:	Online
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Publication Date: April 2024 (Volume 27, Supplement 4)

CME Credits: 4 AMA PRA Category 1 Credits™, 4 ACEP Category I credits, 4 AAFP Prescribed credits, and 4 AOA Category 2-B CME credits. CME expires 04/15/2028.

Specialty CME Credits:Included as part of the 4 credits, this CME activity is eligible for 4 Trauma credits, subject to your state and institutional approval.

Author

Peer Reviewers

Abstract

Traumatic wounds and lacerations are common pediatric presenting complaints to emergency departments. Although there is a large body of literature on wound care, many emergency clinicians base management of wounds on theories and techniques that have been passed down over time. Therefore, controversial, conflicting, and unfounded recommendations are prevalent. This issue reviews evidence-based recommendations for wound care, including wound cleansing and irrigation, anxiolysis/sedation techniques, closure methods, and postrepair wound care.

Case Presentations

A 2-year-old boy presents with a forehead laceration that occurred when he tripped and fell onto the edge of a table…

• The boy is very upset and screams and turns away when you try to remove the bandage.
• The resident you are working with asks what sutures they should grab from the supply room. They also ask you what the best way is to handle toddlers who require local wound care...

A 12-month-old girl presents with 2 C-shaped lacerations on her upper arm with some surrounding bruising...

• The family reports that she fell.
• After evaluating the child and the wound, you have some concerns that this wound may have been inflicted.
• The medical student shadowing you asks why you think that...

Accreditation:

EB Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.