Emergency Department Management of Patients With Hand and Wrist Emergencies | Points & Pearls
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Emergency Department Management of Patients With Hand and Wrist Emergencies

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Points & Pearls Excerpt

  • Hand and wrist injuries that are improperly diagnosed, treated, or immobilized may result in soft tissue injury, nerve compression, or stiffness. Table 1 lists the likelihood of morbidity of common injuries.
  • A thorough hand examination is vital, including evaluation of pain level, sensory status (Figure 3), vascular status (Figure 1), and motor status (Figure 4).
  • Control bleeding with pressure and elevation. To avoid injury to neurovascular bundles, do not place blind stitches for active bleeding. If bleeding is not controlled, in awake patients, a forearm or finger tourniquet should be considered over upper arm tourniquet for tolerance and pain control.24
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Publication Information
Authors

Courtney L. Schmidt, MD; Ryan W. Horn, MD; Andrew D. Bloom, MD, FACEP; Rachel E. Aliotta, MD

Peer Reviewed By

Jeffrey P. Feden, MD, FACEP, FAMSSM; Mark Silverberg, MD, FACEP, MMB

Publication Date

July 1, 2025

CME Expiration Date

July 1, 2028    CME Information

CME Credits

4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAFP Prescribed Credits, 4 AOA Category 2-B Credits.

Pub Med ID: 40543086

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