Evidence-Based Management of Acute Hand Injuries in Urgent Care | Points & Pearls
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Evidence-Based Management of Acute Hand Injuries in Urgent Care (Trauma CME)

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Points & Pearls Excerpt

  • Most bleeding due to hand injuries can be controlled with direct pressure. If direct pressure fails to control bleeding, a tourniquet or inflated blood pressure cuff can provide temporary hemorrhage control while emergent ED transfer is arranged.
  • Hard signs of vascular injury such as bright-red pulsatile bleeding; expanding hematoma; a cold, pulseless extremity; or a palpable thrill require ED transfer and consultation with a vascular surgeon.
  • The motor and sensory function of the radial, median, and ulnar nerves may be rapidly assessed with a set of simple maneuvers. (See Figure 3 and Figure 4.)
  • Hand flexor tendons (FDP, FDS) are assessed individually. (See Figure 5.)
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Publication Information
Editor in Chief & Update Author

Keith Pochick, MD, FACEP
Editor-in-Chief; Attending Physician, Urgent Care

Urgent Care Peer Reviewer

Linda Aanonsen, PA; Margaret Carman, DNP, RN, ACNP-BC, ENP-BC, FAEN

Charting Commentator

Brad Laymon, PA-C, CPC, CEMC

Publication Date

February 1, 2023

CME Expiration Date

February 1, 2026    CME Information

CME Credits

4 AMA PRA Category 1 Credits™. 4 AOA Category 2-A or 2-B Credits.
Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 4 Trauma CME credits

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