EMERGENCY MEDICINE QUESTIONS (EMQS)
Emergency Medicine Questions (EMQs)
616
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COORDINATORS: MARK JADAV AND GAVIN LLOYD
Theme: Wound management
QUESTION 1
Which of the following statements regarding local anaesthesia are true?
- Buffering lidocaine solution with sodium bicarbonate significantly reduces the pain of infiltration.
- Lignocaine/adrenaline preparations may be safely used for digital nerve blocks.
- Peripheral nerve blocks for facial suturing are better tolerated than local infiltration of lignocaine and adrenaline.
- Topical anaesthesia is as effective as infiltration of lignocaine for facial lacerations in children.
QUESTION 2
Regarding the prevention of wound infection, which of the following statements are true?
- Uncomplicated hand wounds do not require antibiotic prophylaxis.
- Mammalian bites should be treated with prophylactic antibiotics.
- Tap water is as effective as sterile saline for wound toilet.
- Sterile gloves should be worn to minimise wound infection while suturing lacerations.
QUESTION 3
Which of the following statements are true?
- Absorbable sutures are associated with an unacceptable rate of complications in paediatric laceration closure.
- Probiotic yoghurt drinks reduce antibiotic-associated diarrhoea and Clostridium difficile infection in elderly
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Relevant Article
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EMQ answers
Emerg. Med. J. 2008 25: 616.[Extract] [Full Text] [PDF]
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