RESUMEN
In this review, we discuss assessments methods of patient's step by step in primary care. We outline the cleansing methods of wounds and guidelines for wound management depending on the type of wound. We review the most updated studies in the management approaches wound in primary care, but we also included some studies which have been published earlier since 1995 December, up to November, 2017. The Midline [PubMed] and Embase databases were searched for relevant articles related to our concern subject. Holistic assessment involves identifying, gathering and interpreting information about the patient and wound to ensure accurate diagnosis, appropriate treatment, ongoing monitoring and prevention of complications. For successful management of patients wounds, physicians need proper understanding of the recovery procedure. The use of a standardized, systematic method of evaluation assists the practitioner in the accurate investigation of the wound, with the general goal of assuring optimal wound healing in addition to patient outcomes. Acute wound management varies based upon the wound location and characteristics. No single method can be applied to all wounds; however, a systematic technique to acute wound care integrated with current best practices gives the structure for exceptional wound management
RESUMEN
In spite of being rare, fat embolism syndrome is considered a fatal complication after bone fracture and orthopedic procedures. It was suggested that early immobilization might reduce the incidence of fat embolism syndrome. However, no enough data are available to justify this finding
Objectives: The aim of this review is to determine the incidence of fat embolism among patients who had long fracture fixation
Methods: A systematic review of Medline and Cochrane library was conducted on their database. This search yielded 34 papers, 13 of which were related
Results: The incidence of fat embolism syndrome after long fracture fixation ranged from 2.7% and 11%. More specifically, the incidence among long bone fracture patients who were operated early [within the first 24 hours after injury] ranged from zero% in some studies [16,19] to 1.8% in others. As regards late operation, after 24 hour of bone fracture, the incidence of fat embolism syndrome [FES] ranged from 3.5% to 10.4
Conclusions: The incidence of fat embolism in post long fracture fixation is very low. Several research works indicate that early fixation significantly reduce the incidence of FES compared to late fixation