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Master Thesis

Prise en charge des traumatismes non chirurgicaux du poignet et de la main aux urgences du CHU de Caen

Abstract : Purpose and study: Wrist and hand injuries are an important part of emergency consults. Their management can sometimes be complicated due to the anatomical complexity of this area. Those specific lesions can get misdiagnosed and cause severe consequences to the patients among them functional issues and pain. Objective: This study reach to observe and describes the management of wrist and hand injuries to improve professional practices of the emergency unit Materials and method: From January to June 2018 on a retrospective observational study, we studied a population of 218 adults which came to the emergency unit of the Caen University Hospital Center for hand or wrist trauma without surgical indication. The data collected were clinical, paraclinical and therapeutic. Results: If we take into account those diagnostic, the result can be ranked in the following order: 68% bruises, 16% fractures, 8% sprains, 6% diagnostic doubts and 2% other diagnoses. On this sample 98% get an X-ray during their consultation and 96% get a prescription of painkiller, whatever the diagnosis. On those 218 patients, 77 were immobilized. Conclusion: The main conclusion of this study is that in many case the precautionary approach is done by immobilizing the patients’ hands/wrists meanwhile we still have a heterogeneity of ways to take care of those traumas. That heterogeneity might have a link with the lack of consensual recommendations. Having a reflex card or a unit protocol could help to improve and standardise our medical practices.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02493065
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Submitted on : Thursday, February 27, 2020 - 3:26:43 PM
Last modification on : Friday, October 23, 2020 - 4:57:42 PM

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Tristan Pierrat. Prise en charge des traumatismes non chirurgicaux du poignet et de la main aux urgences du CHU de Caen. Médecine humaine et pathologie. 2019. ⟨dumas-02493065⟩

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