Towards evidence based emergency medicine: best BETs from the Manchester Royal Infirmary. Conservative management or suturing for small, uncomplicated hand wounds

迈向循证急诊医学:曼彻斯特皇家医院的最佳实践。对于小型、非复杂性手部伤口,保守治疗或缝合是可行的。

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Abstract

A short cut review was carried out to establish whether suturing provided any advantage over conservative management for small, uncomplicated hand wounds. Only one paper presented a trial addressing the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of this paper are tabulated. The clinical bottom line is that there doesn't appear to be any great advantage to suturing. The importance of clinical evaluation, to ensure that the wound really is uncomplicated, is stressed.

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