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Emergency management of hand injuries. When to repair, when to refer.

The primary care physician can accurately diagnose hand injuries by obtaining a thorough patient history and performing a complete physical examination of the hand. When the severity of injury is doubtful, immobilization in a splint with next-day referral is appropriate. Immediate consultation should be obtained with nerve or vascular damage, fracture-dislocation injuries, open fractures, substantial skin loss, or flexor tendon injuries at or distal to the wrist.[1]

References

  1. Emergency management of hand injuries. When to repair, when to refer. Sturm, J.T., Cicero, J.J. Postgraduate medicine. (1986) [Pubmed]
 
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