Complex open wounds

The dramatic presentation of severe upper extremity wounds may create problems independent of the specific details of injury. While confronted with the gruesome wounds, bleeding, amputated parts as well as the immediate demands of the patient and family ("you can save it, can't you?"), one must maintain perspective and look for potentially missed injuries such as blunt abdominal trauma, proximal skeletal injuries, brachial plexus injuries and compartment syndrome.

Complex Hand Wounds
 
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