Traumatic injuries in ER: managing based on the evaluation of the clinical risk

The infective risk of a face injury is 1%, while that of a similar injury in the leg is 20%. Injuries due to bruises are more likely to be infected than injuries caused by cuts since the reduction of the flux in their edges can make the bacteriological concentration as many as 100 times bigger. Some injuries can be closed immediately, while others are best treated when closed after three days. All the risk factors, both those relative to the type of injury and those relative to the patient's characteristics, must be considered. Thus, while managing injuries, some flexibility is required. This kind of pathology is important to the emgergency doctor for many reasons: 5.4& people acccessing the ER suffers from traumatic injuries; 10.3% patients in ER are treated to cure their injuries; and 11% doctor-legal controversy is due to infectious and/or presence of foreign bodies in injuries.