Hand wounds emergency
Procedure to follow in the event of a hand wound. In theory, all hand wounds must be investigated surgically in theatre, ideally by a specialised surgeon.
The hand is an anatomic region where multiple elements such as nerves, tendons and arteries are combined in a reduced space, directly under the skin. All wounds are susceptible to causing damage to any one of these elements and thus result in serious consequences.
Such effects may be due either to the adhesion of one of these structures, or to secondary adherences or to an infection which can spread to the whole of the hand. Early and adapted treatment is therefore the best bet in terms of good recovery.
Protocol to be followed in cases of hand wounds :
The wound must be washed with soap and water and possibly an antiseptic.
The hand is then to be wrapped as best as possible in a sterile bandage or, when this is not available, a clean cloth. When there is extensive haemorrhaging, the dressing should compress the wound slightly. Garrottes are to be avoided. Check that the patient’s anti tetanus vaccinations are up to date.
Consult a specialised centre as quickly as possible.
Hand emergencies :
Emergencies concerning the hand such as wounds, fractures, injuries and amputations may be dealt with at my office at the Espace Médical Vauban and at the CMC Paris V depending on my availability and working hours.
They are dealt with 24hrs/24hrs at the CHP Montgardé in the Yvelines in the Val de Seine Hand Emergency Department, either by myself or by one of my hand surgeon colleagues.