Stab wounds in a Swiss emergency department: a series of 80 consecutive cases.

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Serval ID
serval:BIB_EC4734AC2957
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Stab wounds in a Swiss emergency department: a series of 80 consecutive cases.
Journal
Swiss Medical Weekly
Author(s)
Schreyer N., Carron P.N., Demartines N., Yersin B.
ISSN
1424-3997 (Electronic)
ISSN-L
0036-7672
Publication state
Published
Issued date
2010
Volume
140
Number
w13058
Pages
E1-E6
Language
english
Abstract
Background: Interpersonal violence is a worldwide social reality which seems to increasingly affect even the safest of countries, such as Switzerland. In this country, road traffic accidents, as well as professional and recreational activities, are the main providers of trauma-related injuries. The incidence of penetrative trauma related to stab wounds seems to be regularly increasing in our ED. The question arises of whether our strategies in trauma management are adapted to deal efficiently with these injuries.Methods: To answer this question, the study analysed patients admitted for intentional penetrative injuries in a tertiary urban emergency department (ED) during a 23 month period. Demographics, conditions of the assault, injury type and treatments applied were analysed.Results: Eighty patients admitted due to an intentional penetrating trauma accounted for 0.2% of the surgical practice of our ED. The assault occurred equally in a public or a private context, mainly affecting young males during the night and the weekend. Sixty six patients (83%) were treated as out-patients. Only 10 patients needed surgery. None of them required damage control surgery. No patient died and the mean hospital stay was 5.5 days.Conclusions: The prevalence of stab wounds in Switzerland is low. These injuries rarely need complex, surgical procedures. Observational strategies should be considered according to the patient status.
Keywords
Adolescent, Adult, Cardiopulmonary Resuscitation/statistics & numerical data, Circadian Rhythm, Cross-Sectional Studies, Efficiency, Emergency Service, Hospital/statistics & numerical data, Female, Glasgow Coma Scale, Guideline Adherence, Hospital Mortality, Hospitals, University/statistics & numerical data, Humans, Injury Severity Score, Intensive Care Units/statistics & numerical data, Length of Stay/statistics & numerical data, Male, Middle Aged, Patient Readmission/statistics & numerical data, Social Environment, Type="Geographic">Switzerland, Violence/statistics & numerical data, Wounds, Stab/epidemiology, Wounds, Stab/mortality, Young Adult
Pubmed
Web of science
Open Access
Yes
Create date
06/05/2011 15:18
Last modification date
20/08/2019 16:14
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