J Trauma
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Randomized Controlled Trial Comparative Study Clinical Trial
Wound infections after minor limb lacerations: risk factors and the role of antimicrobial agents.
The requirement for antimicrobial agents in patients with minor limb lacerations was prospectively studied. ⋯ The use of antimicrobial agents in minor limb injuries was not associated with a significant reduction of infection rate. Routine antimicrobial treatment is discouraged.
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Randomized Controlled Trial Clinical Trial
Treatment of occult pneumothoraces from blunt trauma.
Occult pneumothoraces (OPTXs) are seen on abdominal computed tomographic (CT) scans but not on routine chest x-ray films. Optimal treatment for blunt trauma OPTXs has not been defined. We hypothesized that OPTXs could be safely observed without need for a chest tube (CT). ⋯ Observation of OPTX is not associated with an increased incidence of pneumothorax progression or respiratory distress. These pneumothoraces can be safely observed in patients with blunt trauma injury regardless of the need for positive pressure ventilation.