Clinical Case Database / Category: Case Based Discussion

Principles of wound care in the Emergency Department

Publication details

Grizelda George, D Dhariwal, N Jefferson, P Pretorius
Foundation Years Journal, volume 7, issue 2, p.16 (123Doc Education, London, February 2013)


A seventy-nine year old female patient fell onto a garden cane which penetrated the right side of her face. The management, radiological investigation, anatomy of the injury and complications are presented as the basis for a Case Based Discussion.

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Grizelda George (Corresponding author)

Consultant in Emergency Medicine
Horton Hospital
OX16 9AL

D Dhariwal

Consultant Oral and Maxillofacial Surgeon
John Radcliffe Hospital
Oxford University Hospitals NHS Trust

N Jefferson

Consultant Radiologist
Department of Radiology
Warwick Hospital, Lakin Road, Warwick, CV34 5BW

P Pretorius

Consultant Radiologist
John Radcliffe Hospital
Oxford University Hospitals NHS Trust


1.  Craig M, Jeavons R, Probert J, Benger J. Randomised comparison of intravenous paracetamol and intravenous morphine for acute traumatic limb pain in the emergency department. Emerg Med J published online March 1, 2011 doi:10.1136/emj.2010.104687

2.  JCVI statement on Tetanus Immunisation: Accessed April 7th 2011.

3.  Krimmel M, Cornelius CP, Stojadinovic S, Hoffman J, Reinert S. Wooden foreign bodies in facial injury: a radiological pitfall. Int J Oral Maxillofac Surg 2001:30; 445-7


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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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