Projects » Clinical Competence » Legal concerns in tissue viability and wound healing-Bridgit Dimond
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      Medico-legal issues in wound management can arise when a
      patient who is suffering from a penetrating or crushing wound or
      from a compound fracture (one in which the bone protrudes through
      the skin) seeks the treatment of a physician or surgeon who does not
      adequately debride (remove the devitalized tissue and foreign matter) the wound, thereby leaving it contaminated with dead tissue,
      foreign matter, or bacteria. Perhaps he closes the wound by suture
      or skin graft, and perhaps he administers antibiotics or anti-tetanus
      injections. Infection develops or the wound fails to heal properly.
      The attorney representing the patient in a suit against the
      treating physician must determine the medical standards for wound
      treatment, including those for proper debridement, closure, and
      administration of medication. Ascertaining these standards is not
      easy, as many factors of wound management must be considered.
      If the attorney determines that the physician violated these standards, he must then determine whether the patient’s condition was
      proximately caused by the failure of the physician to exercise the
      proper standard of care. Proximate cause is often difficult to prove,
      as the patient’s condition is nearly always partially attributable to
      the initial wound. Even if the attorney can prove violation of the
      standard of care and proximate cause, he might have to face the
      defense of the statute of limitations. This article explores the medical and legal issues which could arise in such a case-Susan Webber

      [See the full post at: Legal concerns in tissue viability and wound healing-Bridgit Dimond]

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