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The comprehensive management of wounds is becoming less common in the office because concerns over time, reimbursement, and liability are sending more children to urgent care and emergency departments for initial evaluation of their injuries. Nevertheless, it is the primary care physician who typically becomes responsible for follow-up management of proper wound healing and surveillance for secondary infections and other complications. The goal of this article is to review the common traumatic wounds in children: abrasions, lacerations, and puncture wounds (including human and animal bites). The focus is on issues involved with both initial and subsequent care. Evaluation and management of surgical and burn wounds, not uncommon in children, is beyond the focus of this article, although many of the principles of wound healing and secondary infection apply to those entities as well.

Unintentional injuries are one of the leading causes...

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