The Situation: Big City Hospital (BCH) has recently acquired two community hospitals in their metro area: CH1 & CH2. Management of same practices are being consolidated under one practice manager….
A 23-year-old man presents to the ED complaining of a wound to his left lower extremity.
A 23-year-old man presents to the ED complaining of a wound to his left lower extremity. He states he was pulling branches out of a flooded creek in his backyard when he punctured his left calf. He states that his legs were in the water when the wound occurred. On examination, the puncture wound is 1 cm in diameter, several centimeters deep, and demonstrates surrounding erythema. After irrigating the wound, you discover a splinter within the wound. What is the most appropriate next step in management?
a. Radiograph to map the exact location of the foreign body.
b. Close the wound with 4-0 nylon.
c. Dress the wound with a sterile bandage and treat with a fluoroquinolone.
d. Remove the splinter.
e. Remove the splinter, close the wound, and treat with fluoroquinolone.