UNCONTROLLED WHEN PRINTED
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 Introduction

The uncomplicated wound pathway is designed for use within the metropolitan area only at the present time 

 Clinical Presentation
  • Uncomplicated wound care and Secondary Triage Desk consideration for referral to community services
  • Minor wounds in the community in medically stable and appropriate patients
  • Intended for adults aged 18 and over. However, children aged 13 and above may be accepted if they are able to be administered medications as an adult, not currently under the care of a paediatrician and have a responsible adult present during the visit.
 Exclusion Criteria

Clinical criteria

  • Unable or unsuitable to wait four hours to be reviewed
  • STT unable to confirm timely referral
  • Medically unstable requiring Emergency Department transportation
  • Mentally unstable that would be unsafe to remain at home without care or supervision
  • Under 18 years of age. However, children aged 13 and above may be accepted if they are able to be administered medications as an adult AND are not currently under the care of a paediatrician AND have a responsible adult present during the visit.
  • Greater than 20 weeks pregnant
  • Active or current alcohol abuse, IVDU or intoxication
  • Residing in an unsafe environment (unsuitable for a solo referral)
  • Head lacerations with associated loss of consciousness

Wound criteria

  • Active, continually or uncontrolled bleeding
  • Extensive or deep wounds requiring suturing or closure by medical professional
  • Non superficial wounds displaying underlying tissue
  • Suspicion of deep tissue damage
  • Foreign body in wound unable to be removed by irrigation
  • Suspected fractures
  • Human or animal bites
  • Puncture wounds with potential injury to underlying structures
  • Chronic wounds showing signs of infection
 Risk Assessment
 Management
Primary Care
  • Applies to Metropolitan Ambulance/PTS personnel only
Intermediate Care (EMT / Level 2)
  • As per Primary Care guidelines
Advanced Care (AP)
  • Engage with the STT team as soon as practicable to determine the patient pathway
Critical & Extended Care (CCP, PSO)
  • As per Advanced Care (AP) guidelines
 Additional Information

References
References
Key Terms & Links
Settings
Extended Care:
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Document Control


Directorate
Clinical Services

Responsible Manager
Head of Clinical Services

Version

Published Date

Review Date

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