We describe the challenges and
epidemiology of injuries in this group and suggest an algorithm for optimal management. A retrospective study was carried
out of medical records of people with drug and alcohol problems treated in the plastic surgery unit between January 2004 and
December 2007 inclusive is presented. Exclusion criteria: (1) elective admissions, (2) previous, but not current drug or alcohol
use, (3) a short history of excessive alcohol intake, (4) isolated burn injuries, and (5) no notes available. Injuries were
sustained by 77 people. Males (64) were more commonly referred than females (13), with a mean age of 37 years (20–65) at presentation.
Delayed presentation (17/77) and non-compliance with treatment (16/77) was common. Only six patients were employed, nine …
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