Justin Wormald
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jcrwormald.bsky.social
Justin Wormald
@jcrwormald.bsky.social
40 followers 270 following 8 posts
Oxford based lecturer and plastic surgery registrar at the University and the NHS
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Reposted by Justin Wormald
bjsurgery.bsky.social
- 13 RCTs, 2 non-randomized studies, and 3898 participants, prophylactic antibiotics did not significantly reduce surgical site infection risk in hand and wrist trauma surgery (highest-ranking regimen RR 0.29, 95% c.i. 0.04, 2.13)
Further well-designed RCTs are needed to address residual uncertainty
October 7, 2025 at 8:43 AM
jcrwormald.bsky.social
Thanks for showcasing our work @bjsurgery.bsky.social!
bjsurgery.bsky.social BJS @bjsurgery.bsky.social · Oct 7
Prophylactic antibiotics in hand trauma surgery: a network meta-analysis
➡️ doi.org/10.1093/bjs/...
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doi.org
October 26, 2025 at 4:38 PM
jcrwormald.bsky.social
‘GP follow-up after hand trauma surgery’ ?

Post-op antibiotic (c14%) and opioid (c14%) prescriptions are higher than you think in the community

#handsurgery #plasticsurgery

shorturl.at/VFYeI

@ndorms.bsky.social @ox.ac.uk @bsshand.bsky.social @jhseur.bsky.social @rcgp.bsky.social
The burden of hand trauma surgery on primary care in the United Kingdom: a nation-wide analysis of antibiotic and opioid prescriptions - Justin CR Wormald, Jennifer CE Lane, Marti Català, Antonella De...
Although surgical site infection (SSI) risk after hand trauma surgery is around 5%, the severity of these infections is not known. The risk of superficial SSI i...
shorturl.at
May 9, 2025 at 6:41 AM
jcrwormald.bsky.social
@FLARE__Trial now being presented by Matt Gardiner. Remember the @NIHRresearch Associate PI scheme is a great opportunity for clinicians to get involved with trials.
April 24, 2025 at 6:43 AM
jcrwormald.bsky.social
Great to see the @nihr.bsky.social SCOOTT being presented at @bssh.bsky.social Mallorca this morning. That’s a good looking graph! #handsurgery #research
April 24, 2025 at 6:33 AM
jcrwormald.bsky.social
Mortality after upper limb necrotising fasciitis is 16% according to our study of 728 patients in England in JPRAS

Available open access! @ndorms.bsky.social

jprasurg.com/retrieve/pii...
Epidemiology of upper limb necrotising fasciitis in England: A national study (1998-2018)
Necrotising fasciitis (NF) is a surgical emergency characterised by rapidly progressive infection of the subcutaneous tissues and fascial planes, leading to widespread fascial necrosis and systemic to...
jprasurg.com
April 13, 2025 at 8:13 AM
jcrwormald.bsky.social
Alice Lee and the RSTN surveyed every burns centre and unit in the UK to evaluate variation in skin substitute use and to determine willingness to randomise in an RCT: shorturl.at/C1CGc
A clinician survey of skin substitute use in burns care in the UK and Ireland: The CASSIUS study
Skin substitutes are routinely used in burn surgery. Increasing numbers of marketed products, regional variation in use, and lack of high-quality research may be contributing to non-standardised care ...
shorturl.at
April 12, 2025 at 6:46 AM
jcrwormald.bsky.social
Thoroughly insightful experience at the @baprasvoice.bsky.social Trauma SIAG today in Cardiff. Great to hear a critical review of current evidence in open fractures from both orthopaedic and plastic surgeons who have pushed the needle and continue to do so.
March 6, 2025 at 5:59 PM
Reposted by Justin Wormald
dieworkwear.bsky.social
There has been a lot of chatter today about Zelenskyy's meeting with Trump, some regarding this moment when White House correspondent Brian Glenn asked if the Ukrainian president plans to wear a suit. I want to address idea in this thread. 🧵
March 1, 2025 at 1:00 AM
Reposted by Justin Wormald
lethalityjane.bsky.social
The measles outbreak in Texas is reminding me of the public letter Roald Dahl wrote about losing his daughter to measles in 1962, just before the vaccine was publicly available.
Excerpt from a public letter Roald Dahl wrote encouraging people to vaccinate their children. Olivia, my eldest daughter, caught measles when she was seven years old. As the illness took its usual course I can remember reading to her often in bed and not feeling particularly alarmed about it. Then one morning, when she was well on the road to recovery, I was sitting on her bed showing her how to fashion little animals out of coloured pipe-cleaners, and when it came to her turn to make one herself, I noticed that her fingers and her mind were not working together and she couldn’t do anything. “Are you feeling all right?” I asked her. “I feel all sleepy,” she said. In an hour, she was unconscious. In twelve hours she was dead. The measles had turned into a terrible thing called measles encephalitis and there was nothing the doctors could do to save her. That was twenty-four years ago in 1962, but even now, if a child with measles happens to develop the same deadly reaction from measles as Olivia did, there would still be nothing the doctors could do to help her. On the other hand, there is today something that parents can do to make sure that this sort of tragedy does not happen to a child of theirs. They can insist that their child is immunized against measles. I was unable to do that for Olivia in 1962 because in those days a reliable measles vaccine had not been discovered. Today a good and safe vaccine is available to every family and all you have to do is to ask your doctor to administer it.
February 15, 2025 at 5:49 PM