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A randomized, controlled trial comparing long-term cosmetic outcomes of traumatic pediatric lacerations repaired with absorbable plain gut versus nonabsorbable nylon sutures. Academic Emergency Medicine , 11(7), 730-735.
Indications Wounds are closed or repaired to minimize risk of further bleeding and infection. Suture repair provides support and strength to hold the viable dermal edges together to facilitate appropriate healing. Good suturing techniques provide better approximation of tissues leading to an aesthetically pleasing result and preservation of function. Possible Complications Infection, bleeding ...
3) Where can I find a concise guide to Suture material use? Rosen’s in Perspective Infection risk is proportional to location, mechanism, host and care. Varies <1% to 20%. Infection also affects ultimate scar outcome and wound related complaints are 4th most common cause of malpractice. 1) List 8 risk factors for infection Injury > 8-12 hours old
Equipment used: for example, suture type or scalpel type. Procedural technique: here, walk the reader through the procedure in a step-by-step fashion, including all key steps. Any complications from the procedure : This includes both major complications (e.g. apnea during conscious sedation requiring intubation) and more minor complications (e ...
The Case A 74-year-old male with a history of COPD arrived in the emergency department in respiratory distress. On physical examination, the patient was mildly tachypneic and had an oxygen saturation of 93% on a non-rebreather mask. On auscultation, the patient had wheezing and diminished air movement bilaterally. A supine chest radiograph (CXR) was obtained.
The ‘Top Five Changes’ Project: 2015 AHA guidelines on CPR + ECC update infographic series
This episode of CRACKCast cover's Rosen's Chapter 27, Abdominal Pain. Abdominal pain is one of the most common presenting symptoms in the ER and a good approach is vital for ER docs. Shownotes - PDF Link [bg_faq_start] Rosen’s in Perspective Common and challenging presentation: History and physical examination can be misleading Serious pain can be
Reading ECGs is a bread and butter emergency medicine skill. At busy centres a triage nurse may hand you tens of them to glance at per shift. It can be a mindless, monotonous task, but your brain needs to know where to look. So, when you identify legitimate ST elevation and you are concerned about
Quick, comfortable, no suture removal ,antibiotics properties, no risk of needle stick injuries, similar cosmetic outcomes; Disadvantages: Inability to use petrolium based products on the wound (ie. antibacterials), can’t use in high tension areas, can’t swim, must limit forces to glue, greater risk of dehiscence [bg_faq_end][bg_faq_start]
Suture removal: timing of suture removal varies with the site of sutures, ranging from 5 days for the face to up to 14 days over joints. 1,3 Will Sam need antibiotics? Antibiotics are not indicated for all patients with lacerations!