All identifying info is left out and patient details have been changed in order to protect anonymity. This blog is a fictional blog. These kinds of cases occur in Emergency Departments across the nation but the cases and details here have been changed. This blog started out to document my journey through medical school and now I continue to document my life as a resident physician in EM in a story like fictional style. I am however an actual resident in EM.
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Wednesday, July 23, 2008
Sutures and Staples
I have become very comfortable with suturing and stapling lacerations. I have done 15 + laceration repairs with sutures and another 10 + repairs with staples. If the laceration in on the head, in the hair I will use staples and if the wound is elsewhere like the hands, arms, legs, etc I will use sutures. I use thinner sutures in the face 6.0 nylon and on the hand I use 4.0 nylon. I now handle these repairs from beginning to the end. I give the anesthetic / nerve block and I will order an Xray if I think that bone may be involved or if I think there may be a foreign body in the wound. Then I repair the laceration and send the patient home. We also give a tetanus booster if needed. I like suturing.
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