Welcome to Closing the Gap: an educational site dedicated to improving expertise of both novice and experienced health care practitioners dealing with acute wound care.
This blog features how-to videos on basic and advanced suturing techniques commonly used for acute traumatic lacerations treated in an emergency room, urgent care, or family practice office environment.
Further topics covered within this site include:
- Tips & tricks for optimal treatment of wounds in specific anatomic regions and unique situations in soft tissue injury which a provider may encounter.
- An ongoing blog discussing interesting cases, notable publications, & controversies in acute wound care
- A guide to nerve blocks which can be used for regional anesthesia by a qualified medical provider to aid in pain-free laceration repair.
- Patient resources, to answer some commonly answered questions regarding acute laceration aftercare and to demystify procedures in a patient-friendly manner.
The intended audiences of this site are physicians & other providers (eg Physician Assistants, Nurse Practitioners) who provide acute wound care. Others with aspirations in the field (students and premeds) and those who work in related fields (eg EMTs, paramedics) are also welcome audiences. The site is a non-restricted, Free Open Access Medical Education (FOAMed) resource. As such, the site is searchable and I ask that others outside of the fields above view the pages within the site with discretion. It is not meant to be viewed by children, as many of the images are graphic and can be disturbing.
Where applicable, patient/parental consent has been obtained for use of the images in the videos and photographs used on the site. I am thankful to the patients who consented to have photographs taken of their injuries during various of healing who have enriched the educational experience created on this site.
Thanks a lot for all these valuables resources. Please keep them coming. Gracias¡¡¡
Very nice work. Thanks for all of your efforts for building this website and preparing these videos. I’ll recommend this site to my colleagues.
Nice work
This blog is a great resource! If you are adding more resources, I would love to see some tips on bucket handle type lacs or somewhat circular/semi-circular wounds. Looking forward to keeping up with the blog.
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What are your thoughts on closing with steri strips and then layering glue over top? I’ve seen this advocated but recently someone I was speaking with wondered if the strips got wet, would it track under the glue and leave the wound macerated?
I think it’s fine. I use this technique now and then to reinforce a wound and haven’t found it to be a problem, although admittedly I don’t have a wealth of follow up on this particular situation. Anyone with complications they are willing to share?
Thank you for this excellent content.
I have already faced some bandages wound care treatments. I really appreciate the Wound Care Australia group. Thanks for sharing this this.
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Great material! I am unable to play the vieos. Can you help me? Thank you.
Hi Scott, I would recommend updating your browser, including making sure you are running the most up-to-date version of Adobe flash player. This is the most common reason for difficulty with the videos. Hope this is helpful and hope you enjoy.
Ever heard of the Swiss Trauma suture?
I have not. Educate me. Happy to explore further with a post on the site if you can provide me a link to an article describing the technique. Regards, BWL
This is honestly fantastic.
I have greatly enjoyed watching your teaching style and gained so much practical help here. Thank you so much for the time you have put into sharing by video!
Brian, what are your thoughts on performing a running horizontal mattress suture, and derma-bonding the center to re-enforce closure? Any experience with this?
I can’t say I have done it personally, but it definitely sounds like a reasonable approach!
Hey Dr. Lin,
I am one of the PAs who had the pleasure of hearing you lecture about laceration repair at SEMPA a few weeks ago. Just wanted to follow up, and let you know that I used the hair apposition technique on a scalp laceration today, and it worked out wonderfully! Thanks again for a great talk at the conference!