About this site

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.



23 thoughts on “About this site”

  1. Alvaro Pemartin said:

    Thanks a lot for all these valuables resources. Please keep them coming. Gracias¡¡¡

  2. Khashayar Najafinia said:

    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.

  3. Nice work

  4. 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.

  5. Thanks for the marvelous posting! I seriously enjoyed reading it,
    you can be a great author.I will make sure to bookmark your
    blog and will eventually come back at some point.
    I want to encourage you to continue your great work, have a nice afternoon!

  6. ebrahim mokhtar said:

    iam egyptian , this site is fantastic.really great thanks to you:)

  7. Hey There. I found your weblog thee use of msn. This is an extremely smartly written article.
    I will be sure to bookmark it and return to read extra
    of your useful info. Thanks foor tthe post.
    I will definitely return.

  8. This is my first time pay a quick visit at here and i
    am truly pleassant to read everthing at one place.

  9. Laksh Markuli said:

    Good work

  10. 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?

  11. Ravinesh Singh said:

    Thank you for this excellent content.

  12. I have already faced some bandages wound care treatments. I really appreciate the Wound Care Australia group. Thanks for sharing this this.

  13. first yr EM resident said:

    thanks you a lot
    this page is valuable and worthy to me

  14. Charles Scott, M.D. said:

    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.

  15. Michael Klevens said:

    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

  16. This is honestly fantastic.

  17. teamkeimig said:

    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!

  18. Simon Rivera said:

    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?

  19. 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!

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