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Closing the Gap

Wound Closure for the Emergency Practitioner

  • Techniques
    • Basic Suturing
      • Simple Interrupted Sutures
      • Deep Dermal Sutures
      • Vertical Mattress Sutures
      • Horizontal Mattress Sutures
      • The Corner Stitch
      • Surgeon’s Knot
    • Advanced Suturing
      • Undermining
      • Layered Closure
      • Running Percutaneous Sutures
      • Running Subcuticular Suturing
      • “Dog Ear” Correction
      • The “Three-bite” dog ear correction
      • The Shorthand Vertical Mattress Suture
      • The Running Horizontal Mattress Suture
      • Locked Horizontal Mattress Suture
      • The Inverting Horizontal Mattress Suture
      • The Set-Back Dermal Suture
      • Hypothenar Autografts for Dermal Avulsions
      • V-to-Y Conversion Flaps
    • Alternative Wound Closure
      • Staples
      • Tissue Adhesive Glue
      • Tissue Adhesive Tape
      • Hair Apposition Technique
      • No Closure
    • Special Situations
      • Vascular Injuries, Part I: Basic Principles & Pitfalls
      • Vascular Injuries, Part II: Ligation Techniques
      • Fragile/Thin Skin Technique
      • Parallel Lacerations
    • Anatomic Regions
      • Lacerations around the Eye
      • Lip Lacerations, Part I
      • Lip Lacerations, Part II
      • Tongue Lacerations
      • Ear Lacerations, Part I
      • Ear Lacerations, Part II
      • Nailbed Injuries, Part I
      • NailBed Injuries, Part II
      • Extensor Tendon Lacerations, Part I
      • Extensor Tendon Injuries, Part II
      • Extensor Tendon Lacerations, Part III
  • Wound Blog
    • The Inverting Horizontal Mattress Suture, in action
    • Corner Suture Variations
    • Common Suturing Errors, Part I
    • Common Suturing Errors, Part II
    • “Loose” Closure
    • The toenail “spork” technique
    • Lac Repair in the Time of COVID
    • Wound Prep Series: Soap
    • Wound Preparation Series: Gloves
    • Wound Preparation Series: Topical Anesthetics
    • Wound Preparation Series: Injectable Anesthetics
    • Wound Preparation Series: Needles
    • Spider Bites! Part I
    • Spider Bites! Part II
    • Road Rash! Part I
    • Road Rash! Part II
    • Three things you didn’t know about gluing skin
    • Eversion
    • Dog Bite Dogma, Part I
    • Dog Bite Dogma, Part II
    • The Perfect Simple Interrupted Suture
    • Not Your Mama’s Horizontal Mattress
    • Preventable Lacerations: Epipen Auto-Injectors, Part I
    • Epinephrine Autoinjector Injuries: Part II
    • Delayed Primary Closure, Part I
    • Delayed Primary Closure, Part II
    • Stock & Simplify your Suture Cart, Part I
    • Stock & Simplify Your Suture Cart, Part II
    • Extensor Tendon Injuries: PIP & Elson’s Test
    • Achilles Tendon Laceration
    • Subcuticular Suturing Pearls
    • Three things you didn’t know about gluing skin
    • Laceration Aftercare
    • Absorbable Sutures
    • Absorbable Sutures, Revisited
    • Wound Preparation
    • The “Show”
    • The Golden Period
  • Other topics
    • Soft Tissue
      • Felons & Paronychias
      • Incision & Loop Drainage
      • Loop Incision & Drainage, Revisited
      • Ring Tourniquet Syndrome
    • Blocks
      • Field Block of the Ear
      • Infraorbital Nerve Block
      • Mental Nerve Block
      • The Ophthalmic (V1) Nerve Block
      • Digital Blocks
    • Burns
      • Part I: Injury Grading
      • Part II: TBSA Assessment & Burn Apps
      • Part III: Initial management of the minor wound
      • Part IV: Dressings for Outpatient Wounds
      • Part V: Escharotomy
    • Multimedia
      • Wound Repair 101
      • Lac Talk with Harbor PEM 5.18.21
      • Nerdnite SF
      • Basic Wound Management Lecture, Part I
      • Basic Wound Management Lecture, Part II
      • Basic Wound Management Lecture, Part III
      • Basic Wound Management Lecture: Part IV
      • Basic Wound Management Lecture, Part V
    • Patient Resources
      • Laceration Aftercare Instructions
      • Suture Removal
      • Abrasion Wound Aftercare Instructions
    • About this site
      • About the Author
      • Credits
      • Disclaimer

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