Under this subheading, you’ll find discussion of special situations in wound care.
Special Situations
Extensor Tendon Lacerations, Part I
This series of posts is meant to expand upon and complement a great article I reviewed that was just published in ALiEM regarding the evaluation and management of extensor tendon injuries. Rather than give redundant information, in these posts, using images and videos, I hope to bring to life some of the specific concepts discussed…
Extensor Tendon Injuries, Part II
This series of posts is meant to expand upon and complement a great article that was just published in ALiEM regarding the evaluation and management of extensor tendon injuries. Rather than give redundant information, in these posts, using images and videos, I hope to bring to life some of the specific concepts discussed by Dr.…
Extensor Tendon Lacerations, Part III
This final installment is part of a series of posts meant to expand upon and complement a great article that was just published in ALiEM regarding the evaluation and management of extensor tendon injuries. Rather than give redundant information, in these posts, using images and videos, I hope to bring to life some of the…
Vascular Injuries, Part I: Basic Principles & Pitfalls
In the next two posts, we’ll discuss the diagnosis and management of vascular injuries associated with traumatic lacerations. In Part I, below, we’ll discuss some of the key points in vascular injury diagnosis. In Part II, we’ll hone in on some specific suturing techniques that can be used to obtain hemostasis when you come across a…
Read more Vascular Injuries, Part I: Basic Principles & Pitfalls
Vascular Injuries, Part II: Ligation Techniques
In Part I of this post, I presented a clinical case where a serious arterial injury was almost missed. I also discussed some of the options for obtaining hemostasis when dealing with a small arterial “pumper.” In Part II, I’d like to focus on the technical aspects of small vessel ligation. There may be situations where you will…
Fragile/Thin Skin Technique
A tough situation we come across frequently in the ED is closing lacerations in elderly patients with thin, fragile skin. Age, steroid use, and certain areas of the body such as over the tibia (where skin is naturally thinner), can be factors which make a wound challenging to bring together. Adhesive tapes such as steri-strips are…
Closing the Gap 