Urgent message: Management of face and scalp lacerations requires an appreciation of the unique anatomy, sound repair technique, and consideration of patient expectations for cosmesis. Lacerations of the scalp and face are commonly seen in the urgent care setting. While these injuries can cause anxiety for both patient and practitioner, the basic tenets and techniques for repair are already well known.
Study record managers: refer to the Data Element Definitions if submitting registration or results information. Active Comparator: Standard Care All study participants will receive standard care, which consists of procedural explanation and preparation by providers, verbal encouragement and comforting by providers and parents, and topical anesthetic LET followed by injectable lidocaine administration whether one or both of these anesthetics will be used will be determined by the provider prior to randomization. Other: Standard Care All study participants will receive standard care, which consists of procedural explanation and preparation by providers, verbal encouragement and comforting by providers and parents, and topical anesthetic LET followed by injectable lidocaine administration whether one or both of these anesthetics will be used will be determined by the provider prior to randomization.
An ancient text from Egypt, written around bcis kept in a vault at the New York Academy of Medicine. This papyrus was copied from an even older version dating back to bc. It contains information on 48 surgical cases and includes well-described clinical observations.
We compared patient satisfaction with scarring after facial laceration repair in the emergency department ED based on the specialty of the provider. Patients with facial lacerations admitted to the ED from to were divided into two groups. One group of patients underwent repair by an emergency physician EP and the other by a plastic surgeon PS. The male to female ratio was 2.
In your first Emergency Department ED rotation, you are keen to practice your suturing technique. During a slow shift, you decide to take a look at the suture cart in minor treatment, and realize you can only recognize two of the types available. What is the difference between these sutures and how can you apply them to different presentations?
If your institution subscribes to this resource, and you don't have a MyAccess Profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus. Lacerations to the face and scalp are grouped together because of their proximity but have important differences regarding repair. Facial, including forehead, wounds are the most cosmetically apparent of all wounds and therefore warrant careful evaluation and meticulous repair technique.
Patient information : See related handout on taking care of healing cuts. The goals of laceration repair are to achieve hemostasis and optimal cosmetic results without increasing the risk of infection. Many aspects of laceration repair have not changed over the years, but there is evidence to support some updates to standard management.
We present the case of a year-old male who presented to the ED as a trauma activation who suffered multiple injuries including complex full-thickness lacerations to his face. While there are scenarios in which consulting a specialist is necessary, knowledge and application of basic wound closure principles allows for many complex lacerations to be repaired by EPs. We provide a helpful systematic approach to evaluating and treating complex facial lacerations in the ED. Approximately eight million patients present to emergency departments ED in the United States every year with laceration injuries.
Facial lacerations can involve minor cuts to the skin only that are linear in nature. These are easily repaired with Steri-strips, which are small strips of cloth tape and string that seal the wound for about 4 days, at which time they can be removed. Facial lacerations can also be jagged in nature and require complex plastic surgery repair to close the wound.