Acute Traumatic Wounds: Evaluation, Cleansing, and Repair in Urgent Care | Points & Pearls
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Acute Traumatic Wounds: Evaluation, Cleansing, and Repair in Urgent Care

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Points & Pearls Excerpt

  • The “golden period” for safe laceration repair is variable and dependent on wound site, length, pre-existing conditions, and degree of wound contamination.
  • Irrigation at a pressure of 13 psi is effective for cleansing noncontaminated wounds and reducing infection without causing tissue trauma; this can be achieved using a 12-mL syringe and a 22-gauge needle.
  • LET is effective at obtaining anesthesia for superficial laceration repair, but must be used with caution in areas of potential vascular compromise.
  • A single-injection volar digital nerve block achieves a similar level of anesthesia as the dorsal 2-injection technique. (See Figure 1.)
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Publication Information
Editor in Chief & Update Author

Keith Pochick, MD, FACEP
Attending Physician, Urgent Care

Urgent Care Peer Reviewer

Jordan P. Harry, MD; Lorilea Johnson, FNP-BC, DNP

Publication Date

August 1, 2022

CME Expiration Date

August 1, 2025

CME Credits

4 AMA PRA Category 1 Credits™.
Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 4 Trauma CME and 1 Pharmacology CME credits

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CME Information

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