Acute Traumatic Wounds: Evaluation, Cleansing, and Repair in the ED - Trauma EXTRA Supplement (Trauma CME and Pharmacology CME) | Pearls
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Acute Traumatic Wounds: Evaluation, Cleansing, and Repair in the ED - Trauma EXTRA Supplement (Trauma CME and Pharmacology CME)

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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 2.)
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Publication Information
Authors

Stacey Barnes, DO; Katrina D’Amore, DO, MPH; Marco Propersi, DO; Miguel Reyes, MD

Peer Reviewed By

Bonny J. Baron, MD; Jennifer Maccagnano, DO, FACEP, FACOEP

Publication Date

December 15, 2021

CME Expiration Date

December 15, 2024

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, subject to your state and institutional approval.

Pub Med ID: 34895313

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CME Information

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