Wound Closure Manual

wound_closure
More practical medical information for those who cannot access conventional resources, courtesy of a WRSA reader.

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10 responses to “Wound Closure Manual

  1. OD@adelphia.net

    Great info, but as a “consciously incompetent” individual, I’m likely going to focus on hemostasis, possible wound packing, and serial dressing until the patient can be properly assessed by a pro who ROUTINELY does wound closure with needle/suture, or the far easier alternative of a skin stapler.

    A “primer” focusing on steri-strips, stapling, and skin-grade cyanocrylates may be as useful, or moreso. Again, I know what I don’t know, and without enough hands-on procedures, I’d default to non-suture closure. Having said that, I’ve stocked needles, suture materiele, needles, locals, gloves, cleansers/scrubbers … for use by the Competent.

    BTW, love the site

  2. and here, if you don’t wish to register for scribd:

    http://surgery.uthscsa.edu/pediatric/training/woundclosuremanual.pdf

  3. OD@adelphia.net

    Gents

    thanks for link

  4. certain CA (cyano-acrylic, or “super”)- glues also are good for wound closure in lieu of stitches. 🙂

  5. DWEEZIL THE WEASEL

    If you are desperate and you haven’t nicked an artery, you can use alum. Clean it, disinfect it, douse it with alum and wrap it tight. I had to do it once when I sliced open my index finger with a scraper blade. It was unpleasant, but when you live in a community with a plethora of “undocumented individuals”, the ER is quite crowded, 24/7. You learn to make do.

  6. Reblogged this on disturbeddeputy and commented:
    FOR SOME REASON I DON’T SEEM TO BE ABLE TO REBLOG FROM WRSA. THIS LINK IS AN EXCELLENT ADDITION TO THE HEALER’S PAGE HERE.

  7. Just a few comments to interface with the above.
    1. Gelfoam; gelatin
    2. Racepinephrine solution; OTC “Asthmanefrin”.
    Locals also help, and there are ways to get/prepare those.

  8. A skin stapler is only used to close the epidermal layer, sutures are required for deep incisions or wounds, not all wounds can be closed.