Instead of poking penetrating wounds…

A better way to approach these wounds is as follows: Is the patient unstable? If so, you know the penetration caused the problem and the patient belongs in the OR. Is there other evidence of deep injury, such as peritonitis with a penetrating abdominal wound? If so, the patient still needs to go to the […]

Wound care 101…(I’m sorry if this trashes all your foundation knowledge)

You DO NOT need sterile gloves to stitch a simple laceration ($$ saved) Advance the needle through the margin of the wound and sequence injections so that subsequent needles are inserted through previously anaesthetized tissue to reduce the pain of local an aesthetics Tap water does wonders to clean your wound…you don’t need any fancy […]

Emergency Medicine Kenya Foundation