HEENT emergencies
A great summary of HEENT emergencies (Facial and Scalp Lacerations, Mandibular Dislocations, Auricular Lacerations, Auricular Foreign Bodies, Eyelid Lacerations, Epistaxis, Nasal Bridge Fracture Reduction, Nasal Septum Haematoma, Nasal Foreign Body, Peritonsillar Abscess
Management of Extensor Tendon Lacerations
Hand Injuries
When considering when to remove sutures in the hand, leave sutures that are over areas of tension (i.e. over a joint) for longer (at least 12 days) so they heal completely. If controlling bleeding is an issue, do NOT clamp any digital arteries, as the digital nerve is very nearby and hard to visualize. Use pressure, limited tourniquet and elevation to control bleeding safely. Prophylactic […]
Regional Anaesthesia
The Turban Technique – A Scalp Bandage that Stays!
Here’s a quick and easy technique for bandaging a scalp – where the bandage stays where you want it to.
Wound care 101
Quick Tip: Finger tip dermal avulsion injuries
Quick Tip: For finger tip dermal avulsion injuries the first step in caring for any minor wound is controlling the patient’s pain. As a means of anesthesia, have the patient dip the injured finger in 1% lidocaine with epinephrine for 5 minutes. One can pour 10-20 cc of this solution into a small medicine cup […]
So when should those sutures come out?
Gunshot Injuries in the Emergency Department
Zones of injury of Gunshot wounding: Primary wound tract – Permanent cavity; dead, crushed tissue Contusion zone – Tissue adjacent to primary wound tract; in inflammatory state with cellular debris Concussion zone – Temporary cavity; Tissue damage occurs by stretching, shearing, and compression. Inelastic tissues (liver, bone, brain) are most susceptible due to little intrinsic […]
Which tongue lacerations do I need to repair?
You should repair those that cause problems with breathing, speech and/or gustation/swallowing: Bisect the tongue extending through the free edge – creating the “snake” look Have large mobile flaps or U-shaped defects (>1-2cm) Won’t stop bleeding Are avulsion or amputation injuries – which may require a surgeon (ENT, OMFS etc.) if complex.
