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picture1_Suture Slideshare 77707 | Basic Suture Skills For Primary Care Apps No Video Version


 166x       Filetype PPTX       File size 0.81 MB       Source: www.texaschildrens.org


File: Suture Slideshare 77707 | Basic Suture Skills For Primary Care Apps No Video Version
objectives acute wound evaluation and appropriate treatment strategies tetanus prophylaxis anesthesia modalities suture selection wound closure techniques staple dermabond simple interrupted deep dermal and corner discharge instructions and follow up ...

icon picture PPTX Filetype Power Point PPTX | Posted on 03 Sep 2022 | 3 years ago
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   Objectives
     – Acute Wound Evaluation and Appropriate Treatment 
      Strategies
     – Tetanus Prophylaxis
     – Anesthesia Modalities
     – Suture Selection
     – Wound Closure Techniques
       • Staple, Dermabond, Simple Interrupted, Deep Dermal and 
        Corner
     – Discharge Instructions and Follow Up
   Acute Wound Evaluation
     – Full Wound Evaluation:
       • Size, Shape, Location
       • Time Since Injury in Hours 
       • Cleanliness of Wound
        – Odor, Contamination, Debris, Foreign Body
       • Bone / Fracture, Joint, Muscle, Tendon Involvement
       • Vascular Injury
       • Neurologic Injury
       • Viability of Tissue
   Tetanus Prophylaxis
    – Tetanus-Prone Wounds:
     • > 6 hours since time of injury
     • > 1 cm depth
     • Contaminated—soil, feces, compost, saliva
     • Puncture / Crush / Avulsion
     • Infected 
     • Animal or Human Bite
     • Burns or Frostbite
   Anesthesia
     – Topical 
       • Euterctic Mixture of Local Anesthetics (EMLA)
        – 2.5% Prilocaine or Lidocaine Cream
        – Apply to Wound, Cover with Tegaderm
        – Wait > 45 minutes for maximum effect
   Anesthesia
     – Local Injection
       • Lidocaine Plain
        – Maximum Safe Dose = 4 mg / kg
        – Duration of Anesthesia = 120 minutes
       • Lidocaine with Epinephrine
        – Maximum Safe Dose = 7 mg / kg
        – Duration of Anesthesia = 240 minutes
         » Aids with Hemostasis
         » Wait 10 – 15 minutes for maximum effect
         » Prolongs Anesthetic effect
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...Objectives acute wound evaluation and appropriate treatment strategies tetanus prophylaxis anesthesia modalities suture selection closure techniques staple dermabond simple interrupted deep dermal corner discharge instructions follow up full size shape location time since injury in hours cleanliness of odor contamination debris foreign body bone fracture joint muscle tendon involvement vascular neurologic viability tissue prone wounds cm depth contaminated soil feces compost saliva puncture crush avulsion infected animal or human bite burns frostbite topical euterctic mixture local anesthetics emla prilocaine lidocaine cream apply to cover with tegaderm wait minutes for maximum effect injection plain safe dose mg kg duration epinephrine aids hemostasis prolongs anesthetic...

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