REBEL Core Cast – Basics of EM – Lacerations

Take Home Points

  • Don’t make bite width to small – look at the curvature of the needle – start the bite at half the curvature of the needle
  • Don’t pull too tight – this will pucker the skin and lead to poor healing due to ischemia at the wound borders
  • Laceration repairs are not sterile! Does not lower infection rates
  • Pressure irrigation DOES decrease infection rates – irrigation is the solution to pollution
  • Avoid lido with epinephrine for tips of fingers, nose, ears, and genitals
  • Splint or apply bulky dressing to large lacs that cross joints
  • Very long lacs when cosmesis doesn’t matter – consider using staples
  • Avoid sun exposure after laceration repair – leads to worsening scar formation

REBEL Core Cast – Basics of EM – Lacerations

Click here for Direct Download of the Podcast

Co-Host

Hyunjoo Lee
Clinical Assistant Professor, Assistant Program Director (Stony Brook EM Residency)
Co-Director of EM Clerkship/Sub-Internship (Renaissance School of Medicine at Stony Brook University)
Stony Brook Medicine; Renaissance School of Medicine at Stony Brook University
City/State: Stony Brook, NY
Twitter: @emdocjuju

Post Peer Reviewed By: Anand Swaminathan, MD (Twitter: @EMSwami)

Cite this article as: Ellsworth Wright, "REBEL Core Cast – Basics of EM – Lacerations", REBEL EM blog, June 1, 2022. Available at: https://rebelem.com/rebel-core-cast-basics-of-em-lacerations/.
The following two tabs change content below.

Ellsworth Wright

Emergency Physician at St. Joseph's Regional Medical Center

Like this article?

Share on facebook
Share on Facebook
Share on twitter
Share on Twitter
Share on linkedin
Share on Linkdin
Share on email
Share via Email

Want to support rebelem?

Sponsored

0