Back again with an eclectic collection of papers that might improve your practice, make you think, or just help you fall asleep at night. (Podcast available here.)
laceration repair
7 posts
In part 4 of the laceration evidence series, we learned that wound eversion is probably dogma. In part 5, we learned that sutures probably offer no real benefit over skin glue or steri-strips in the majority of our patients. However, if you do decide to suture a laceration, how far […]
As discussed in the post “Does closure technique matter”, I rarely use sutures anymore. Tissue adhesives and/or steri-strips provide identical outcomes with much greater ease and less pain for patients. However, there are still a sizable minority of lacerations that seem to require sutures, which raises another question: should I […]
There are a lot of strong opinions about how lacerations should be repaired. There may be even more laceration repair techniques. This seems like a good spot for a ‘more than one way to skin a cat’ joke, but what we really want is evidence. Which laceration repair technique is […]
One of the first times I was really introduced to ‘dogma busting’ was when I was told early in residency that sterile gloves were absolutely not needed when repairing lacerations in the emergency department, and there were RCTs to prove it. I have lived by that anti-dogma dogma since, and […]
A true rarity: An RCT demonstrating a mortality benefit, but is it too good to be true? Matchett G, Gasanova I, Riccio CA, Nasir D, Sunna MC, Bravenec BJ, Azizad O, Farrell B, Minhajuddin A, Stewart JW, Liang LW, Moon TS, Fox PE, Ebeling CG, Smith MN, Trousdale D, Ogunnaike […]
It’s time for another edition of the research round up and BroomeDocs journal club – a collection of the most interesting emergency medicine research I have encountered in the last few months. This time around we have (of course) CRASH 3, some articles on laceration repair, improving the ED experience […]