Lacerations

Question 1

Management of cat bites
Pathogen:
Antibiotics:
Vaccines:

Answer 1

Pasturella Multicida
Amox clav if on the hand (doxy or septra if pen allergy)
Don’t close the wound
Give tetanus
Give rabies if you can’t observe the animal

Question 2

When to consider rabies

Answer 2

Rabid animal or suspected rabies
Give Rabig 4 doses

Observe animal for 10 days
If can’t be observed call public health

Question 3

List two possible ways you can sedate a kiddo for a lac repair in ED

Answer 3

Intranasal midazolam

IV/IM ketamine

Question 4

A very pretty woman comes in with a facial lac. What kind of suture should you use

Answer 4

Doesn’t matter really
Try to do thinnest that will work
Absorbable or non absorbable cosmeticcaly doesn’t matter

Question 5

List three situations where you wouldln’t close a wound

Answer 5

If it’s more than 18 hours old or more than 24 hours on the head
Cat bites (can close dog bites)
Too High of tension
Deep punctures

Question 6

How long to leave in sutures

Answer 6

5 on the face
10-14 over a joint and on the scalp
7 for everything else