Lacerations - Adams

Question 1

What should be your biggest concern after giving someone a knuckle sandwich?

Answer 1

Mouth flora entering your MCP joint and causing a nasty infection.

Question 2

When would you avoid closing the primary wound?

Answer 2

infected and inflamed wounds
serious crush injuries
Too long since injury
Face - over 24 hours
Body - over 18 hours

Question 3

What is a good medication to give to a child to calm them down as you do sutures?

Answer 3

Ketamine

Like a chid LSD trip

Question 4

Why don’t you use hydrogen peroxide to irrigate a wound?

Answer 4

Because it is going to kill both good and bad cells

Just use a lot of water!

Question 5

List a few types of wound closures:

Answer 5

Tape, staples, adhesive, sutures, hair ties

Question 6

What is dehiscence?

Answer 6

It is the reopening of a wound

Caused by stitches being removed early or too much wound tension

Question 7

What is a keloid scar?

Answer 7

Collagen fibers in granulation tissue are arranged in a whorled pattern - this condensation of collagen persists permanently forming a raised scar

Question 8

If someone comes in after being sutured and they have increased tenderness and redness, what should you do?

Answer 8

Take the stitches out, give them oral antibiotics

Question 9

Causes of an irregular surface after closure of a wound:

Answer 9

sun exposure will make the scar show up if the levels of skin are non-level or if it forms a dip where they come together