RT Book, Section
A1 Singer, Adam J.
A1 Hollander, Judd E.
A2 Tintinalli, Judith E.
A2 Ma, O. John
A2 Yealy, Donald M.
A2 Meckler, Garth D.
A2 Stapczynski, J. Stephan
A2 Cline, David M.
A2 Thomas, Stephen H.
SR Print(0)
ID 1166530146
T1 Wound Preparation
T2 Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 9e
YR 2020
FD 2020
PB McGraw-Hill Education
PP New York, NY
SN 9781260019933
LK accessmedicine.mhmedical.com/content.aspx?aid=1166530146
RD 2024/04/19
AB All  traumatic  lacerations  are  contaminated  to  some  degree;  however,  the  level  of  contamination  differs  based  on  etiology,  wound  location,  and  time  of  injury.  Wound  preparation  includes  all  of  the  steps  required  prior  to  wound  closure  (either  by  primary  or  secondary  intention)  aimed  at  reducing  the  risk  of  infection,  optimizing  cosmetic  outcome,  and  minimizing  patient  pain  and  discomfort.  For  most  wounds,  adequate  preparation  requires  some  form  of  anesthesia,  be  it  topical,  local,  or  regional.  For  other  patients  (especially  young  children  or  the  mentally  disabled),  anxiolysis  using  oral  or  intranasal  midazolam  or  ketamine  may  be  required.  When  patient  cooperation  is  problematic  and  absolute  immobilization  is  required  (e.g.,  when  repairing  a  laceration  near  the  eye  or  in  the  mouth),  procedural  sedation  or  even  general  anesthesia  should  be  considered.