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Question: Laceration

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You have sutured a 2cm forhead laceration on a 4yo boy using 6-0 nylon sutures.

When should you instruct the parents to see the PMD for suture removal?
ProceduresTraumaWound Management

pemsou5_wp • October 3, 2017


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  1. Kelly October 3, 2017 - 10:47 am Reply

    B. 3-5 days.
    Sutures of lacerations of the face should be removed in 3-5 days to decrease tissue reaction and scarring, due to the importance of cosmesis of the face and the lack of tension typically on the wounds. For an overview of suturing, see Lacerations Reference http://pemsource.org/wp-content/uploads/2016/10/Sutures.pdf from the On Shift page of PEMsource. Some practitioners do use absorbable sutures on young children’s facial lacerations to avoid the secondary trauma of suture removal. For a discussion of this, see http://pedemmorsels.com/absorbable-sutures/

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