ACEP Now features one article each issue related to an ACEP eCME CME activity.
Skin Tears! Who Cares?
Why care about skin tears? The standard for skin tear repair has always been “more is less.” The more you try primary closure with sutures, the more tissue destruction you cause, resulting in frustration and, often, a worse cosmetic result. So many, if not most, of us have just given up, taking the easy way out—“less is more”—embracing the ethical luxury of telling these patients that we have little to offer other than wound cleansing, a bio-occlusive dressing, and discharge. A quick in-and-out for you, but a poor cosmetic result and wound care hassle for them.
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2 Responses to “Sutures for Skin Tears, Oxygen Therapy for STEMI Patients, and Blood Alcohol Levels to Assess Intoxication: More Myths in Emergency Medicine”
February 8, 2015
Derek McCalmontDr. Klauer incorrectly states that the level of blood alcohol for legal intoxication varies from state to state. Laws and penalties vary but the level of .08 is universal across all 50 states.
At what point does Dr. Klauer propose discharge for intoxicated patients without family or friends to assume care in the absence of a blood alcohol level?
February 19, 2015
suture through Steri-strips | DAILYEM[…] ACEP Now article + pictures; original 2011 article for idea […]