Some tips on how to suture skin wounds.

24 rating(s) (3.33 ø)
26079 Views
  1. Position patient comfortably
  2. Open sterile tray and add extras (saline, sutures, LA supplies)
  3. Put on sterile gloves and draw up LA
  4. Place sterile drape under injured part (e.g., arm, hand) if applicable
  5. Crumple gauze into ring forceps, dip into saline, and gently cleanse the edges of the wound and surrounding area in enlarging concentric circles
  6. Anesthetize the wound as appropriate and allow time for (and verify) effect
  7. Cleanse the wound as appropriate (+/- irrigation, scrubbing, debridement)
  8. Examine the numb wound for ?surprises?: tendon lacerations, depth, foreign bodies, etc.
  9. Apply needle pressure vertically to start; push along needle axis - bent needles shows wrong torsion
  10. Insert needle same distance from edge of wound, as depth that you plan to go down to
  11. Push needle out skin exit with slight jerk
  12. Good needle track angles will obviate need for mattress sutures and will prevent inverted wound edges
  13. Use minimum number of sutures possible to still make skin edges appose each other fully.
  14. When knot tying, use least suture tension possible to still make skin edges appose each other fully
  15. The first two throws in knot tying do most of the work. A third throw to lock. Anything more is unnecessary.
  16. Cut suture ends to same length as distance between sutures - this prevents knot tangling

Source: www.pocketsnips.org

Attribution-NonCommercial-ShareAlike

• The author must be named.
• This video and/or its content is not permitted for commercial use.
• This video and/or its content may only be disseminated or edited under the same license terms.
The maximum length of a comment is 1000 characters.
The maximum length of an alias is 30 characters.
Please enter a comment.
Please insert a valid comment!
Linda
This is not bedsores I'm very active, not in the bed.
#5 at 10.03.2018 from Linda (Guest)
  0
sehr gute, echte Hilfe fdür den Praktiker
#4 at 28.02.2012 from Guest (Guest)
  0
ich glaube ihr denkt hier nicht an die vorkliniker. finde es gut wenigsten mal die grundlagen zu sehen. denk dran, IHR seit auch nicht in der klinik eingestiegen!
#3 at 29.01.2012 from Guest (Guest)
  0
Offensichtl. brauchen wir mittlerweile solche Fortbildungen für Leute mit selbstgedruckten Zeugnissen. Ich dachte, sowwas lernt man in der Ausbildung.
#2 at 02.01.2012 from Guest (Guest)
  0
Hallo, ehrlich ich find allerhöhstens für einen absoluten Anfänger ist das gut, man sollte lieber subcutan arbeiten! Außerdem sind die Stichkanäle alle unterschiedlich, also sicher nicht zu empfehlen .....
#1 at 20.12.2011 from Guest (Guest)
  0
Upload recordings from operations, lectures, interviews or other medical videos and share it with your colleagues.

Uploaded by

PocketSnips