Suturing Video                        Flap Laceration              Avulsion laceration

• Apply direct pressure with clean gauze or cloth over the site. Five or ten minutes with no peaking, which can cause more bleeding.
  Add additional gauze if necessary, do not remove the first layer.
• Saline or tap water may be used for wound irrigation, whereas povidone-iodine, detergents, and hydrogen peroxide should be avoided.
• The sting from a local anesthetic injection can be decreased by slow administration and buffering the solution.
• Suturing is the preferred technique for skin laceration repair.
• Tissue adhesives are comparable with sutures in cosmetic results, dehiscence rates, and infection risk.
• Do not close a laceration if there is visible contamination, debris, non-viable tissue or signs of infection.
• Applying white petrolatum to a sterile wound to promote wound healing is as effective as applying an antibiotic ointment.

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