Test Your Knowledge of Wound Repair (Postscript 1 of 2)

Evidence-Based Urgent Care Postscript
Acute Traumatic Wounds: Evaluation, Cleansing, and Repair in Urgent Care | August 2022

For which of the following wounds is tissue adhesive an appropriate choice for closure?

A. Puncture wound of foot that is no longer bleeding

B. Supraorbital facial laceration that continues to ooze after LET application

C. 1-cm intraoral lip laceration

D. Non-gaping laceration over bony prominence of infraorbital rim

Answer: D. Tissue adhesive is an appropriate closure method for a laceration that is located over the bony prominence of the infraorbital rim and is not gaping. Primary closure with tissue adhesive is never appropriate for puncture wounds due to the inherent infection risks associated with these wounds. Wounds that continue to bleed cannot be adequately closed with tissue adhesive, and an ineffective, partially congealed bloody coagulum is produced when tissue adhesive is applied to oozing wounds. Tissue adhesive is an inappropriate choice for intraoral wounds due to the infection risks posed by normal bacterial flora.

Image courtesy of Patrick O’Malley, MD/The Laceration Course

For an in-depth review of this topic, access the full course.

Interested in more Urgent Care content?

Submit your email below to get a free issue and to take advantage of free practice-improving updates for general urgent care practices, tips for reading EKGs, and treating lacerations!

Last Updated on January 26, 2023

Leave a Reply

Your email address will not be published. Required fields are marked *

%d bloggers like this: