The Simple Buried Dermal Suture
Synonyms Print Section Listen Buried suture, subcuticular suture Application Print Section Listen This technique is best used in areas under moderate tension, and it remains the standard technique discussed in…
EMERGENCY MEDICINE
The Surgical Tray
Introduction Print Section Listen Before approaching a surgical repair, it is very helpful to have a working knowledge and appreciation of the appropriate surgical instruments and options for suture material…
Introduction
Introduction Print Section Listen For millennia, surgical and traumatic wounds have been closed with sutures and similar materials, yet it was only with the introduction of local anesthesia 130 years…
Orthopedics
Fractures and Fracture Classification Print Section Listen Clinical Summary Fractures are caused by high-energy forces on bones and may result from blunt or penetrating trauma. Fracture size and shape is…
Dermatology
Urticaria Print Section Listen Clinical Features Urticaria, or hives, are pruritic raised erythematous superficial skin wheals that arise in response to histamine, leukotrienes, prostaglandins, and other substances released by stimulated…
Toxicology
The Poisoned Patient: General Approach and Gastrointestinal Decontamination Print Section Listen Clinical Summary The incidence of pediatric poisoning follows a biphasic curve, with 85% to 90% in children age 1…
Environmental Emergencies
Thermal Burns Print Section Listen Clinical Summary Extent of injury depends on the amount of heat, the delivery medium (gas, liquid, solid, or vapor), and the duration of contact. Scald…
Nephrology
Proteinuria Print Section Listen Clinical Summary Healthy children normally have protein in their urine, at a rate of protein excretion <4 mg/m2/h or <100 mg/m2/d throughout childhood. The upper limit…
Hematology and Oncology
Sickle Cell Anemia with Fever Print Section Listen Clinical Summary Fever in a child with sickle cell disease (SCD) is a medical emergency, because of the possibility of overwhelming Streptococcus…
