Selecting the ideal suture material for deeper layers involves careful consideration since specific materials offer varying absorption rates, making them suitable for different wound depths. When speaking with Dr. Christina Shenvi on an episode of ERcast, Dr. Cohen recommended the following suture material options for closing the deeper layers of the skin (buried):
Emergency medicine often puts us face-to-face with lacerations requiring precision and care. Dr. Justin Cohen's visit to ERcast, alongside Dr. Christina Shenvi, illuminated the path to handling facial lacerations with the finesse of a plastic surgeon. Here are key takeaways to elevate your emergency room responses.
The importance of multilayer closure in a laceration repair cannot be overstated, with techniques like buried dermal closure and strategic skin closure options enhancing both functional and aesthetic outcomes. Dr. Justin Cohen made a guest appearance on ERcast, where he joined Dr. Christina Shenvi to discuss his techniques for repairing facial lacerations as a plastic surgeon. He went into great detail about repairing deep forehead lacerations in the emergency department, and here are some of the techniques he discussed.
The choice between absorbable and non-absorbable suture materials for skin closure hinges on various factors, including patient comfort, follow-up availability, and ease of removal. During a recent appearance on ERcast, Dr. Justin Cohen discussed his plastic surgery approach to repairing facial lacerations with Dr. Christina Shenvi. Here are some key takeaways from Dr. Cohen for selecting suture material for closing the skin surface:
Writing about a day in the life of an emergency medicine PA only paints a small picture of what it truly takes to become an EM PA. A “typical” workday will look entirely different for every PA due to the nuances of the ED setting and the part of the ED a PA is assigned to. So, our goal here is to paint a full picture of the many facets of working as a PA in emergency medicine and to demonstrate what makes us an integral part of the team.
Before we dive into what it looks like to work as an EM PA, let’s explore how the profession evolved in the first place - and what it takes to get into this field.
If you’re on the frontlines of the emergency department, you’ve probably noticed the uptick in respiratory infections and viruses in the early kick-off to 2023’s respiratory season.
As we brace for fall and winter, it looks like we’ll have additional tools in our arsenal to decrease complications and hospitalizations from respiratory syncytial virus (RSV): adult vaccines and a monoclonal antibody for all infants.
Three different vaccines will be available this season to combat viral respiratory symptoms and threats:
Additionally, there will be another RSV monoclonal antibody option for our tiniest patients. Phase 3 trials and regulatory approval are underway for maternal vaccines and passive immunity protection for newborns.
Let’s dive into these tools now.
By Jen Swisher, PA-C and Geoff Comp, DO
Summer is here - and we know all too well that drowning and water-related medical emergencies rise during this time of year.
As emergency medicine providers, we all have one degree of separation from a tragic story of a submersion event. While we’re well-versed in the in-hospital care of a drowning victim, it’s possible that we may also have to play the part of first responder at home, the pool, river, lake, or beachside.
Are you ready to take action outside of the ED? Matt DeLaney, MD and Geoff Comp, DO are.
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