tissue adhesive for fingertip avulsions

3 Aug

nice idea from a recent JEM article:

 

The Idea:

  • distal fingertip avulsions bleed, hard to dress
  • variable efficacy/availability of bandaging/surgicel/lido+epi/etc
  • gluing it is quick, cosmetic, and even a bit antimicrobial

 

The Procedure:

  • irrigate well, as usual
  • digital block might help (for irrigation, and ’cause the adhesive will sting a bit)
  • no ointments before or after (will break down the adhesive)
  • tourniquet, direct pressure/milking, elevation — to staunch bleeding
  • apply layer of tissue adhesive
  • let dry, apply another layer
  • let dry, apply another layer

 

Might consider this trick from a previous post to accelerate drying, especially if you didn’t quite stop the bleeding completely.

 

Boom, there you go.  

 

References: JEM article; picture

Advertisements

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

%d bloggers like this: