Incision and Drainage of a Paronychia Esther M. Sampayo Fred M. Henretig Introduction A paronychia is a superficial infection of the soft-tissue epithelium bordering the base of the nail fold….

Incision and Drainage of a Cutaneous Abscess Lauren Daly Yamini Durani Introduction A cutaneous abscess is a localized cavity of purulent material in the superficial skin and soft tissue. It…

Burn Management Kathy N. Shaw Marc H. Gorelick Introduction In 2002, there were more than 163,000 emergency department (ED) visits for burn injuries (1). Most of these burns occurred in…

Hair Tourniquet Removal John M. Loiselle Kathleen M. Cronan Introduction “Hair-thread tourniquet syndrome” refers to conditions in which an appendage (e.g., finger, toe, or penis) is circumferentially constricted by a…

Subcutaneous Foreign Bodies John A. Brennan Howard Friedland Introduction Lacerations and puncture wounds are common presentations to the emergency department (ED). Most of these wounds are minor, but a significant…

Management of Plantar Puncture Wounds Hazel Guinto-Ocampo Introduction The feet are the most common site for puncture wounds (1). The vast majority of plantar puncture wounds are caused by nails…

Use of Tissue Adhesives in Laceration Repair Judd E. Hollander Introduction Cyanoacrylate tissue adhesives are liquid monomers that polymerize into a stable bond when they come into contact with wounds….

Laceration Repair with Sutures, Staples, and Wound Closure Tapes Robert McNamara Michael DeAngelis Introduction A laceration is a traumatic tear or opening in the skin surface. The goal of laceration…

General Wound Management James M. Callahan M. Douglas Baker Introduction Traumatic injuries are commonly encountered in pediatric patients. Ten million patients present to emergency departments (EDs) in the United States…

Reduction of Common Joint Dislocations and Subluxations Frederick C. Johnson Pamela J. Okada Introduction Extremity injuries are a common reason for children to visit the emergency department (ED). When a…