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Paper Chase 3: Absorbable Sutures vs Non Absorbable for Extremity Injuries

Sanjay Arora, MD and Mike Menchine, MD
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10:07
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Nurses Edition Commentary

Mel Herbert, MD MBBS FAAEM, Lisa Chavez, RN, and Kathy Garvin, RN
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01:30

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EM:RAP 2014 October - Summary 1 MB - PDF

Absorbable sutures for everyone at all times...not so fast

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Laura P., M.D. -

Mel's summary is incorrect. He states that the higher infection rate is seen with non-absorbable sutures. This is backwards. The 10-fold higher infection rate was seen with the absorbable vicryl rapide.

Peter Johns, M.D. -

Hey guys, much snickering about the cosmetic visual analog scale.
I got the impression you thought this scale was created in order for plastic surgeons to rate who can sculpt the nicer boobs.

Wrong.

http://www.ncbi.nlm.nih.gov/pubmed/7893315

Just to lay a little emergency medicine research history on you, the authors of this paper included two emergency physicians. One of the authors you may have heard of, Ian Stiell, and the first author was Jim Quinn, currently a full professor at Stanford, and author of more than 25 papers on wound care, with papers published in BMJ, JAMA, NEJM etc.

https://med.stanford.edu/profiles/james-quinn?tab=publications

Jim devised the Cosmetic Visual Analog Scale in order to be able to compare cosmetic outcomes of laceration repaired by emergency physicians by either sutures or tissue adhesive (glue). Since there was no existing scale, Jim created it and validated it.

Jim was instrumental in having tissue adhesives become available in North America, is a great researcher, steller emergency physician and one of my best friends.

Just had to give credit where credit was due.

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Episode 157 Full episode audio for MD edition 270:45 min - 377 MB - M4AEM:RAP 2014 October Canadian Edition Canadian 21:52 min - 30 MB - MP3EM:RAP 2014 Octobre Résumé en Francais Français 72:52 min - 100 MB - MP3EM:RAP 2014 October Aussie Edition Australian 29:01 min - 40 MB - MP3EM:RAP 2014 Octubre Resumen Español Español 95:26 min - 131 MB - MP3EM:RAP 2014 October MP3 342 MB - ZIPEM:RAP 2014 October - Summary 1 MB - PDFEM:RAP 2014 October Board Review Questions 652 KB - PDFEM:RAP 2014 October Board Review Answers 424 KB - PDF

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