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Children injure their fingertips a lot in a variety of mechanisms. It is important for clinicians who evaluate and treat kids to not only properly diagnose, but more importantly feel comfortable in the initial evaluation and management of these digital injuries.
Tom T. - June 3, 2016 10:53 PM
After treating finger tip amputations for decades with digital block then controlling bleeding (the most challenging aspect in my experience) with hand held cautery, I've changed my technique to soaking in lido/epi for 15 minutes, tourniquet to control oozing then applying derma bond when bleeding stops. I'm pretty sure this is a technique Michelle Lin mentioned.
Clifford D. - June 5, 2016 9:17 AM
I understand that the removal of the nail bed is recommended if disruption is present, but there was no mention of whether the nail should be re-attached to provide a splint to heal (or if suture foil was recommended if the nail was too damaged to be replaced). Would someone please comment on this?
Paul G. G. - June 15, 2016 7:39 PM
Can skin adhesive be used to repair nailbed
Michael S. - June 23, 2016 8:27 PM
Can someone add the references that show no increased gain from antibiotics in these injuries? I would greatly appreciate it.