How to use electrocautery to trephinate a subungual hematoma, demonstrated by Dr. Jess Mason.
How long since the injury has occurred that you would still attempt to drain a subungual hematoma? Like no point attempting it if it’s more than 24 hours? Thanks!
I'm not aware of a specific time frame. It's to make them feel better, so if they are still having pain then I'd do it.
Also, if you use an alcohol wipe, dry it completely first. Many years ago, I turned my patient's finger into a birthday candle doing this. The fire was quickly extinguished with no harm done, and I made light of it (no pun intended) as though it was something that happened all the time.
Same thing happened to me when I prepped with chlorhexadine the very first time I used electrocautery to drain a subungual hematoma. I (and my staff) will never forget it.
Haha, great tip!
What you do matters.