Infectious Disease
Abscess Incision and Drainage
Prep and anesthetize the skin. You can reduce the pain of injecting the anesthetic by...
Loop Drainage for Abscess Management
An option for abscess management is the loop drainage technique, in which two incisions are made, the abscess is deloculated and drained, and a loop drain (or similar material) is pulled through the incisions and tied to allow for ongoing drainage. Video courtesy of Brian Hinrichsen, PA-C, and Brad Frazee, MD. Procedure performed by Briane Hinrichsen.
Dental Abscess Incision and Drainage
To drain a gingival abscess start with local anesthetic.
Probe-to-Bone Test for Osteomyelitis
Probe to Bone Test for Osteomyelitis
Rabies Immunoglobulin Injection
Once you’ve decided to administer the rabies immune globulin, calculate the dose, which is 20 IU/kg, and make sure the wound has been thoroughly cleaned. Inject directly at the site of the wound, making sure your needle tip is in tissue, not in the laceration, so the antibodies infuse into the tissue. Withdraw and redirect your needle to fan out the distribution of the antibodies. Inject into each site of the bite wounds if there’s more than one. If there is any remaining volume it can be given IM at a different site than the rabies vaccine. Here’s a case of a high risk wound in a fingertip. Only about half an mL was injected in the finger and the rest had to go IM.