Today launches a series of Google Hangout videos, which was created and expertly facilitated by Dr. Michael Gisondi (@MikeGisondi) from Northwestern. In this series, he recruited an amazing panel of program directors from around the country, who have kindly volunteered their time to share their insights and expertise. In these videos, you get a sense of each panelist’s personalities while they outdo each other with behind-the-scenes advice and stories, which would normally be shared only at the institutional level. Our videocasts are a unique must-see for medical students interested in and applying into Emergency Medicine (EM). Keep a look out for more videos in the future!
In this new installment in the “How I Work Smarter” series, we are bringing it back home. We first started in the United States, then Australia, then the UK. Today we return back to the U.S. and feature Dr. Salim Rezaie (@Srrezaie), who is the Editor-in-Chief for REBEL-EM and REBEL Cast. The following summarizes Salim’s great tips.
You see a patient with a large V-shaped laceration under tension requiring suture repair. Resist the temptation to simply pull the edges together and close the laceration with simple interrupted or running sutures. Excessive tension on a flap edge during the healing process can compromise its blood supply. This causes ischemia to the healing tissue, which in turn makes that flap edge more likely to dehisce, necrose, and become infected.