This afternoon was started with suturing. My last sutures were put in-oh- months ago. Like EKGs, this (clearly) is something that demands practice on a daily basis.
Thankfully, that should not be an issue in the coming months. Today? Felt as if I had never sutured anything in my life. I admit feeling quite stupid. Two thumbs anyone-on one hand!
Lots of learning, pearls. More of those later. I wish I had a notebook with me! I have so many things I wish I had written down! I admit being tired, and so I am sure I have forgotten a ton.
Some pearls:
- Allergies to lidocaine? Can infiltrate with benadryl
- Careful of scalp wounds and excessive amounts of lido- can lead to "too much lido" because tissue is so vascularized.
- DOCUMENT sensory exam before blocking fingers/digits
- Water is excellent for irrigation
- numb before cleaning
- Minimize debridment
Have to say it again, this is a totally non-pressured, enjoyable experience.
The age ranges are extreme, really. Its about 5 PA's, 5 NPs and 5 MD's. One is as from far away as FL. Several from MI (Their practice paid for them to do the 2 year certificate as well as attending this workshop. Quite great bene's I must say!). Most are already in an ED practice, but there is one other brand newbie like myself here.
I am thankful!
Tonight, dinner at a Japanese steal house. My favorite!
Sent from my iPhone
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