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Learning how to suture
#1
I was taught how to suture in Operating Room Techician's School in the Navy, and have sutured more people than many MDs.

Our reference guide was the 1975 version of this manual.

It (the modern version) can be downloaded as a pdf. Many basic surgical grade instruments can be purchsed on amazon.com


http://umed.med.utah.edu/ms2008/Vault/Cl...Manual.pdf
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#2
Thanks, downloaded it and saved it to my library. What do you think of those stapling kits you can buy on Amazon? Are they worth it to have, have you used one yourself?
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#3
streaker69;54223 Wrote:Thanks, downloaded it and saved it to my library. What do you think of those stapling kits you can buy on Amazon? Are they worth it to have, have you used one yourself?

Staples are used almost routinely for a lot of external wound and incision closures that don't require absorbable sutures. I would use them in a field situation.

Personally, I would sit still for staple wound closure without topical anesthesia better than I would for sutures. Can't address the Amazon kits; haven't seen them.

on a side note: somebody was asking about topical anesthetics. Cryo spray seems to be getting a lot of use in the ED now.
I don't suffer from insanity.
I enjoy every minute of it.
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#4
streaker69;54223 Wrote:Thanks, downloaded it and saved it to my library. What do you think of those stapling kits you can buy on Amazon? Are they worth it to have, have you used one yourself?

Yes, I have used them and consider them to be worth it.

They are a use and dispose of item. Unopened, and kept away from moisture, they should remain sterile indefinetly as long as the package remains intact.

They are a two person operation as one person needs to hold the skin edges together with forceps while the other person uses the stapler.
Be certain to get the staple remover as well.

Be aware they are more painful for the patient both putting them in and removing them. But they are very quick.

Nice to have for a large wound where speed is important.
A gun rack in a pick-up is not for holding guns. Its a place for women to hold on to. Smile
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#5
I use crazy glue.
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#6
bogey1;54237 Wrote:I use crazy glue.

It works. I've used that too.

Just don't glue your fingers to the patient (Yes, I saw a surgeon glue his glove into the wound. Yes, it WAS funny.)
A gun rack in a pick-up is not for holding guns. Its a place for women to hold on to. Smile
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#7
Dr bones . http://www.doomandbloom.net/wp-content/p...GlkuxNdTgc Staple too. http://www.doomandbloom.net/wp-content/p...sIbCjCQCIo
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#8
Nice vid, nomad.
I don't suffer from insanity.
I enjoy every minute of it.
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#9
Alot of good stuff on their site. http://www.doomandbloom.net/
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#10
nomad;54243 Wrote:Dr bones . http://www.doomandbloom.net/wp-content/p...GlkuxNdTgc Staple too. http://www.doomandbloom.net/wp-content/p...sIbCjCQCIo

I watched the first vid (pig). My doc only did one knot per stitch on my finger a few yrs ago. All 7 came undone within a day. I had to re-tie them myself. Talk about a pita, especially when the excess thread is only 1/4" long and your using one hand.
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