The Curtis Center 170 S Independence Mall W 300E Philadelphia, Pennsylvania 19106 Wounds and Lacerations: Emergency Care and Closure Copyright © 2005, Mosby, Inc. All rights reserved. ISBN: 0-323-02307-X No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Permissions may be sought directly from Elsevier’s Health Sciences Rights Department in Philadelphia, PA, USA: phone: (+1) 215 238 7869, fax: (+1) 215 238 2239, e-mail:
[email protected] You may also complete your request on-line via the Elsevier homepage (http://www.elsevier.com), by selecting ‘Customer Support’ and then ‘Obtaining Permissions’. NOTICE Emergency medicine is an ever-changing field. Standard safety precautions must be followed, but as new research and clinical experience broaden our knowledge, changes in treatment and drug therapy may become necessary or appropriate. Readers are advised to check the most current product information provided by the manufacturer of each drug to be administered to verify the recommended dose, the method and duration of administration, and contraindications. It is the responsibility of the licensed health care provider, relying on experience and knowledge of the patient, to determine dosages and the best treatment for each individual patient. Neither the publisher nor the author assumes any liability for any injury and/or damage to persons or property arising from this publication. The Publisher Previous editions copyrighted 1997, 1991. Library of Congress Cataloging-in-Publication Data Trott, Alexander. Wounds and lacerations : emergency care and closure / Alexander T. Trott.–3rd ed. p. ; cm. Includes bibliographical references and index. ISBN 0-323-02307-X 1. Skin–Wounds and injuries–Treatment. 2. Soft tissue injuries–Treatment. 3. Surgical emergencies. I. Title. [DNLM: 1. Wounds and Injuries–therapy. 2.Emergencies. 3. Suture Techniques. 4. Wound Healing. WO 700 T858w 2005] RD520.T76 2005 617.1′ 026–dc22 2004059713 Acquisitions Editor: Todd Hummel Project Manager: David Saltzberg Printed in the United States o