#Wound Closure

[macgyvermedical]

I have a question relating to that anon's.

Wouldn't the best practice for out of hospital wound closure would be tape/butterfly sutures even if needle/silk sutures were in your scope of practice. Because no antibiotics, might need to irrigate the wound again, stabbing the person over and over with a needle in less than sterile conditions is welcoming more infections, you're more likely to have butterfly sutures or something to improvise them (like duct tape) than to have a suture kit.

I took wilderness first aid freshman year of college, but admittedly it's been a while (8 years) and a 3-day course was not much expertise to begin with, so I'm genuinely not sure.

Is that right or am i missing some obvious advantage to needle-type sutures?

You're right!

The only advantage to sutures is the fact that sutured wounds are going to look better once they heal. But as you point out there are a LOT of disadvantages, especially when there aren't antibiotics available.

There really aren't out-of-hospital reasons for sutures anyway. Small wounds can be butterflied or glued (with intermittent spots open to allow drainage). Large wounds can be packed. This is usually sufficient to allow a wound to heal, even if it might take a little longer. Even in the hospital we may not close dirty wounds because of the infection risk. These wounds usually get packed.

The only exceptions to this would be if a repair has to be done- say a torn eyelid, ear, lip, or cheek. And those are more surgical than just sutures.

[nurseshannansreviews]

🩹 These silicone foam dressings from dimora medical work wonders for wound care and healing! They're super versatile and can be used on moderately to high draining wounds including trauma wounds, surgical incisions, pressure ulcers, leg ulcers, burns and lots more!I love how they promote healing with way less pain. They absorb a ton of wound exudate to the 5 layers of material so the wound bed doesn't become macerated. They're way more absorbent than traditional bandage gauze so they don't need to be changed as often. Plus they maintain a healthy moisture environment and create a barrier from the outside. The soft silicone wound contact layer absorbs dead tissue cells and it doesn't' stick to the moist wound but it's sticky enough to stick to dry skin. This reduces pain and trauma during dressing changes.

🩹 These innovative dressings are also water resistant & breathable ! A must have for everyone's first aid kits! Right now you can get them for 15% off on Amazon and Shopify with my discount code: Shannan1017

www.amazon.com/dp/B07MNV4CQJ

or

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🩹 These silicone foam dressings from dimora medical work wonders for wound care and healing! They're super versatile and can be used on moderately to high draining wounds including trauma wounds, surgical incisions, pressure ulcers, leg ulcers, burns and lots more!I love how they promote healing with way less pain. They absorb a ton of wound exudate to the 5 layers of material so the wound bed doesn't become macerated. They're way more absorbent than traditional bandage gauze so they don't need to be changed as often. Plus they maintain a healthy moisture environment and create a barrier from the outside. The soft silicone wound contact layer absorbs dead tissue cells and it doesn't' stick to the moist wound but it's sticky enough to stick to dry skin. This reduces pain and trauma during dressing changes.

🩹 These innovative dressings are also water resistant & breathable ! A must have for everyone's first aid kits! Right now you can get them for 15% off on Amazon and Shopify with my discount code: Shannan1017

www.amazon.com/dp/B07MNV4CQJ

or

Shopify:  https://noxl.ink/5CJZZ3

[dermaclip]

The Advantages of Using Wound Closure Strips | DermaClip

Why opt for wound closure strips with a closure device instead of stitches or glue? Here are several key benefits:

Pain-free application: No needles or punctures make for a more comfortable experience.

Faster healing: Adhesive strips securely hold the clip to the skin without the trauma caused by sutures, promoting optimal wound closure and potentially accelerating healing by reducing the number of wounds that need to be closed.

Reduced scarring: Tension-free, elevated closure of wound edges is the gold standard for skin healing. Strips that evenly distribute tension across the wound can help minimize scar formation.

Easy removal: There's no need for a follow-up doctor’s visit—these strips are designed for simple, at-home removal.

Convenience: Take care of minor wounds at home with DermaQuik’s over-the-counter model, avoiding costly emergency room or urgent care visits.

[creativeera]

The Global Dental Suture Market is experiencing trends towards Automated Dental Suture Devices

Dental sutures are specialized medical threads used to close wounds, injuries, or incisions within the mouth and oral soft tissues during dental surgeries and procedures. Traditionally made of materials like silk, polyglycolic acid, or polyglactin 910, dental sutures help hold gums, tissue and bones in place until healed after extractions, biopsies, periodontal flap surgeries and other operations. They promote wound healing by approximating tissue edges. The global dental suture market is driven by the rising number of dental treatments, increasing prevalence of oral diseases and greater awareness about oral healthcare. The Global Dental Suture Market is estimated to be valued at US$ 490 million in 2024 and is expected to exhibit a CAGR of 7.1% over the forecast period 2024 to 2031. Key Takeaways Key players operating in the Dental Suture Market are Johnson & Johnson, Ergon Sutramed, Hygitech, Sutumed, and B. Braun. Johnson & Johnson dominates the market with its brand Vicryl rapide. The growing demand for dental procedures such as implants, extractions and cosmetic dentistry is fueling the need for effective wound closure management with sutures. According to the American College of Prosthodontists, over 36 million Americans are missing at least one tooth. The Dental Suture Market Growth is witnessing increased focus on emerging nations for business expansions. For example, manufacturers are targeting Latin American countries where tooth decay rates are high due to rising consumption of sugar. India is also a lucrative market undergoing orthodontic treatment boom. Market Key Trends The Dental Suture Market is witnessing the trend of automated suturing devices that can significantly reduce procedure time and enhance precision of placement. Devices like Suturit and Assistina Surgical offer computer controlled suturing which is consistently faster than hand suturing and can improve clinical outcomes. Such advanced technologies are gaining popularity amongst busy practitioners. Training on automated suturing is also more standardized compared to traditional methods.

Porter’s Analysis Threat of new entrants: Low requirement of capital and technical knowledge allows new players to enter but presence of giants like Johnson & Johnson limits opportunities. Bargaining power of buyers: Large number of players and availability of alternative products online provides buyers power to negotiate on price. Bargaining power of suppliers: Raw material suppliers like polyglycolic acid have few alternatives giving them bargaining powers to hike prices. Threat of new substitutes: Alternatives like staples, dental adhesives pose limited threat with sutures having edge in safety. Competitive rivalry: Fierce competition exists between industry giants like Johnson & Johnson and manufacturers from Asia limiting their pricing freedom. Geographical Regions North America currently holds largest share of over 30% of global dental suture market value owing to highly developed healthcare infrastructure and rising dental treatments in the region. Asia Pacific is fastest growing region for dental suture market driven by improving access to dental care and growing medical tourism in nations such as India, China and South Korea with increasing middle class population able to afford treatments. Growing dental issues associated with changing lifestyle and diets also support dental suture market growth in Asia Pacific.

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[soldierandawar]

Eddie is such a good father. It takes a good parent to give their child the space they need but still invite someone in who can be a safe space so that Christopher is talking to someone. Giving your child that time speaks volumes of who he is as a person and a father.

He doesn’t want to bust the door down he wants Christopher to open it. He wants the privilege of being allowed back in and he recognizes that he needs to earn it. That he cannot force it upon him. Until then he’s going to do what he can to provide Christopher the support and trust that he probably feels like he’s missing from his dad right now.

[wizzardkisser]

caleb having to succeed in a persuasion check to be able to know about the existence of courting of the crick, and only being interested in it because it's got historical context mixed with smut..... zemnian nights an episode of all time

[gaywarcriminals]

Torn between the homoeroticism of YQY killing QJL to free SJ, and the fact that SJ reallyyyyy deserves to kill QJL himself

[macgyvermedical]

What are other ways to close a wound other than stitches? I have a character that's got like 4 wounds, 3 of which have been stitched. I think it would be borning to have the last one stitched what are some other options? For reference it's about 2 inches long, made by a glass shard going in.

Here you go!

[dermaclip]

DermaClip® Joins MHS Vendor Day to Promote "Stop the Bleed" Campaign

DermaClip® recently participated in the MHS Vendor Day, showcasing its wound closure technology as part of the "Stop the Bleed" campaign. This national initiative aims to equip individuals with the skills and tools to control life-threatening bleeding. DermaClip® highlighted its easy-to-use, non-invasive device designed for rapid and effective wound closure, supporting the campaign's mission to save lives by empowering bystanders to act in emergencies.

[nyxi-pixie]

'you will scar but the wound will heal' vs 'you will have a scar, but it will be easily hidden' is CRAZY work actually

[diam1nd]

i just want to say, to the people being my rock right now. i adore you to the ends of earth. @am4zon , @hexweaver , @sm4llville / @ourcharade, @01army, @razedhell, @americanedpsycho , & there's more of folks to which i haven't followed/found again- have shown such great empathy and understanding and, just thank you sm.

[lewisainz]

a letter from sylvia plath, july 1962.

[elliot-olivia]

Thoughts on SVU25? It's been touch and go for me and now I'm losing hope there's going to be any payoff for sticking it out.

imo there have been some hits and some (frankly astonishing) misses but the liv character work does occasionally go crazy so, like. i’m not a hater. i will continue to be seated.

also idk what “payoff” means for you but (& i’ve said this on main) it does kind of feel like dgraz is building up to a potentially incredibly cathartic endgame with all these lewis parallels. i know some people really hated that they didn’t do anything with the courthouse stuff last episode but i’m not mad about it? at least not yet. graz seems to enjoy a long game (see: the velasco storyline) & there are just…. too many signs something is coming? of course if it all goes to shit and they trudge all this up for nothing i might just lose my mind and hunt the writers room for sport, but rn i am still very much 👀👀👀👀👀

[ruminate88]

Building Foundations: From Shattered Dreams to Self-Awareness

3/14/25

Building Foundations and Caregiving:

"I've come to understand that true happiness must be cultivated from within. The dreams I held within past relationships were often built upon unstable foundations, leading to inevitable collapse. This need to build happiness externally, to find it in others, isn't a new pattern. Looking back, I realize I became a family caregiver at 15. It was a role I embraced, finding a sense of purpose and validation in taking care of others. By being 'needed,' I felt special, valuable. But beneath the surface, I was neglecting my own needs, my own growth. I learned to pour myself out for others, leaving my own well empty. This early experience taught me to equate love with sacrifice, a lesson I'm now working to unlearn."

Misunderstanding and the Futility of Fixing:

"He probably thought I was pathetic, stupid, and weak for falling for his mask and chasing him. But I think it’s sad he doesn’t know real love. Sad he doesn’t want to let someone hold his hand… he thinks he needs no one and won’t depend on anyone but himself. I’m sure he created this mindset in childhood to protect his heart from the pain and rejection he felt from his own caregivers. I’m sorry that he thinks a caregiver represents pain and trauma for him…. No wonder my love is so scary and such a threat ❤️‍🩹 I couldn’t fix you or heal you. Every time I believed he was bringing his walls down to let me in, he’d throw them right back up. Part of that was to play his mind games with me and hurt me, but did he ever once trust me? I only wanted to build with him, to grow with him, and I understand it takes two. He was not willing to put in the work to grow with me. He won’t change because his ego lies to him that he’s better than he is and doesn’t need anyone. Yet, he continues to chase the dream in various relationships, knowing the dream actually terrifies him and he’ll always quit when it gets real."

Self-Sacrifice and Recognizing Patterns:

"You quit on me when you realized I was actually dumb enough to work it out with you…. I was stupid enough to follow you wherever you went… not because you trusted me, but I trusted you and saw a side of you that was amazing, almost perfect. I saw things in you worth holding onto, but you self-sabotage and ruin your own happiness. Call me weak, pathetic, and stupid… I admit I put your happiness before my own back then. It’s who I’ve been most of my life. I care about others. I have since learned that not everyone can understand that or wants to do the same for me. This pattern of putting others first, of sacrificing my own needs, was ingrained in me long before these relationships. It was a role I learned to play as a young caregiver, and it's a role I'm now consciously choosing to release. I realize now that true caregiving must begin with self-care."

Mutual Growth and Empathy:

"What I truly needed was a partner willing to acknowledge their own vulnerabilities, someone who would hold my hand and embark on a journey of mutual growth. Building a solid foundation in a relationship is a process that requires time, effort, and unwavering commitment. My past relationships, marked by intensity and rapid development, ultimately crumbled due to their inherent instability, leaving me shattered. Despite the pain, I harbor no hatred towards my exes. My heart will always hold a space for them. However, until they embark on their own journey of self-awareness and personal growth, they, like me, must confront their shadows and flaws alone. I am committed to becoming the best version of myself, independent of them."

"I hope for their well-being, yet I accept they may not reciprocate. My focus is now on building my unshakable happiness through self-love and self-improvement, understanding that I must fill my own cup first."

[fereldanwench]

FINALLY heard back from the goddamn vet

they have ares' ashes and we can go pick them up tomorrow after husbando gets off work 🙏🙏🙏

[lukazade]

Can't sleep have to say one last thing

This episode literally had a "sometimes closure is just letting something go" moment and I'm reeling about it I can't lie,,,, she didn't get "closure" with gummigoo when she saw him. She had to leave it at goodbye. You never get to see that rly, idk it was just nice. Some people just leave. It's not your right to force them to explain or bring things up that will open up a can of worms. Get closure by moving on without asking them for answers or to listen to you talk. Nobody is owing you their time or trauma, even when all you want to say is "sorry." Find it within yourself to close the door behind a person.