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Wound Repair: Part 1

Matthew DeLaney, MD and Jaime Hope, MD
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Dr. Jamie Hope sits down with Dr. Matt DeLaney to discuss traumatic wound repair in the acute care setting.

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Ian L., Dr -

Elevating the limb can help to reduce bleeding with the hemostatic agents applied on sterile gauze .

Nicholle H. -

I'm curious whether LMX cream (which is what we have) can be used on open wounds. After listening to that discussion for peds patients recently, I have been doing this for all my kid lacs. We don't have LET in our facility. Thanks for the topic.

Mike W., MD -

From Matt DeLaney:
This is a good question.
I see no issues substituting LMX for LET and the literature seems to reflect that this is both safe and effective.
Interestingly there are some guidelines, mostly looking at adult patients, that caution against using any type of topical anesthetics out of the concern for potential systemic toxicity.
I use LMX regularly in the wound care clinic and have not had any issues.

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Urgent Care Rap March 2021 Written Summary 501 KB - PDF

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