Lacerations are one of the most common procedures done in the emergency department in 2015, over 5 million lacerations were repaired in emergency departments across the country. Data for urgent care is less readily available but it is known that lacerations, along with abscess incision and drainage, are the most common procedures done in the urgent care setting. As seasoned emergency clinicians, this is our bread and butter. Many of us learned how to suture during our third and fourth year rotations way back in medical school. On our trauma rotations and in the nearly every shift during residency, we put needle to skin and close the gap.

Just because we’ve been doing it for a long time, this doesn’t mean that we can stop learning. Over the past year, I have developed and refined my online Laceration management course, creatively titled The Laceration Course. In this course, I cover the basics. Stages of wound healing, pharmacology and toxicity of commonly used anesthetic agents, facial and digital nerve blocks, radiology, anatomy, and microbiology. We do a deep dive into billing and coding, medicolegal aspects of wound management, the procedure note, even consults and transfers. Truly everything you need
to know about managing lacerations.

I also go into much more advanced topics such as combining stare strips with sutures, the hair apposition technique for scalp lacerations, utilizing half buried mattress sutures for corner flap lacerations. There are 12 case presentations that explore the medical decision making process involved in laceration repair. I also explore long-held myths such as the use of Eppinette friend for finger lacerations, sterile versus tapwater and the lack of evidence for using sterile gloves. Feel free to download, print off and even laminate the high-yield cheat sheet for reference.

I had the honor and privilege to work side-by-side with Dr. Leap for several years and a small community emergency department in South Carolina. We would often times talk about medical education, training, and how sometimes the basics get forgotten. I’m happy to partner with Dr. Leap and offering all of his followers a 20% off discount for the Laceration Course. Just use the code DRLEAP at checkout on

I am able to offer deeper discounts for groups such as urgent care companies, residency programs, contract medical groups and locum‘s companies. Please contact me directly if you would like to discuss this. Lastly, please follow the Laceration Course on Facebook, Instagram and YouTube for more content.

Patrick O’Malley



0 0 votes
Article Rating