TY - CHAP M1 - Book, Section TI - Soft-Tissue Injury and Wound Repair A1 - Murray, Brittany L. A1 - Sullivan, D. Matthew A2 - Schafermeyer, Robert A2 - Tenenbein, Milton A2 - Macias, Charles G. A2 - Sharieff, Ghazala Q. A2 - Yamamoto, Loren G. PY - 2014 T2 - Strange and Schafermeyer's Pediatric Emergency Medicine, 4e AB - In assessing a child with a minor wound, exclude more serious, sometimes occult, injuries that take precedence in management.Assess the length and depth of the injury, circulatory status, motor and sensory function, and the presence of foreign bodies and contaminants.Topical anesthetics provide effective anesthesia and are a necessary adjuvant for pediatric lacerations.Many lacerations are suitable for closure using noninvasive methods of closure.Splint a wound overlying a joint in the position of function for 7 to 10 days.Antibiotics are indicated for patients who have significant immune-compromising disease, who present with a wound infection, who present for care late (12–24 hours), and in certain specific instances (intraoral lacerations, wounds of the hand, and cat bites).Patient and parents should be given thorough after-care instructions about care of the wound and what to expect. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1105681790 ER -