RT Book, Section A1 Calvert, J. Hayes A2 Cydulka, Rita K. A2 Fitch, Michael T. A2 Joing, Scott A. A2 Wang, Vincent J. A2 Cline, David M. A2 Ma, O. John SR Print(0) ID 1143139712 T1 Lacerations to The Face and Scalp T2 Tintinalli's Emergency Medicine Manual, 8e YR 2017 FD 2017 PB McGraw-Hill Education PP New York, NY SN 9780071837026 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1143139712 RD 2021/03/05 AB The scalp and forehead have thick skin and little cushioning fat (Fig. 11-1). Wounds of the scalp and forehead can usually be repaired with primary closure when they are not visibly infected, regardless of the time since the injury and even if the injury was secondary to a bite. After performing wound cleansing and achieving hemostasis, palpate the base of the wound to assess for possible skull fracture. CT scan can be used to further evaluate an injury when an underlying fracture is suspected.