Hair tourniquets occur when hair, thread, or other thin materials becomes tightly wrapped around an appendage (toe, wrist, penis, scrotum, tongue) and results in pain or injury. Can be removed using the unwrapping method, cutting method, or depilatory method
All cases of hair tourniquets should be managed
Bleeding, infection. Incisional approach may damage underlying structures of affected site.
Also known as “nail bed trephination”. Involves draining blood from underneath the nail to relieve pain and discomfort
Painful subungual hematoma with nail edges intact
If the wound is not painful or is already spontaneously draining. Do not evacuate hematoma if nail removal is already indicated for complex nail bed lacerations. Do not use electrocautery tool on acrylic nails (may be flammable)
Injury to nail bed, infection, or incomplete drainage
Suturing lacerations helps facilitate biological healing by joining wound edges and minimizing scar formation. There are various techniques of suturing, depending on the size, shape, and depth of the wound.
Clean lacerations that have occurred within 24 hours and not at significant risk for infection.
Dirty wounds, body lacerations >12 hours old, face/scalp wounds > 24 hours old