Clinical Case Database / Category: Case Based Discussion

Wound management and suturing

Publication details

Brijendra P. Shravet MS DA FRCSEd FCEM, Turan S. Huseyin MBBS BSc FRCS(Eng) FCEM, Kilian A. Hynes MA Msc MRCP FCEM
Foundation Years Journal, volume 1, issue 6, p.11 (123Doc Education, London, October 2007)


An 82-year-old woman presents to the Emergency Department (ED). She fell against a door and has sustained a laceration to the dorsum of her left hand.

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Brijendra P. Shravet MS DA FRCSEd FCEM (Corresponding author)

Consultant and Clinical Director in Emergency Medicine
Emergency Department
Barnel Hospital
Wellhouse Lane

Turan S. Huseyin MBBS BSc FRCS(Eng) FCEM

Consultant in Emergency Medicine and Foundation Programme Training Director
Emergency Department
Barnet Hospital

Kilian A. Hynes MA Msc MRCP FCEM

Consultant in Emergency Medicine
Barnet Hospital


1.  College of Emergency Medicine Guideline for the Management of Pain in Adults (Clinical effectiveness Committee). (link, accessed in August 2007.

2.  Trott A.T. Wound and Lacerations - Emergency Care and Closure. Mosby St. Louis 1991

3.  Thomas, B.B, and Worthington, J.M. Using tissue adhesive for wound repair: a practical guide to Dermalon. American Academy of Family Physicians 2000; 65:5 (link, accessed in August 2007

4.  Thomas, S. Wound Management and Dressings. London: The Pharmaceutical Press, 1990

5.  Department of Health: From the Chief Medical Officer, Chief Nursing Officer and Chief Pharmaceutical Officer. Update on Immunisations: Management of tetanus prone injuries, August 2002


Conflict Of Interest

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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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