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Length___?(in cm)
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Location:
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Shape:
• • •
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Depth of Laceration:
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Contamination:
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Distal NVT:
• • •
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Anesthesia used:
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Amount of anesthetic(in ml):
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Irrigated with:
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Foreign material removed:
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Wound prepped with:
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Debrided?
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Wound closed with(sutures):
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Wound repaired with(glue/steri-strips):
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Multi-Layer Closure/ Fascia or SQ Sutures
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Suture removal in:
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Multiple Wounds requiring closure
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Comments:
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Tetanus UTD?
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Considerations for Procedure
• • •
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