Pediatric emergency medicine trisk 3395 3395

TABLE 110.5
SUTURE REMOVAL TIMING
Wound location

Time of removal (days)

Neck
Face
Scalp
Upper extremities,
trunk
Lower extremities
Joint surface

3–4
4–5
7–10
7–10
8–10
10–14

As discussed previously, in the first 12 to 24 hours, wound dressings should be
changed only if wet or soiled. After that, gentle washing can be permitted as long
as the wound is then patted rather than rubbed dry and covered again. There is no
proven harm to exposing the sutures to soap and water for short periods of time.

MANAGEMENT OF SPECIFIC WOUNDS
The principles of wound care discussed earlier should be applied in repairing any
of the wounds discussed in the following section. These principles include
evaluation of the wound by history, physical examination, and when indicated,
radiographic or ultrasound imaging. After the wound is evaluated, the feasibility

of closure and the possible need for consultation with a surgical specialist should
be considered. The following section discusses some of the commonly
encountered wounds in children.

Facial and Oral Wounds
CLINICAL PEARLS AND PITFALLS