A young man comes into your ED after slamming his right middle finger in the door. You see a large gash over the nail, and your hand specialist is not available to take care of the injury. What do you do?

picture is from lacerationrepair.com

For a quick and awesome review about how to do these, check out the links below. Great explanation and pictures:

http://lacerationrepair.com/special-situations/nailbed-injuries-part-i/

http://lacerationrepair.com/special-situations/nailbed-injuries-part-ii/

 

Still doing 2 injections for your digital block? Check out how to do a block with just one injection:

http://www.aliem.com/trick-of-the-trade-single-digital-block/

http://www.ncbi.nlm.nih.gov/pubmed/20179662

 

So you took off the nail and found a well approximated nailbed lac? you can use dermabond and save some time.

Trick of the Trade: Nail Bed Repair With Tissue Adhesive Glue