The four S's of wound management: staples, sutures, Steri-Strips, and sticky stuff

Wound management is a daily occurrence in many practices. A short summary of current research in wound management is documented. Wound assessment guidelines are discussed. Included are evaluation of the patient's tetanus status, wound complexity and age, decisions as to the use of antibiotics, and closure methods. Follow-up care, patient education, and special considerations are also discussed. Billing information is considered. The objective of this article is that reader be able to: 1. Identify several closure options for commonly seen wounds 2. Identify selection criteria for use of Steri-Strips, sutures, and surgical glue in closing wounds and lacerations 3. Identify criteria indicating the need for antibiotics and the most common causative microbial agents associated with wounds 4. Identify over-the-counter (OTC) surgical glues and their popular uses 5. Evaluate immunization status and recommend appropriate treatment for wound prophylaxis.