指甲下血肿引流.pdfVIP

Subungal Hematoma Drainage 96 Pratik S. Patel and Latha Ganti 96.1 Causes 96.4 Materials and Medications • Crushing injury to the fi nger or toe • 18-gauge needle • Ill-fi tted shoes/inadequate space for toes • Betadine (povidone-iodine) solution • Gloves • Topical antibiotic 96.2 Indications • Pain that is not tolerable with nail edges intact 96.4.1 Optional materials • Electrocautery tool 96.3 Contraindications • Paper clip or sewing needle and sterilizing fl ame • Finger splint • Relative • Lidocaine (1 or 2 % with epinephrine) – Disrupted nail edges – Tolerable pain that can be managed conservatively – Skin infections around toe/fi nger – Bleeding disorder P.S. Patel, MD Department of Emergency Medicine , University of Florida Health , Gainesville , FL , USA e-mail: drpratik@ L. Ganti, MD, MS, MBA (*) Professor of Emergency Medicine , University of Central Florida , Orlando , FL , USA Director , SE Specialty Care Centers of Innovation, Orlando Veterans Affairs Medical Center , Orlando , FL , USA e-mail: lathagantimd@ © Springer Science+Business Media New York 2016 557 L. Ganti (ed.), Atlas of Emerg