Assessment and management of scalp lacerations
- Judd E Hollander, MD
Judd E Hollander, MD
- Professor and Vice Chair Department of Emergency Medicine
- Thomas Jefferson University
- Martin Camacho, ARPN-Rx, ACNP-BC, ENP-BC
Martin Camacho, ARPN-Rx, ACNP-BC, ENP-BC
- Internal Medicine - Hospitalist Service
- The Queens Medical Center
- Emergency Department
- Hawaii Emergency Physicians Associated
- Wahiawa General Hospital
- Section Editors
- Anne M Stack, MD
Anne M Stack, MD
- Section Editor — Pediatric Procedures
- Associate Professor, Department of Pediatrics
- Harvard Medical School
- Allan B Wolfson, MD
Allan B Wolfson, MD
- Section Editor — Adult Procedures
- Professor of Emergency Medicine
- University of Pittsburgh
- Deputy Editor
- James F Wiley, II, MD, MPH
James F Wiley, II, MD, MPH
- Senior Deputy Editor — Adult and Pediatric Emergency Medicine
- Senior Deputy Editor — Primary Care Sports Medicine (Adolescents and Adults)
- Professor of Pediatrics and Emergency Medicine/Traumatology
- University of Connecticut School of Medicine
Scalp lacerations are a common injury. Clinical evaluation should identify associated serious head injury, laceration of the galea, or bony defect of the skull. After hemostasis is achieved and the wound is irrigated, scalp lacerations are typically closed with surgical staples under local anesthesia. Sutures may be preferred over staples for large, gaping wounds and to provide hemostasis for wounds with brisk bleeding.
The assessment and management of scalp lacerations will be reviewed here. Minor wound management, methods of suture placement, and closure of skin wounds with staples are discussed in detail separately:
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- Physical examination
- Diagnostic imaging
- INDICATIONS FOR SUBSPECIALTY CONSULTATION OR REFERRAL
- WOUND REPAIR
- Indications for primary closure
- Contraindications and precautions
- Surgical staples
- Modified hair apposition
- Simple interrupted sutures
- OTHER CONSIDERATIONS
- Tetanus prophylaxis
- Prophylactic antibiotics
- Bite wounds
- INFORMATION FOR PATIENTS
- SUMMARY AND RECOMMENDATIONS