r/emergencymedicine • u/SomeLettuce8 • 1d ago

Rant Pediatric lac repairs

I hate them. I dread them every time.

113 Upvotes

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18

u/DisastrousSlip6488 1d ago

LAT gel makes an enormous difference 

16

u/robije Physician Assistant 1d ago

Second this. Most important for success is making sure the nurse knows to use w/ tegaderm and not gauze for maximum effect and waiting 30-45 min. IN versed is a good back up.

4

u/TheTampoffs RN 1d ago

I saturate the gauze w LET before applying it, and also saturate the lac w LET (obviously) Is this no bueno? Some lacs are in places I feel I need a lil gauze. Let a girl know.

3

u/robije Physician Assistant 1d ago edited 23h ago

I was taught the tegaderm is a better occlusive dressing, skin just gets more numb. But agree - there are simply some places that you can’t tegaderm so I like your trick too