• Suturing requires a calm and unhurried approach.
• The practitioner should be comfortable, since preparation and
closure of even small lacerations in children may require more time
than initially expected.
• Determine the circumstances and mechanism of injury (eg, blunt
or sharp) and risk of contaminants or retained foreign body.
• Obtain past medical history (including allergies, status of tetanus
immunization, medication use, and chronic diseases), since specific
medications, such as corticosteroids, and conditions, such as diabetes,
delay wound healing.