TY - CHAP M1 - Book, Section TI - Soft-Tissue Injury and Wound Repair A1 - Murray, Brittany L. A2 - Tenenbein, Milton A2 - Macias, Charles G. A2 - Sharieff, Ghazala Q. A2 - Yamamoto, Loren G. A2 - Schafermeyer, Robert PY - 2019 T2 - Strange and Schafermeyer's Pediatric Emergency Medicine, 5e AB - In assessing a child with a soft tissue injury, exclude more serious, sometimes occult, injuries that take precedence in management.Assess the length and depth of the injury, circulatory status, motor and sensory function, involvement of deep structures, and the presence of foreign bodies and contaminants.Topical anesthetics provide effective anesthesia and are a necessary adjuvant for pediatric lacerations.Many lacerations are suitable for closure using noninvasive methods of closure.Splint a wound overlying a joint in the position of function for 7 to 10 days for optimal healing.Antibiotics are indicated for patients who have significant immune-compromising disease, who present with a wound infection, who present with a heavily contaminated wound, and in certain specific instances (intraoral lacerations, animal and human bites).Patient and parents should be given thorough aftercare instructions about care of the wound, what to expect, and return precautions. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/18 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1155296435 ER -