We use staples in a couple of our general emergency departments but thus
far have not used them at St. Chris. A few members of our group like the
idea because, as you said, they are very fast and for non-cosmetic
wounds, our outcome has been good. We usually do not use lidocaine for
these wounds and have found that most for most patients the pain
associated with the closure is no worse than an injection of local.
My main objection to staples is expense. In our institution the only
staple gun available has 30 staples and comes in a sterile pack. We often
use no more than 5 or 6 staples. I'm sure that this isn't cost effective.
What about not suturing small scalp lacs?
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