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Suture

Basic Emergency Suture

By Ashley




In All Articles
Dec 4th, 2017
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If SHTF or if you just live in a rural part of the county emergency services may not be available to you. “Sometime when seconds count, help may be minutes away, if available at all”. There may be no one to come to you or your loved one’s aid. Or perhaps it may take a long time for help to arrive. Whatever the case you should know some basic first aid. This can make a big difference and save a life. This article is here to provide you with the most basic steps of how to suture a wound.

  The most important step is to recognize when a wound needs suturing. Some may require this and others it can actually cause more damage. Some wounds are minor and only need cleaning and bandaging. A massive wound may just need packing with gauze and wrapping until help arrives. Most puncher wounds should not be sutured closed. Try to determine if the wound should be sutured by the type of bleeding. Arterial bleeding is bright red and tends to spurt in time with the heartbeat. These should not be sutured without professional help. The artery vein needs to be mended first. Simply closing the cut will result in internal bleeding. Venous is dark red in color and can gush profusely. This also requires professional help. Capillary will ooze and blood loss is usually negligible. You can proceed with the suturing process with capillary bleeding.

  Suturing may be necessary if: There is sever risk of blood loss, If the cut or wound is numb, there is a possibility of nerve damage, Closing it will start the healing process. Deep or long gaping cuts also called talking cuts as they look like a mouth. Please do as much research now as possible to so when the time comes you will have a better idea of what you are looking for.

  The basic supplies you should always have on hand is a first aid kit, preferably one that includes a suture kit.

Supplies: Clean water,  Gloves, Suture string, Needle driver,Needle, Syringe, Sterilization solution( Betadine), forceps, scissors, guaze, guaze wrap

Start by cleaning the wound. Use water to clean out a wound. If there is debris present use the diluted Betadine as directed. Use your syringe and spray directly in a wound. The most important aspect of this is to have clean and sterile supplies, wound, and workspace. Clean all your supplies with some sort of sterile solution such as alcohol or if you have none on had to use a lighter or match the wipe with water.

  When the bleeding has slowed or stopped you can begin. Decide based on the wound the best way to close it up. Apply gloves. Once again clean, clean, clean everything. If you have it available give the victim Ibuprofen and ice the wound. Use scalpel or scissors to cut away any jagged pieces of skin that will not heal well.

  Start suture: There are many different types of suture knots and techniques, so do some research and decide what the best one is for your specific situation. One of the easiest ones to remember is the Interrupted Suture. Start by Picking up your needle with the forceps at about 60% towards the end of the needle. You want to begin in the middle of the wound and work outwards. Make sure to be on the edge but not too close that the skin will rip. Go all the way through the skin layer to the other side of the cut. Tie a few regular knots cut ends of string making sure to leave about two inches. Also, leave 1/8 an inch in between each stitch. Continue and make as many Interrupted sutures as necessary until the wound is completely closed. Clean wound and bandage to minimize infection. You will need to clean and change the dressings at least twice a day.

 So whether or not help is on their way this will help prevent further blood loss, lessen the risk of infection, and can possibly save a life. Once again I urge you to research as much as possible. Watch multiple videos so you can have a more hands-on knowledge. This is not a certified medical document. Its purpose is to give you the bare bones basics of first aid and suture.

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