I wouldn't suture in the field unless absolutely nothing else works. Skin will heal quickly (1-2 days) after being approximated - then you run the risk of developing deeper infections.
Steristrips w/ benzoin work very well, and will generally allow drainage.
If you must suture, practice first. You don't necessarily need a needle driver. You can acquire sutures on straight needles (Keith needle/KS needle, etc.) with which you can sew tissue like you sew cloth.
You should clean the wound well, copiously irrigate to remove any debris (I like a solution of 1 part betadine to 5 parts normal saline for the first couple of irrigations, then follow w/ straight normal saline for a total of about a liter of irrigation.
Close w/ well spaced simple interrupted sutures (preferably of 3-0 or 4-0 nylon in most places, 5-0/6-0 for facial wounds), tied just tight enough to bring the skin edges together.
Dermabond is a different form of cyanoacrylate - regular crazy glue will break down into byproducts that are tissue toxic - Dermabond does not - this is the reason we use dermabond & not super/krazy glue.
Pigs feet work well for learning. You should get someone to show you the ropes though. Those students don't suture humans until they have had lots of instruction & have been directly observed for proper technique.
Staples are probable the easiest/fastest way to close a wound, but they also have a certain technique for proper placement.
BTDT
Sam
Steristrips w/ benzoin work very well, and will generally allow drainage.
If you must suture, practice first. You don't necessarily need a needle driver. You can acquire sutures on straight needles (Keith needle/KS needle, etc.) with which you can sew tissue like you sew cloth.
You should clean the wound well, copiously irrigate to remove any debris (I like a solution of 1 part betadine to 5 parts normal saline for the first couple of irrigations, then follow w/ straight normal saline for a total of about a liter of irrigation.
Close w/ well spaced simple interrupted sutures (preferably of 3-0 or 4-0 nylon in most places, 5-0/6-0 for facial wounds), tied just tight enough to bring the skin edges together.
Dermabond is a different form of cyanoacrylate - regular crazy glue will break down into byproducts that are tissue toxic - Dermabond does not - this is the reason we use dermabond & not super/krazy glue.
Pigs feet work well for learning. You should get someone to show you the ropes though. Those students don't suture humans until they have had lots of instruction & have been directly observed for proper technique.
Staples are probable the easiest/fastest way to close a wound, but they also have a certain technique for proper placement.
BTDT
Sam