Brian Lin is an impressive physician with expert knowledge in wound management and care. It was well worth the visit to talk to him in person about some of the more intricate parts of wound management. At SEMPA 360 this year he gave so many pearls that there is no doubt he was a treasure to the conference. If you could not make it this year or want a reminder of some of the key points, check out the notes and listen to the podcast.
A brief, but possibly most important, pearl that was given regarding wound closure is the appropriate type of suture to use. You too, can make your sutures as beautiful as the one above from Brian's website. There is a lot to understand about sutures but this post is a great start to get a better in depth knowledge and extremely useful for students or those needing a refresher. A second post talks about suture selection and stocking. It is not enough to have the sutures, but you also need to know when to use them. He even has a post detailing absorbable sutures with a part one and part two included.
We have all been handed the laceration repair that is a skin tear that needs more than a simple closure with some glue. These can be some of the most challenging but also rewarding repairs. Fragile and thin skin can stop being your enemy with a few basic tips. In his post about fragile and thin skin, Brian covers some pretty clever techniques that will make you a master of these wounds. The videos and description on the site is a must to better understand it, and will only take a few minutes of your time. The last pearl discussed in this podcast is actually a series of pearls regarding lacerations around the tissues of the eye. For many providers, especially for this blog and podcast site, a specialist is essentially unheard of and specialty consult or transfer is difficult at best. Many of these lacerations are minor but pose a real threat given their location. We can make it safer using a series of techniques that Brian's post on lacerations around the eye covers fantastically. Again, you simply have to see it to better understand, but the podcast is a great place to start and catch up on the key points. It is well worth visiting Brian's site for the details for other great information on how to manage wounds at his lacerationrepair.com site. SEMPA 360 was a lot of fun. If you could not make it or want to listen again, check out Virtual SEMPA for more information. Have you had similar cases you want to share? We would love to hear about it! Also, please let us know what you think by giving us feedback here in the comments section or contacting us on Twitter or Facebook. Remember to look us up on Libsyn and on iTunes. If you have any questions you can also comment below, email at thetotalem@gmail.com, or send a message from the page. We hope to talk to everyone again soon. Until then, continue to provide total care everywhere. 
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