MaineGeneral Health - Your Resource for Life - Workplace Health Newsletter
July 24, 2008
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office photo Our Locations:
Augusta, ME
Waterville, ME:

For driving directions to our locations select either the Waterville or Augusta link above.
  

FAQ - Sutures
1/1/2008

How do I to determine when a cut needs stitches?

All wounds should be thoroughly cleaned with soap and water. Some may need medical evaluation, such as some punctures, particularly dirty or extensive wounds, or ones involving loss of function in the area. Some wounds require mechanical closure such as sutures, steristrip bandages, or glue. Criteria for mechanical closure include the following:

  • Any bleeding that cannot be stopped with pressure applied to the wound for 5-10 minutes.

  • Wounds that are located in areas of skin which may stretch and reopen the wound, i.e. over the outside of the elbow or backs of the fingers.

  • Areas of skin which are subject to pressure or impact, and which may be hard to bandage, i.e. palm side of hand.

  • Some wounds, particularly dirty ones made require debridement (extensive cleaning and removal of dead tissue), a tetanus shot, or possibly treatment with antibiotics. Some of these wounds are best left open.


The best method of wound closure is determined by the medical provider after evaluation of the injury site.

When you have an employee with a cut that may require sutures or other medical attention:
  • We encourage you to call Workplace Health for a quick consultation to determine the best course of action.

  • Many wounds can be sutured right away at Workplace Health by one of our providers.

  • If the injury is extensive, we may refer your employee directly to the emergency room at MaineGeneral, in which case we will call ahead to "pave the way", and give you a call back afterward to fill you in on the treatment, restrictions, etc.