open access
Scalp laceration repair with hair apposition technique in the maritime environment under telemedicine guidance using free open-access medical resources
Affiliations- The George Washington University, Washington, DC, United States
open access
Abstract
Requests for medical advice to evaluate injuries sustained on board a shipping vessel make up a significant number of calls to Telemedical Maritime Assistance Services. As the maritime setting is an austere environment with regards to resources such as equipment and availability of medically trained personnel, it is important to have a set of skills and techniques to treat all manner of common injuries with the tools at hand. Here we discuss a case report of using telemedicine and free open-access medical education resources to teach the hair apposition technique to an on-board medical provider for the treatment of a scalp laceration with good outcome.
Abstract
Requests for medical advice to evaluate injuries sustained on board a shipping vessel make up a significant number of calls to Telemedical Maritime Assistance Services. As the maritime setting is an austere environment with regards to resources such as equipment and availability of medically trained personnel, it is important to have a set of skills and techniques to treat all manner of common injuries with the tools at hand. Here we discuss a case report of using telemedicine and free open-access medical education resources to teach the hair apposition technique to an on-board medical provider for the treatment of a scalp laceration with good outcome.
Keywords
telemedicine, maritime, hair apposition technique
About this articleTitle
Scalp laceration repair with hair apposition technique in the maritime environment under telemedicine guidance using free open-access medical resources
Journal
Issue
Article type
Case report
Pages
43-45
Published online
2022-03-31
Page views
5445
Article views/downloads
1100
DOI
Pubmed
Bibliographic record
IMH 2022;73(1):43-45.
Keywords
telemedicine
maritime
hair apposition technique
Authors
Frederick Chu
J. Ryan Skrabal
Adam Rutenberg
Neal Sikka
References (15)- Faurby MD, Jensen OC, Hjarnoe L, et al. The costs of repatriating an ill seafarer: a micro-costing approach. Health Econ Rev. 2017; 7(1): 46.
- Sloan B, et al. Cosmetic outcome of a scalp laceration using the hair apposition technique. EM Pulse. 2018; 27: 1.
- Mahdi SS, Amenta F. Eighty years of CIRM. A journey of commitment and dedication in providing maritime medical assistance. Int Marit Health. 2016; 67(4): 187–195.
- Lefkowitz RY, Slade MD, Redlich CA. Injury, illness, and disability risk in American seafarers. Am J Ind Med. 2018; 61(2): 120–129.
- Lin M. Trick of the Trade: Hair apposition technique (HAT trick). ALiEM Academic Life in Emergency Medicine. https://www.aliem.com/trick-of-trade-hair-apposition/ (2009 accessed 17 Sept 2021).
- Quinn RH, Wedmore I, Johnson EL, et al. Wilderness Medical Society. Wilderness Medical Society practice guidelines for basic wound management in the austere environment. Wilderness Environ Med. 2014; 25(3): 295–310.
- Karaduman S, Yürüktümen A, Güryay SM, et al. Modified hair apposition technique as the primary closure method for scalp lacerations. Am J Emerg Med. 2009; 27(9): 1050–1055.
- Hock MO, Ooi SBS, Saw SM, et al. A randomized controlled trial comparing the hair apposition technique with tissue glue to standard suturing in scalp lacerations (HAT study). Ann Emerg Med. 2002; 40(1): 19–26.
- Ong MEH, Coyle D, Lim SH, et al. Cost-effectiveness of hair apposition technique compared with standard suturing in scalp lacerations. Ann Emerg Med. 2005; 46(3): 237–242.
- Ong ME, Chan YH, Teo J, et al. Hair apposition technique for scalp laceration repair: a randomized controlled trial comparing physicians and nurses (HAT 2 study). Am J Emerg Med. 2008; 26(4): 433–438.
- Ozturk D, Sonmez BM, Altinbilek E, et al. A retrospective observational study comparing hair apposition technique, suturing and stapling for scalp lacerations. World J Emerg Surg. 2013; 8: 27.
- Iverson K. Improved Medicine in the Wilderness. In: Auerbach P. et al. (eds.) Auerbach’s Wilderness Medicine. Elsevier, New York 2017.
- Burkholder TW, Bellows JW, King RA. Free Open Access Medical Education (FOAM) in Emergency Medicine: The Global Distribution of Users in 2016. West J Emerg Med. 2018; 19(3): 600–605.
- Nickson CP, Cadogan MD. Free Open Access Medical education (FOAM) for the emergency physician. Emerg Med Australas. 2014; 26(1): 76–83.
- Leeuwenburg TJ, Parker C. Free open access medical education can help rural clinicians deliver 'quality care, out there'. Rural Remote Health. 2015; 15(3): 3185.
