Hand injuries. Priorities. Function, Function, Function! Must be able to test sensory, motor and tendon function. Should be able to draw a cross-section of wrist. If tendon, nerve or vascular injury, consult . Know the location of all important deep structures. Priorities.
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Use cleaned whole nail as dressing, base under cuticle to prevent nail matrix to eponychium adhesion. If nail not possible, adaptic or foil from suture package