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.
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