Clinical Scenario

Consider a case of an accident where the patient presents to the ED with a road rash.

What is the safest way to anaesthetise road rash, and similar injuries, for thorough cleaning?

You could use LAT, irrigate, and use gauze swabs to clean up.

The use of brushes and antiseptics has declined as they cause more tissue damage.

It is essential to remove all foreign bodies to reduce the likelihood of traumatic tattooing.

This may require further anaesthesia – local, regional or general.

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