She presents with 2 large skin tears – one to her right lower leg and another on her right upper arm. Case 1: The elderly patient with skin tearsĪ 75-year-old female presents to the ED with complaints of a mechanical trip and fall. Uro-Jet® is a popular alternative to this and has a 2% concentration. Trick of the Trade: Use topical 2% lidocaine jellyĮach 5 mL tube contains 100 mg of lidocaine. Often the surface area is too big and skin to thin to inject local anesthesia around the entire site. By the time the patient has arrived, the may blood have dried with a retracted and rolled-in skin flap. ![]() Often the skin is paper thin, and the area involved can have a large flap. Skin tears are a common injury treated in the elderly in the emergency department (ED).
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