cling film and shop towels from the truck camp cook chuck box. Great pressure dressing. Wide coverage area.
As a funny side story to this topic, I once went round and round for about an hour with an officer of the Chilean Navy who was charged with reviewing my first aid kit for a trip I was leading. As luck would have it, on his checklist of things to make sure that I was carrying was a "finger splint" for some reason. I explained (in his native tongue), and demonstrated, that you can make a finger splint out of damn near anything, if you need to. His response was - "But you don't have a finger splint in your kit, do you?" And then I would list off all of the different things we were carrying - spoons, a tongue depressor, a couple ball point pens, etc. that could be made into finger splints if necessary (not to mention just about any damn stick found on the ground where we were going and wrapped with tape). And he would listen, and then respond - "But you don't have a finger splint with you...." And then I would re-explain how to make improvised splints, and then he would response with the same question again... I finally had to concede and promise him that while I didn't have one this time, I swore on my mother's grave that I would make sure I had a finger splint in our first aid kit in the future, and then he checked his little box and sent us on our way. I love bureaucracy.
Much faster than sutures but not as fast as staples. Not so much Macgyver as technique is utilized in clinical practice. Scalp wounds are notorious for unrecognized blood loss that can lead to hypovolemic shock if not addressed. Give scalp lacerations the utmost respect.
I knew this guy in the in the ED one time who came up with a way to use Dermabond, a filter needle and 18 gauge syringe to securely and effectively approximate severe skin tears on frail skin instead of secondary intention.
20 guage needles and suture can be used in conjunction to suture wounds. Also more comfortable as hypodermic needles are designed for awake skin and suture needles are for anesthetized. Push needle through skin on both sides. Slide suture through inside of needle. Pull needle out leaving suture. Tie suture. Repeat with fresh needle preferably.
Very interesting and clever. I’m intriqued by the awake vs anesthesized skin. Makes a lot of sense but I never really thought about it