RCEM Learning
EMJ August 2023
Aug 21, 2023
Discover the fascinating world of wound care with a groundbreaking device called Micromend. Find out how it offers an innovative alternative to traditional suturing, especially beneficial for pediatric patients. Hear about the importance of patient satisfaction and cosmetic results after its use. Unpack the challenges faced in evaluating this new technology, including study biases and the call for more comprehensive research. This deep dive into emergency medicine reveals how innovations can reshape patient care!
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Quick takeaways
- The Micromend wound closure device demonstrated high patient satisfaction, with 90% rating its effectiveness as excellent or good.
- Providers reported a 93% approval rate for wound appearance and a 90% rating for the ease of use of Micromend.
Deep dives
Overview of Micromend Device and Study Design
Micromend is a novel wound closure device designed as a smaller array of miniature staples affixed to a polyurethane backing, functioning similarly to steri-strips. A feasibility and acceptability study analyzed its effectiveness in closing skin lacerations, enrolling patients from two emergency departments in the United States. Participants' wounds were assessed at various intervals, measuring parameters such as pain during application, satisfaction from the patients and providers, and wound appearance as evaluated by plastic surgeons. The use of visual analogue scales and a wound evaluation scale provided a comprehensive assessment, contributing to a better understanding of Micromend's performance in clinical settings.
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