He landed on his rear-end and denies any trauma to his head or loss of consciousness. The laceration immediately started to bleed. The patient s mother stated that he received his initial series of tetanus vaccines, but neither she nor the patient can remember when he received his last tetanus shot. The patient is concerned that this accident will interfere with his current football season. Approximately 4 cm laceration on the left anterior distal forearm extending into the subdermal fat.
Wound appears clean with irregular wound edges and minimal edema and bleeding.
Muscles and tendons appear in tact grossly. Full active range of motion at fingers, wrist and elbow. Good capillary refill in L hand and fingers. Radial pulse felt. Minor, dirty laceration with no gross contamination, requiring debridement, decontamination, and sutures.