• Pediatric emergency care · May 2019

    Review

    Current Approach to the Evaluation and Management of Hair-Thread Tourniquets.

    • Michael Gottlieb, Dallas Holladay, and Daniel Spearman.
    • Assistant Professor and Director of Ultrasound (Gottlieb), Assistant Professor and Assistant Director of Ultrasound (Holladay), and Resident Physician (Spearman), Department of Emergency Medicine, Rush University Medical Center, Chicago, IL.
    • Pediatr Emerg Care. 2019 May 1; 35 (5): 377-379.

    AbstractHair-thread tourniquet syndrome is a rare, painful condition that occurs when a strand of hair or thread becomes wrapped around toes, fingers, or other appendages. This causes focal edema, which eventually reduces arterial blood flow and can lead to ischemia and necrosis. A thorough physical examination and assessment of risk factors are important. Treatment involves depilatory agents or targeted incision at the bedside or in the operating room. Successfully treated cases can be discharged with local wound care. Parents should be advised on prevention strategies and ensure close follow-up for reexamination.

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