Case Study 2: What sequence of steps would you take to treat this patient?

A 47-year-old male presents to the clinic. He has a 3-inch laceration on his right forearm and reports that he was replacing a bedroom window when the window broke, cutting his right arm. He reports that β€œit bled quite a bit.” He wrapped it in a shirt and came directly to the clinic. He does not know when he had his last Td shot, but he thinks it was at least 12 years ago.

On physical examination you observe a 3-inch laceration extending through the dermis layer of skin not affecting tendons or ligaments and determine if sutures are warranted.

PMHx: asthma

SHx: married with no children

Allergies: none

VS: T 98 BP 134/60 HR 78 R 18 02 sat 98%

1.    What sequence of steps would you take to treat this patient?

2.    What would be your post-procedure instructions to the patient?

3.    Should he receive a Td immunization today?

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