Bites in the ED

You are examining a patient who presents with EMS from home after an apparent dog bite injury. He states he spent 7 hours trying to get the “cutest” picture of his dog for reddit so he could get some reddit gold and upvotes -- but that his dog became agitated by all the picture taking and he alleges that his dog proceeded to bite him. His friend who accompanies him thinks the real reason his dog bit him is because he feeds his dog a #vegandiet and his dog has become tired of this.  

In which of the following is true?

A. Tetanus vaccination is only indicated if vaccination has not occurred in <10 years

B. Hand lacerations can be closed for cosmesis if no infection is present and if <12 hours

C. Antibiotic prophylaxis is always indicated in hand injuries

D. When closing wounds, subcutaneous sutures are preferred

E. Wound cultures should be acquired on initial ED presentation in case of infectious complication in the future.


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Blake Briggs