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Tuesday, August 16, 2016

Methylene blue challenge

Emergency Physicians Monthly
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Use the methylene blue challenge to find out if there’s more damage beneath the surface.
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"...Intra-articular involvement of the laceration requires urgent orthopedic consultation and thorough irrigation to prevent intra-articular infection. By instilling 20 mL of a sterile colored solution (such as methylene blue) into the joint, the provider can look for leakage of fluid out of the laceration, which would indicate intra-articular involvement. If no dye leaks through the wound, the provider can be comfortable closing the wound in the emergency department without further intervention..."