Hair tourniquet: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
*Crying infant | [[File:Hairtournequet.jpg|thumb|]] | ||
*[[Crying infant]] | |||
*Typically involves toes but can be located on fingers or genitals | *Typically involves toes but can be located on fingers or genitals | ||
*Constricting band with edema and/or redness distally | *Constricting band with edema and/or redness distally | ||
==Differential Diagnosis== | |||
{{Crying infant DDX}} | |||
==Evaluation== | |||
===Workup=== | |||
*Typically not indicated | |||
===Diagnosis=== | |||
*Typically a clinical diagnosis | |||
==Management== | ==Management== | ||
[[File:Hair Tourniquet.jpg|thumb] | |||
*Simple removal with scissors | |||
*Depilatory agent can be used if skin is intact (Nair) | |||
**Apply for 8 minutes and rub agent and hair off | |||
**Not effective on cotton or synthetic materials<ref>Plesa JA, et al. Effect of a depilatory agent on cotton, polyester, and rayon versus human hair in a laboratory setting. Ann Emerg Med. 2015; 65(3):256-259.</ref> | |||
*Consider dorsal slit for cases where skin is broken and tourniquet is too tight for other methods | |||
==Disposition== | ==Disposition== | ||
| Line 29: | Line 37: | ||
==References== | ==References== | ||
<references/> | <references/> | ||
[[Category:Pediatrics]] | |||
Latest revision as of 12:50, 14 May 2022
Background
- Also known as hair thread tourniquet syndrome
- Prompt diagnosis needed as ischemia can result
Clinical Features
- Crying infant
- Typically involves toes but can be located on fingers or genitals
- Constricting band with edema and/or redness distally
Differential Diagnosis
Crying Infant
- Occult infection
- GI
- Intussusception
- GERD
- Incarcerated hernia
- Milk protein intolerance
- Anal fissure
- Ophtho
- Occult trauma
- Hair tourniquet (on extremities, penis)
- Non-accidental trauma
- Diaper pin
- Insect bites
- Burns in mouth
- Misc
- Colic
- Scorpion envenomation
- SVT
- Testicular torsion
- Drug exposure/overdose (commonly methamphetamine or cocaine)
- Neonatal abstinence syndrome, drug withdrawal
Evaluation
Workup
- Typically not indicated
Diagnosis
- Typically a clinical diagnosis
Management
[[File:Hair Tourniquet.jpg|thumb]
- Simple removal with scissors
- Depilatory agent can be used if skin is intact (Nair)
- Apply for 8 minutes and rub agent and hair off
- Not effective on cotton or synthetic materials[1]
- Consider dorsal slit for cases where skin is broken and tourniquet is too tight for other methods
Disposition
- Discharge home
See Also
External Links
References
- ↑ Plesa JA, et al. Effect of a depilatory agent on cotton, polyester, and rayon versus human hair in a laboratory setting. Ann Emerg Med. 2015; 65(3):256-259.