Blake Photo Time-Line

BRMH EMERGENCY DEPARTMENT 17000 Medical Center Dr Baton Rouge LA 70816

Grondin, Blake John MRN: 12051461, DOB: 2/14/2020, Sex: M Acct #: 72014918667 Adm: 11/22/2021

11/22/2021 - ED in O'Neal - Emergency Dept. (continued)

ED Provider Note (continued) Left Ear: Tympanic membrane normal. Nose: Nose normal. Mouth/Throat: Mucous membranes are moist. Oropharynx is clear. Eyes: Conjunctivae are normal. Neck: Neck supple. Cardiovascular: Normal rate and regular rhythm. Pulmonary/Chest: Breath sounds normal. Abdominal: Abdomen is soft. There is no abdominal tenderness. There is no rebound and no guarding. Musculoskeletal: General: Normal range of motion. Cervical back: Neck supple.

Neurological: He is alert. Skin: Skin is warm. Capillary refill takes less than 3 seconds. Middle forehead laceration, 1cm, bleeding stopped.

ED Course Lac Repair

Date/Time: 11/23/2021 8:43 AM Performed by: Nicholas S. Boies, NP Authorized by: Christopher P. Ferguson, MD

Consent: Consent obtained: Verbal Consent given by: Parent

Risks, benefits, and alternatives were discussed: yes Risks discussed: Infection and poor cosmetic result Anesthesia: Anesthesia method: Topical application Topical anesthetic: LET Laceration details: Location: Face Face location: Forehead

Length (cm): 1 Depth (mm): 5 Pre-procedure details: Preparation: Patient was prepped and draped in usual sterile fashion Exploration: Wound exploration: entire depth of wound visualized Wound extent: fascia violated

Wound extent: no areolar tissue violation noted , no foreign bodies/material noted , no muscle damage noted , no nerve damage noted , no tendon damage noted , no underlying fracture noted and no vascular damage noted Contaminated: no Treatment: Wound cleansed with: initially cleaned with peroxide, then cleaned with chlorhexidine . Amount of cleaning: Standard Debridement: None Skin repair: Generated on 7/19/22 2:38 PM Page 12