determine optimal approaches to assess for violation of the joint, and antibiotics may be indicated Suggested Readings and Key References American Academy of Pediatrics Committee on Infectious Diseases Tetanus In: Kimberlin DW, ed Red Book 31st ed Elk Grove Village, IL: American Academy of Pediatrics; 2018:793–798 Brown DJ, Jaffe JE, Henson JK Advanced laceration management Emerg Med Clin N Am 2007;25:83–99 Callahan JM, Baker MD General wound management In: Henretig FM, King C, eds Textbook of Pediatric Emergency Procedures 2nd ed Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins; 2008:1005–1017 DeBoard RH, Rondeau DF, Kang CS, et al Principles of basic wound evaluation and management in the emergency department Emerg Med Clin North Am 2007;25:23–29 Heal C, Buettner P, Raasch B, et al Can sutures get wet? Prospective randomized control trial of wound management in general practice BMJ 2006;332(7549):1053–1056 Holger JS, Wnadersee SC, Hale DB, et al Cosmetic outcomes of facial lacerations repaired with tissue adhesive, absorbable and non-absorbable sutures Am J Emerg Med 2004;22:254–257 Hood R, Shermock KM, Emerman C A prospective, randomized pilot evaluation of topical triple antibiotic versus mupirocin for the prevention of uncomplicated soft tissue wound infection Am J Emerg Med 2004;22(1):1–3 Ilicki K Safety of epinephrine in digital nerve blocks: a literature review J Emerg Med 2015;49(5):799–809 Karaduman S, Yuruktumen A, Guryay SM, et al Modified hair apposition technique as the primary closure method for scalp lacerations Am J Emerg Med 2009;27(9):1050–1055 Karounis H, Gouin S, Eisman H, et al A randomized control trial comparing long-term cosmetic outcomes of traumatic pediatric lacerations repaired with absorbable plain gut versus non-absorbable nylon sutures Acad Emerg Med 2004;11:730–735 Mankowitz SL Laceration management J Emerg Med 2018;53(3):369–382 Mark DG, Granquist EJ Are prophylactic oral antibiotics indicated for the treatment of intraoral wounds? Ann Emerg Med 2008;52:368–372 McNamara R, DeAngelis M Laceration repair with sutures, staples and wound closure tapes In: Henretig FM, King C, eds Textbook of Pediatric Emergency