What is included in emergency department (ED) care of patients with felon?

Updated: Mar 11, 2021
  • Author: Brandon Stein, MD; Chief Editor: Steven C Dronen, MD, FAAEM  more...
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Answer

Adequate early treatment of a felon can prevent abscess formation and other serious complications.

Administer antibiotics with activity against methicillin-resistant Staphylococcus.

Decompression is almost always indicated.

Prior to incision, several steps can be performed to aid in adequate drainage.

A digital block provides adequate local anesthesia.

The limb can be exsanguinated by holding at 90º for 5 minutes and then applying a forarm tourniquet. [11, 12]


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