Suturing & Procedures • Emergency Medicine

I teach suturing and high-frequency ER procedures to PA and NP students, new grads, medical students, residents and clinicians preparing for Emergency and Urgent Care.

I’m Imelda Smith, ER PA-C with 12+ years of full-time Emergency Medicine experience.

My goal is to break down practical ER skills into clear, step-by-step techniques so you can walk into rotations or your first job confident and ready.


Educational purposes only. Not medical advice.




Suturing & Procedures • Emergency Medicine

Think removing a horizontal mattress is just cutting and pulling? 👀
There’s a right way to do it. 🪡

Swipe through these 4 simple steps to remove a horizontal mattress suture correctly while minimizing pulling contaminated suture through the tissue.

📌 Save this for your next suture removal!

#ClinicalSkills #MedicalEducation #Suturing #SutureRemoval

3 days ago | [YT] | 3

Suturing & Procedures • Emergency Medicine

Are you removing sutures correctly?

Swipe through these 4 simple steps for removing simple interrupted sutures correctly.

📌Save this for your next suture removal!


#ClinicalSkills #MedicalEducation #Suturing #SutureRemoval

1 week ago | [YT] | 2

Suturing & Procedures • Emergency Medicine

Removing skin staples?

Use the right technique to avoid unnecessary tissue trauma and make removal smooth and controlled. Save this step-by-step guide for when you need it.


#Clinicalskills #medicaleducation #suturing

3 weeks ago | [YT] | 3

Suturing & Procedures • Emergency Medicine

Think you’ve been using a skin stapler the right way?

Small details can make a big difference in staple placement and wound approximation.

Swipe through to see the simple steps for properly placing skin staples, from approximating the wound edges to keeping your staples evenly spaced.


#Suturing #ClinicalSkills #MedicalEducation

4 weeks ago | [YT] | 2

Suturing & Procedures • Emergency Medicine

Think you've been holding your needle driver the right way? 🤔

Here's the truth: there isn't just one correct grip.
Swipe through to compare all 3 techniques, then tell me—which one do you use most: Finger Rings, Palming, or Hybrid? 🪡

#Suturing #Clinicalskills #MedicalEducation

1 month ago | [YT] | 0

Suturing & Procedures • Emergency Medicine

Don't make these mistakes!

Simple interrupted sutures are one of the most common techniques you'll use — but small mistakes in bite placement, spacing, and tension can compromise the whole closure. 

Here are 3 common mistakes and the fixes to keep your sutures secure, even, and well-approximated.

#MedicalEducation #Suturing #ClinicalSkills

1 month ago | [YT] | 1

Suturing & Procedures • Emergency Medicine

If you’ve been wanting to learn suturing or improve your skills, this is your chance to start 💉🩺

Sign up here 👉 www.imeldasmithrx.com/live-suturing-session

5 months ago (edited) | [YT] | 2

Suturing & Procedures • Emergency Medicine

Hi everyone 👋

I’m Imelda — an ER PA who’s spent over a decade repairing real wounds in real patients.
I started this channel to break down primary suturing and common, basic ER procedures (like abscess I&Ds, nail removal, and more) in a clear, practical way — and to help clinicians feel more confident.

This space is about:

Fundamentals

Real-world decision-making

Practical pearls that actually matter

No hype. No shortcuts.

This is also a no-judgment zone.
If you have questions — basic or advanced — ask them. If something has never fully clicked, that’s exactly what we can break down here.

All I want to do here is provide value and share what’s actually useful.

Glad you’re here.

— Imelda

7 months ago | [YT] | 2