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

What is a needle driver?

A needle driver is designed to hold, control, and drive the suture needle through tissue.
Its short, sturdy jaws provide a secure grip, giving you better control as you place your sutures.


Know your instruments. Use the right tool for the job.


#Suturing #SurgicalInstruments #ClinicalSkills #MedicalEducation

1 day ago |[YT] | 0

Suturing & Procedures • Emergency Medicine

Wound eversion. Why does it matter? 

Wound edges tend to flatten as healing occurs, so slight eversion helps account for this and supports proper wound edge alignment.

Swipe through for a quick breakdown.

1 week ago |[YT] | 1

Suturing & Procedures • Emergency Medicine

Forehand vs. backhand suturing. What’s the difference? 

The needle orientation changes, allowing you to drive the needle in the opposite direction.

It’s important to be comfortable with both forehand and backhand techniques, as certain suturing techniques require you to work in both directions.

Swipe through for a quick breakdown.

📌 Save this for your next suturing practice.

2 weeks ago |[YT] | 4

Suturing & Procedures • Emergency Medicine

Wound packing isn’t about filling the cavity tightly. 👀

The goal is to gently fill the cavity without compressing or overstuffing the packing.It should sit loosely within the cavity.

Swipe through the steps to see how to pack a wound properly.

Have you packed a wound before? Comment “YES” below!👇

📌 Save this for your next procedure.

3 weeks ago |[YT] | 6

Suturing & Procedures • Emergency Medicine

What exactly is iodoform packing? 👀

You’ve probably seen that yellow packing used in wound care—but do you know what iodoform actually does?

Swipe through to learn its purpose, clinical use, and why it’s commonly used to help manage abscess cavities.

📌 Save this for your next procedure.

4 weeks ago |[YT] | 0

Suturing & Procedures • Emergency Medicine

TWO HANDS-ON SUTURING WORKSHOPS COMING TO TAMPA BAY!

Whether you’re building your suturing foundation or ready to take your skills further, there’s a workshop for you!

📅 OCTOBER 17 — Suturing & Procedures Workshop

Already comfortable with basic suturing? Take the next step with additional suturing techniques + hands-on clinical procedures.

👉 www.imeldasmithrx.com/oct17-c

📅 NOVEMBER 7 — Foundations Hands-On Suturing Workshop

Need more practice with the basics? Build confidence through hands-on repetition, practice, and direct feedback.

👉 www.imeldasmithrx.com/nov7-c

✨ Both are small-group, hands-on training in the Tampa Bay area, designed to give you the practice you can’t get from watching a video alone.

⚠️ Limited spots available!

1 month ago (edited) |[YT] | 0

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

1 month ago |[YT] | 4

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 month 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

1 month 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

2 months ago |[YT] | 2