II. Definition
- Hair, thread or fiber wrapped tightly around appendage (i.e. finger, toe, penis)
III. Pathophysiology
- Pain results from cutting into skin or constricting flow
IV. Epidemiology
- Typically limited to infants
V. Symptoms
VI. Signs
- Proximal ligature (hair, thread, fiber)
- Erythematous, swollen distal digit or penis
VII. Management
- Cutting ligature
- Attempt to lift ligature off skin with forceps without teeth (or Mosquito clamp)
- Cut ligature with iris scissors
- Depilatory agent (e.g. Nair)
- Apply to Hair Tourniquet
- Works slowly and only with hair (not effective for synthetic fibers or threads)