The Moseley Stitch-Up: An Aggressive Solution for Elusive Subcutaneous Foreign Bodies

While today’s genuine clinical updates include the AHA/ACC dropping a new A-to-E severity classification for acute pulmonary embolisms, we felt it was equally important to address a far more insidious emergency department crisis. Every clinician knows the profound frustration of the ultrasound-guided foreign body removal.

You locate the shard of glass or rogue splinter on the US monitor, make your incision, and then… the object playfully darts around the subcutaneous tissues like a greased pig on ice. You might try searching for a quick fix using the newly launched FOAM Cortex AI clinical search tool, but even advanced AI cannot save you from the physical reality of an evasive foreign body.

Traditionalists suggest “patience” or “better lighting.” Enter The Moseley Stitch-Up™ — a groundbreaking technique designed to end this game of subcutaneous Tom & Jerry. We frequently use the LITFL platform to revere pioneers of the craft and the Moseley Stitch-Up™ absolutely belongs in this pantheon of aggressive problem-solving.