Seal the Pad Demonstration

00:05 In your box, you will find a seal the pad that is in a mailer like this.

00:09 Go ahead and open this up using a pair of scissors on one side of the other.

00:14 Once you open this up, you will find that the kit to use as a base of operations for your suturing is found very conveniently housed, in very self sustaining little box here. Okay.

00:31 So this is the seal pad that we're going to use for our training.

00:34 And open this up, we'll notice several things inside here.

00:38 There is a card that has explanations about how to actually put it together. Okay.

00:43 There are four layers of different skin tone fabric that we can use to suture on.

00:48 There is a base piece that when you lift out, you'll notice that there is one side that's more of a hat.

00:53 And the other side is more of a cup, depending on how you set it in there.

00:56 There's a piece of foam that we'll need.

00:58 And then there are four rubber bands.

01:00 Okay, so go ahead and put this piece back in your base with the hat portion, so to speak sticking up.

01:07 We don't want to have it.

01:08 So that it's like this one have it. So it's vertical.

01:11 We want to reduce the height of this box.

01:14 So that we use all four of these fabrics, put it back in here.

01:19 You can choose which way you do this. who put them up.

01:23 You can use it so the skin is up. You can just put skin is down.

01:26 You can choose you the direction. But if you look a little closer, you'll notice that there's a fabric up layer on one side, and that there is a rubbery side on the opposite.

01:35 So just depends on which side you're trying to work with.

01:38 So for our purposes, it's probably easier to practice with the fabric up for the basic techniques.

01:42 We'll expand on that to use with the other way where the fabric is down for the subcuticular techniques.

01:48 I find that a little bit more useful when we're trying to employ these techniques, you need to have the strength layer of the deeper dermis that you don't have when you have the setup this way.

01:57 But that said, you're welcome to use whatever skin tone you prefer.

02:00 There is lots of different choices here, just to get more culturally appropriate based on the patient population you're going to serve.

02:08 Now that said, go ahead and put this little piece of foam that's meant to represent the subcutaneous layer.

02:15 One layer beneath the very top or that said, if you tend to use two layers of closure, put this beneath the top two layers.

02:22 But for our purposes, uses underneath the very top layer, and then you're going to put the box back on.

02:28 And by doing this, you create a bit of a bump.

02:34 And that bump is very helpful so that you can cut through the skin and have it show the subcutaneous layer.

02:41 Okay, you're going to use some of these rubber bands.

02:43 It's your choice how you use these.

02:46 You can use two or you can use all four doesn't really matter.

02:50 That said the most common way I see these use is just to put two of these bands on the sides giving you tension to kind of hold us down to the surface beneath it.

03:05 Worst case scenario, if you have a need for something a little more weight bearing in this, This is fairly light. It's a benefit of it.

03:12 It's nice and portable to throw in your backpack and go.

03:15 But that said if you want something to anchor down to you can use two more of these and you can secure it down to a heavy textbook.

03:21 just to give you something for little more durability sake.