Management of Dermal Avulsion Injuries Using Tissue Glue in the Emergency Department: A Report of Two Cases

Dermal avulsion injuries involve traumatic separation of the epidermal and dermal layers and commonly affect the fingertips. These injuries may present challenges in achieving hemostasis despite appearing minor. This report describes a two-patient case series of fingertip dermal avulsion injuries managed with tissue glue in the emergency department. Two young adult males presented with persistent bleeding following household food preparation injuries that did not respond to direct pressure or adrenaline-soaked gauze. Tissue glue was applied following local hemostatic measures. Both patients achieved immediate bleeding control, experienced no major complications, and reported satisfactory cosmetic outcomes at follow-up. In selected patients with small dermal avulsion injuries, tissue glue may offer a practical and effective option for achieving hemostasis and wound coverage in the emergency department. Larger studies are needed to better define its role and long-term outcomes.