Trephination
Cleanse with povidone-iodine solution (not flammable alcohol)
Handheld cautery works best - no anesthesia is required
Alternatively a needle spun in a drilling fashion
Sharp object (i.e. safety pin) heated with flame in an austere environment
Indicated for acute sublingual<unk> s (less than 24 to 48 hours old)
If a fracture is present, the digit should be splinted
Instruct patients to soak affected finger in warm water BID-TID x7d
Prophylactic antibiotics are not needed after trephination of uncomplicated<unk> s 
Nail removal only recommended if there is associated nail avulsion or nail fold disruption
Repair nailbed laceration using absorbable sutures
Electrocautery
Presence of acrylic nails secondry to fire risk. Remove acrylic nails before using electrocautery tool.
Presence of acrylic nails secondry to fire risk. Remove acrylic nails before using electrocautery tool.
Subungual hematoma
Distal interphalangeal dislocation 
Lip laceration
Distal phalanx 
Nailbed laceration
Finger amputation
Mandible fracture
Fingertip avulsion