Closing open wounds in the field, I believe, is simply too risky for a variety of reasons. The largest concern I would have is infection even if we do give preventative antibiotics to every patient whose wound we close. The field is just not the place for this type of procedure. We need to be aware of the right treatments to implement in the field without risking our patients' health just for the added convenience or just for the sake of enlarging our scope of practice. There are of plenty of things that should be added and can be added safely to our practices but this is certainty not one. Safety first!