Surgeon’s Knot vs Square Knot - Why One Holds Better

Square knot vs surgeon’s knot—what’s the real difference? This video explains how the first throw affects friction, tension control, and stitch security during wound closure. Who am I?  I’m Imelda Smith, a practicing Emergency Medicine PA with over 12 years of full-time ER experience. I’ve sutured more lacerations than I can count and performed a wide range of bedside procedures expected in emergency medicine. Now, I focus on teaching foundational suturing and wound-care skills in a way that’s clear, practical, and easy to apply in real clinical settings. My goal: To make procedural training straightforward, effective, and confidence-building—no matter where you’re starting. More free suturing and procedural content coming weekly Disclaimer: This video is for educational purposes only and is not medical advice. Always follow your institution’s protocols and use clinical judgment.