How do they treat folks who try to commit suicide from cutting veins? - Page 1

[ARCHIVED THREAD] - How do they treat folks who try to commit suicide from cutting veins?

Posted: 9/25/2022 4:04:32 PM EDT

Obviously they stop the bleeding but after that...

Do they pump you back full of blood in the ER or how do they treat that?

Can you have brain damage and paralysis similar to a stroke?

Posted: 9/25/2022 4:07:29 PM EDT

[#1]

Stop the bleeding with tourniquets and hemostatic dressings, TXA, followed by fluids, mass transfusion of blood products, and vasopressors. Possibly surgical intervention if necessary and they’re stable enough for the OR.

Posted: 9/25/2022 4:10:43 PM EDT

[#2]

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Quoted:
Stop the bleeding with tourniquets and hemostatic dressings, TXA, followed by fluids, mass transfusion of blood products, and vasopressors. Possibly surgical intervention if necessary and they’re stable enough for the OR.

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What sort of surgery? You mean repairing the vein/artery or something else? Any loss of brain function in extreme cases?

Posted: 9/25/2022 4:12:08 PM EDT

[#3]

Quote History

Quoted:
Stop the bleeding with tourniquets and hemostatic dressings, TXA, followed by fluids, mass transfusion of blood products, and vasopressors. Possibly surgical intervention if necessary and they’re stable enough for the OR.

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Yep

Posted: 9/25/2022 4:14:10 PM EDT

[#4]

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Quoted:

What sort of surgery? You mean repairing the vein/artery or something else? Any loss of brain function in extreme cases?

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Repairing arteries/veins, tendons, nerves...

Posted: 9/25/2022 4:14:39 PM EDT

[#5]

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Quoted:

What sort of surgery? You mean repairing the vein/artery or something else? Any loss of brain function in extreme cases?

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I would assume so. However, I'd bet that pt. codes from all the blood loss.

Posted: 9/25/2022 4:14:47 PM EDT

[#6]

The ER is going to treat you like any other bleeding trauma patient, and do all the resuscitation that's appropriate, as was said above. Vein injuries may need to go to the OR. Arterial injuries almost certainly will need the OR and a vascular surgeon to repair.

After they're medically stabilized, then you get social work and psychiatry involved to take it from there.

ETA: As a resident, I got called down to the hospital psych unit for a patient who had broken a mirror and took the shards and cut the inside of her elbow pretty good. Didn't hit anything major. As I walked into the psych unit, she was picking at her subcutaneous tissue, looked up at me and said, "Where's the vein? Why didn't I hit it? Where is it?"

I'm looking at her like

.

Posted: 9/25/2022 4:16:38 PM EDT

[#7]

Posted: 9/25/2022 4:17:47 PM EDT

[#8]

Posted: 9/25/2022 4:18:27 PM EDT

[#9]

Quote History

Quoted:

What sort of surgery? You mean repairing the vein/artery or something else? Any loss of brain function in extreme cases?

View Quote View All Quotes

View All Quotes

Quote History

Quoted:

Quoted:
Stop the bleeding with tourniquets and hemostatic dressings, TXA, followed by fluids, mass transfusion of blood products, and vasopressors. Possibly surgical intervention if necessary and they’re stable enough for the OR.

What sort of surgery? You mean repairing the vein/artery or something else? Any loss of brain function in extreme cases?

Vascular repair is certainly an option. Brain damage is certainly possible depending on the circumstances like how long they were bleeding. Basically, hypovolemic shock causes a lack of oxygenation to be delivered to vital organs. The body will naturally shunt to the vital organs as much as possible, but there’s only so much it can do.

Posted: 9/25/2022 4:20:38 PM EDT

[#10]

All traumatic injury gets the same treatment: high and tight tourniquet, start CPR, call Fire.

Posted: 9/25/2022 4:22:26 PM EDT

[#11]

If they do it the "right" way it must be a pretty narrow window to stop the bleeding and save them.

Posted: 9/25/2022 4:32:10 PM EDT

[#12]

OP should you be calling 911 instead of asking us stuff right now?

Posted: 9/25/2022 4:38:04 PM EDT

[#13]

Attached File

Posted: 9/25/2022 4:42:17 PM EDT

[#14]

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https://i.imgur.com/WtCB5SQ.png

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I just sent that to several friends, told them to pass it on to people who could benefit. A valuable PSA.

Posted: 9/25/2022 4:56:49 PM EDT

[#15]

It's treated like any other trauma, except they're put under a 72 hour psych hold where they can't leave.

Posted: 9/25/2022 4:59:22 PM EDT

[#16]

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Quoted:
OP should you be calling 911 instead of asking us stuff right now?

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I'm not a moran. I know how to apply a tourniquet. I'm just asking about if there are any long term effects. I don't need to call anyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyy

Posted: 9/25/2022 5:02:18 PM EDT

[#17]

I wouldn't know.

The attention whores I've dated
including wife #2 know they won't
actually hurt themselves, and have
"cut" their forearms with almost
invisible, superficial wounds.

It's all so tiresome.

Posted: 9/25/2022 5:08:26 PM EDT

[#18]

Bringing Out the Dead (7/9) Movie CLIP - Worst Suicide Attempt Ever (1999) HD

https://www.youtube.com/watch?v=lQCPntZhPPk

Posted: 9/25/2022 5:13:47 PM EDT

[#19]

Quote History

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I'm not a moran. I know how to apply a tourniquet. I'm just asking about if there are any long term effects. I don't need to call anyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyy

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Plenty of people walking around with scars because they went "across the street."
Never seen a picture of someone with scars who cut "down the block."
Besides the scars & the mental issues, what other long term effects could thee be?

They stop the bleeding the same way they stop all bleeding, & then if you're still alive they fill you back up & send you to surgery if necessary.