Posted: 2/3/2016 1:37:42 AM EDT
| Inspecting a fresh wound (gash/slash/stab) - how to determine severity and best treatment? |
"The only real difference between the men and the boys, is the number and size, and cost of their toys."
NRA Life, GOA Life, CSSA Life, NRA Certified Instructor, FFL/SOT 07/C2
NRA Life, GOA Life, CSSA Life, NRA Certified Instructor, FFL/SOT 07/C2
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I generally eyeball a handful of things about a laceration.
1. Location: Is it in an area we consider "high dollar real-estate?" (face, hands/wrists/joints, around major vessels/nerves, etc). These require a more careful assessment, including nerve-function, and moving any digits/joints through their full range-of-motion (with the wound open) to assess for tendon/joint injury. 2. superficial or deep: Superficial tends to hit less important stuff, though there are still cosmetic issues 3. Contaminated or not? (this determines how aggressively you irrigate it, or in some cases whether you close it at all). 4. How old is it? (older wounds have a higher risk of infection, and are sometimes left open) 5. Mechanism: Blunt or sharp trauma (the former creates more tissue damage, and a worse cosmetic result). Any potential for foreign bodies that will need removal? |
Everything you are doing is wrong, and it is my sworn duty to resist you.
Don't forget that if it is a kid, mom and dad think she is going to be the next miss universe so they will request that a "plastic surgeon" close the scratch 
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"The more posts by EvanWilliams I read, the less I am impressed by him. I'm pretty sure he's a habitual liar, or at the very least, a very bad braggart." Beltfedleadhead
Team Ranstad--Tenn Squire
Team Ranstad--Tenn Squire
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Originally Posted By EvanWilliams:
Don't forget that if it is a kid, mom and dad think she is going to be the next miss universe so they will request that a "plastic surgeon" close the scratch Truth. |
Everything you are doing is wrong, and it is my sworn duty to resist you.
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Originally Posted By EvanWilliams:
Don't forget that if it is a kid, mom and dad think she is going to be the next miss universe so they will request that a "plastic surgeon" close the scratch To be fair, I've seen a few horrendously ugly jobs that GPs have done stitching up kids. One dude I knew had an eyebrow that stopped, jogged up a solid quarter inch, then continued along because the GP didn't even bother to line the two halves of the eyebrow up before stitching the laceration. 
I'm sure that docs like that are the extreme minority, but the fear of their kid looking like that is what drives most parents to that request. |
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Originally Posted By GlutealCleft:
To be fair, I've seen a few horrendously ugly jobs that GPs have done stitching up kids. One dude I knew had an eyebrow that stopped, jogged up a solid quarter inch, then continued along because the GP didn't even bother to line the two halves of the eyebrow up before stitching the laceration.
I'm sure that docs like that are the extreme minority, but the fear of their kid looking like that is what drives most parents to that request. Originally Posted By GlutealCleft:
Originally Posted By EvanWilliams:
Don't forget that if it is a kid, mom and dad think she is going to be the next miss universe so they will request that a "plastic surgeon" close the scratch To be fair, I've seen a few horrendously ugly jobs that GPs have done stitching up kids. One dude I knew had an eyebrow that stopped, jogged up a solid quarter inch, then continued along because the GP didn't even bother to line the two halves of the eyebrow up before stitching the laceration.
I'm sure that docs like that are the extreme minority, but the fear of their kid looking like that is what drives most parents to that request. Understood I fell,when I was two and got an eyebrow lac. Of course, they took me to the doctor's office. An old GP. You can't even see a hint of scar. But that was back when a GP did some basic surgery as well Nowadays, I would want an ER doc or surgeon suturing a face lad. |
"The more posts by EvanWilliams I read, the less I am impressed by him. I'm pretty sure he's a habitual liar, or at the very least, a very bad braggart." Beltfedleadhead
Team Ranstad--Tenn Squire
Team Ranstad--Tenn Squire
|
Originally Posted By EvanWilliams:
Understood I fell,when I was two and got an eyebrow lac. Of course, they took me to the doctor's office. An old GP. You can't even see a hint of scar. But that was back when a GP did some basic surgery as well Nowadays, I would want an ER doc or surgeon suturing a face lad. Originally Posted By EvanWilliams:
Originally Posted By GlutealCleft:
Originally Posted By EvanWilliams:
Don't forget that if it is a kid, mom and dad think she is going to be the next miss universe so they will request that a "plastic surgeon" close the scratch To be fair, I've seen a few horrendously ugly jobs that GPs have done stitching up kids. One dude I knew had an eyebrow that stopped, jogged up a solid quarter inch, then continued along because the GP didn't even bother to line the two halves of the eyebrow up before stitching the laceration.
I'm sure that docs like that are the extreme minority, but the fear of their kid looking like that is what drives most parents to that request. Understood I fell,when I was two and got an eyebrow lac. Of course, they took me to the doctor's office. An old GP. You can't even see a hint of scar. But that was back when a GP did some basic surgery as well Nowadays, I would want an ER doc or surgeon suturing a face lad. Yeah, my daughter got a good one on her forehead.... Nice and deep, and the pull off the skin kept it gaping. Regular Pediatrician stitched it up, we took the stitches out on time, kept it from UV exposure after, and even knowing that it's there, it takes a bit of looking to be able to find/see it. |
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Originally Posted By TheGrayMan: Truth. Originally Posted By TheGrayMan: Originally Posted By EvanWilliams: Don't forget that if it is a kid, mom and dad think she is going to be the next miss universe so they will request that a "plastic surgeon" close the scratch Truth.  Compare this to a veteran ER doc who has sewn up thousands of people. |
"The good thing about science is that it’s true whether or not you believe in it”. Neal deGrasse Tyson.
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Originally Posted By eastonj:
And when they decide to leave your clinic/ER and go to the children's hospital, the Peds ER is gonna call the intern on the plastics service to do the suturing. Compare this to a veteran ER doc who has sewn up thousands of people. Originally Posted By eastonj:
Originally Posted By TheGrayMan:
Originally Posted By EvanWilliams:
Don't forget that if it is a kid, mom and dad think she is going to be the next miss universe so they will request that a "plastic surgeon" close the scratch Truth. Compare this to a veteran ER doc who has sewn up thousands of people. In July
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"The more posts by EvanWilliams I read, the less I am impressed by him. I'm pretty sure he's a habitual liar, or at the very least, a very bad braggart." Beltfedleadhead
Team Ranstad--Tenn Squire
Team Ranstad--Tenn Squire
|
Originally Posted By EvanWilliams:
In July Originally Posted By EvanWilliams:
Originally Posted By eastonj:
Originally Posted By TheGrayMan:
Originally Posted By EvanWilliams:
Don't forget that if it is a kid, mom and dad think she is going to be the next miss universe so they will request that a "plastic surgeon" close the scratch Truth. Compare this to a veteran ER doc who has sewn up thousands of people. In July Bwahahahahahahahahahahahahahahaha |
-ReD
Firefighter/Paramedic
Firefighter/Paramedic