Arfcom Docs Need HELP ASAP!

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Posted: 6/13/2009 8:06:41 AM EDT

Ok, so I'm performing an AK open circular amputation. The skin and muscle have already been cut and retracted. I sutured all the major bleeders but when I took the tourniquet off one started squirting again. I tried suturing it again but it's kind of small and I'm having a tough time. Can I just take a soldering iron to it? Maybe just make a slipknot with the thread and squeeze it off that way?

Also, I started cutting on the femur (with tourniquet still on because of that pesky blood vessel) with a fine tooth saw and it's getting a lot hotter than I expected. Will it get hot enough to damage the femur? Any tips? Also the edge of the cut bone is really rough, can I file it round?

Also what are your thoughts on traction methods?

Thanks guys!

Posted: 6/13/2009 8:07:52 AM EDT

[#1]

superglue, staple gun, and blowtorch.

Posted: 6/13/2009 8:07:57 AM EDT

[#2]

Tie it off with suture, it won't get too hot, filing is ok.

Posted: 6/13/2009 8:08:08 AM EDT

[#3]

dude.

fer real.. w t f

Posted: 6/13/2009 8:12:07 AM EDT

[#4]

I find that the inexpensive wood-burning kit from wally world works better than a soldering iron as an improvised Bovie.

Posted: 6/13/2009 8:13:40 AM EDT

[#5]

Quoted:
dude.

fer real.. w t f

what he said.

Posted: 6/13/2009 8:17:24 AM EDT

[#6]

Orbital sander will put a nice clean, round surface there. You don't want a rough surface.

Be sure to leave about 5" of skin overhang to sew the end up.

Posted: 6/13/2009 8:18:04 AM EDT

[#7]

Wait.... what?

Posted: 6/13/2009 8:18:05 AM EDT

[#8]

Posted: 6/13/2009 8:20:05 AM EDT

[#9]

You are either performing bubba surgery on yourself, or you just popped out of the OR to ask Arfcom for advice.

Either way, win.

Posted: 6/13/2009 8:22:01 AM EDT

[#10]

Quoted:
Either way, win.

Without pics, there is no win.

Posted: 6/13/2009 8:23:49 AM EDT

[#11]

Quoted:

Quoted:
Either way, win.

Without pics, there is no win.

This.

And

for the OP.

Posted: 6/13/2009 8:27:27 AM EDT

[#12]

Quoted:
Orbital sander will put a nice clean, round surface there. You don't want a rough surface.

Be sure to leave about 5" of skin overhang to sew the end up.

don't be riducilous,,,,every DIY'er knows Dremels are the King of Kustom-izing

Posted: 6/13/2009 8:30:12 AM EDT

[#13]

Above knee amputations with arfcom docs, WIN.

I love this place.

Posted: 6/13/2009 9:58:58 AM EDT

[#14]

Ok just got done.

Ended up using the soldering iron and it worked OK.

Irrigated while sawing kept the heat down. Also filed the sharp edges off.

Guy is still out (maybe a lil too much anesthesia?) and I rigged up some traction using plain medical tape and some weights dangling off the bed.

This is still a ways down the road, but what are your thoughts on early flap closure?

BTW, this is on a crusty old guy who lives nearby. He jacked his left leg up on a bush-hog then let it get gangrene.

Normally I'd tell someone to just go to the hospital but this is a guy who would literally rather die than go to the hospital (think he had a child die years ago). He's trading me a 1903 springfield and 400 rounds of very vintage ammo for my services.

Posted: 6/13/2009 10:04:09 AM EDT

[#15]

Quoted:
Ok just got done.

Ended up using the soldering iron and it worked OK.

Irrigated while sawing kept the heat down. Also filed the sharp edges off.

Guy is still out (maybe a lil too much anesthesia?) and I rigged up some traction using plain medical tape and some weights dangling off the bed.

This is still a ways down the road, but what are your thoughts on early flap closure?

BTW, this is on a crusty old guy who lives nearby. He jacked his left leg up on a bush-hog then let it get gangrene.

Normally I'd tell someone to just go to the hospital but this is a guy who would literally rather die than go to the hospital (think he had a child die years ago). He's trading me a 1903 springfield and 400 rounds of very vintage ammo for my services.

In.

Posted: 6/13/2009 10:06:00 AM EDT

[#16]

I'm almost afraid to ask what the fuck's going on!

Posted: 6/13/2009 10:11:26 AM EDT

[#17]

Posted: 6/13/2009 10:15:40 AM EDT

[#18]

If real, it will be EPIC.

But, I smell a Troll.

Posted: 6/13/2009 10:18:10 AM EDT

[#19]

Definetely in.

Posted: 6/13/2009 10:18:10 AM EDT

[#20]

Posted: 6/13/2009 10:18:15 AM EDT

[#21]

Posted: 6/13/2009 10:18:39 AM EDT

[#22]

Home surgery rocks!! Make sure your medical license is up to date or some "real" doctor will get his panties in a wad.

Posted: 6/13/2009 10:18:49 AM EDT

[#23]

tag

need pics of rifle next to amputated limb or BS!

Posted: 6/13/2009 10:20:26 AM EDT

[#24]

WTF

Posted: 6/13/2009 10:22:21 AM EDT

[#25]

I guess I'll tag this shit.

Posted: 6/13/2009 10:23:30 AM EDT

[#26]

Go to a dentist to get pain pills and antibiotics. A dentist will never suspect a home amputation, thus avoiding pesky questions.

Posted: 6/13/2009 10:30:14 AM EDT

[#27]

Quoted:
Ok just got done.

Ended up using the soldering iron and it worked OK.

Irrigated while sawing kept the heat down. Also filed the sharp edges off.

Guy is still out (maybe a lil too much anesthesia?) and I rigged up some traction using plain medical tape and some weights dangling off the bed.

This is still a ways down the road, but what are your thoughts on early flap closure?

BTW, this is on a crusty old guy who lives nearby. He jacked his left leg up on a bush-hog then let it get gangrene.

Normally I'd tell someone to just go to the hospital but this is a guy who would literally rather die than go to the hospital (think he had a child die years ago). He's trading me a 1903 springfield and 400 rounds of very vintage ammo for my services.

Allrighty then...that takes the fucking cake.

Posted: 6/13/2009 10:52:35 AM EDT

[#28]

i really hope this is

Posted: 6/13/2009 10:56:23 AM EDT

[#29]

Quoted:
i really hope this is

Me too.

Posted: 6/13/2009 11:04:29 AM EDT

[#30]

Just when a guy thinks he has read it all.

Posted: 6/13/2009 11:05:03 AM EDT

[#31]

Quoted:
http://i40.tinypic.com/11k8fiq.png

Posted: 6/13/2009 11:06:21 AM EDT

[#32]

In before he posts pictures of him cutting up a KFC chicken thigh.

Posted: 6/13/2009 11:07:12 AM EDT

[#33]

awesome...

Posted: 6/13/2009 11:07:19 AM EDT

[#34]

Pics or GTFO.

Posted: 6/13/2009 11:09:09 AM EDT

[#35]

Pics of said old guy and HIS amputated leg, holding a sign or BS and Troll.

Posted: 6/13/2009 11:09:16 AM EDT

[#36]

in on 1

Posted: 6/13/2009 11:10:22 AM EDT

[#37]

pics of the Springfield or BS.

Posted: 6/13/2009 11:12:37 AM EDT

[#38]

I am so in on 1

Posted: 6/13/2009 11:13:49 AM EDT

[#39]

Posted: 6/13/2009 11:13:58 AM EDT

[#40]

1.,..

Posted: 6/13/2009 11:15:23 AM EDT

[#41]

I guess home surgery sounds interesting. In.

Posted: 6/13/2009 11:16:32 AM EDT

[#42]

I thought he was doing customising to an AK and was trying to make a medical joke out of it...

I think I need to stay with this thread for a while. Either for the impending hilarity or... well the impending hilarity.

Posted: 6/13/2009 11:16:42 AM EDT

[#43]

put a ballon over it. dont look at it. if you ignore it, it will go away.

Posted: 6/13/2009 11:18:15 AM EDT

[#44]

Is this real?

Posted: 6/13/2009 11:21:23 AM EDT

[#45]

I would have just fired a .50 BMG bullet near his leg, the awesomemess alone would have blown his leg clean off.

Posted: 6/13/2009 11:24:02 AM EDT

[#46]

Lightsaber, lightsaber, lightsaber. How many times do we have to go over this? You always use a lightsaber for do-it-yourself amputations. Cuts and cauterizes with no mess.