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Sometimes the simplest things are the most satisfying.
About Me
- shadowfax
- I live with The Wife, First-Born Son, Second-Born Son, a new Daughter, and an assortment of small predators. I work in a busy, high-acuity Emergency Department in the Pacific Northwest as an Emergency Physician and administrator. I am also interested in Health Policy and Progressive Politics. My various hobbies include Shorin-Ryu Karate, Violin (Irish Fiddle, mostly), General Aviation, Apple Computers, Craftbrewed Beer, and Skiing. My kids do their best to ensure I have little time in which to pursue these hobbies.
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13 comments:
Good Job.
My three guesses:
1. Jumping a fence drunk or fleeing police.
2. Fell from a tree
3. Gored by a goat or other horned animal.
WHOA!
That got my attention!
Backstory?
Running suture. Nice.
Backstory is benign and uninteresting. Good kid, soccer player, tried to climb a fence to retrieve a wayward ball. Not quite agile enough.
Graham -- ALWAYS run any suture for a lac more than 2-3 centimeters, unless you want to spend three times as long doing interrupted. The ER can really go to hell during the time it takes to fix a complicated lac ilke this. Running the sutures is a key time-saver. Locking sutures (these are not) give you even better hemostasis.
Or use staples.
Why is the area immediately around the would so pale in the second photo, compared to the rest of the leg?
Opps. *wound not would
--someone who needs to use spell check before posting >.<
Nicely done. (AThe injury reminds me of one I saw in the ER once made by an errant chain saw.)
I injected an anesthetic which contained epinephrine. the epi causes vasoconstriction which reduces bleeding, and gives me a cleaner field which makes it easier to sew. It also makes the skin blanch.
Ah. Makes sense now. Thanks for the explanation.
I think you already know what a great job you did, so I'm not going to bore you with any more words of praise from an admiring but lowly med student. (Except for these: WOW! AWESOMENESS! THAT'S LIKE, SO COOL!)
Ahem.
Thanks for the pics (and the tips in the comments! I'm saving these away.)
Wow - Interesting!
I agree with scalpel. I would have stapled that in a heartbeat
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