From headlines: Metal water bottle extrication

soap and water.
 
Try cutting or ripping one of those bottles, go buy a used one for 50c and do it. Sobering, especially if you watch what happens to the lumen of the part where the tongue is trapped. Maybe the O.R. is the best way to do this if a lube doesn't work.
I know having the kid screaming isn't going to help.
 
EMT B said:
i was serious. id call an engine company and get the spreaders and spread the bottle while we gradually move deeper and deeper in the bottle until it gets wide enough that we can pull it out.
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There is no way I would consider using hydraulic spreaders that close to someone's face, even if it was possible to get them into the bottle.
 
EMT B said:
well youd have to cut the bottom off first
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Even with the top off, getting a pair of mini spreaders would be a task and a half. Hydraulic tools are not really designed for this sort of precision work.

Even this would struggle.
 
I looked up the thermal coefficient and realized that cooling down an aluminum water bottle that size from lets say 70 degrees to ~25-30 degrees is only going to negatively affect the size of the bottle by 3-4 one thousands of an inch I believe.

I think based on that I would probably
1. Have the child lay supine on a stretcher
2. lidocaine everything reachable from the outside
3. cut a hole in the end of the bottle big enough to lidocaine everything on the inside (and to fit ice cubes inside the hole).
4. fill the bottle (through the hole with the patient supine and the bottle being supported by someone) with ice. as the ice melts continue to re-top off.

I think with this approach there is minimum discomfort and good chances you can reduce the swelling in a matter of 10-15 minutes enough that the seal breaks and the worst part is the kid gets a face full of ice and water. give him a slap on the back and tell him he did good.
 
Tigger said:
Even with the top off, getting a pair of mini spreaders would be a task and a half. Hydraulic tools are not really designed for this sort of precision work.

Even this would struggle.
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Aw, that's CUTE!
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Rialaigh said:
I looked up the thermal coefficient and realized that cooling down an aluminum water bottle that size from lets say 70 degrees to ~25-30 degrees is only going to negatively affect the size of the bottle by 3-4 one thousands of an inch I believe.

I think based on that I would probably
1. Have the child lay supine on a stretcher
2. lidocaine everything reachable from the outside
3. cut a hole in the end of the bottle big enough to lidocaine everything on the inside (and to fit ice cubes inside the hole).
4. fill the bottle (through the hole with the patient supine and the bottle being supported by someone) with ice. as the ice melts continue to re-top off.

I think with this approach there is minimum discomfort and good chances you can reduce the swelling in a matter of 10-15 minutes enough that the seal breaks and the worst part is the kid gets a face full of ice and water. give him a slap on the back and tell him he did good.
Click to expand...

1. Would the bottle freeze to the kid?
a. Add salt to ice, or dry ice? :o

2. How about iced saline IV and refrigerated oxygen to induce therapeutic hypothermia and make the tissues shrink?*


Just kidding!

*Hey, it would make MY tissues shrink!:ph34r:
 
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