Wound care

I loved that I got pick scabs for a living for several years in a few ICU's.

My favorite was Trauma and Burn, I had a patient who had cut his finger off

and we were trying to reattach his finger using leech therapy. I was giving

morning report coming of of night shift as we walked by the patients room

his finger was on the floor, I instantly thought of Monty Python and I

cracked.

I started laughing so hard I ran into our lounge only to got yelled at. I wiped

the tears from my eyes from laughing and went to apologize to the patient.

As I tried very calmly to explain this to the patient, he started laughing and

could not stop. I could not help it, I started laugh so hard I almost fell over.

As the patient and I where trying to gain composure of ourselves, I hear

what is going on in here, Purple Twinkies I am busted again by the same

nurse. As I received the look of death, the patient has not stopped giggling

in background and I started laughing again I just could help myself. Thank

God for the patient being a Huge Monty Python fan, and refused to make

any complaint. A week later I received a card that had Monty Python the

front I opened the card and It said"that was the best time I ever had in a

hospital thanks". I still have the card to this day and yes I still giggle about

the incident when I see Monty Python.:rofl: Ripcord2015
 
We carry peroxide on our truck. I've never used it.

I usually flush the wound with saline, brush off any big pieces of dirt, and bandage.

When I worked medical standby at the tough mudder however.... They had hundreds of bottles of the stuff. It was in spray bottles and people would come in and get doused in it. It was used for cleaning and irrigation. I refrained from using it as much as I could, but it did get the job done.
 
Just rub some dirt in it...

:P
 
Household6 said:
Know what I like? Long term wound care. My spouse was kind enough to grow a massive sebaceous cyst on his chest that required daily packing.. I loved that.
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I love working with the wound-vac nurse on the trauma floor that I work on.
 
Hated to receive field closures, especially J&J "butterflies". Remove field stuff, determine if wound was properly debrided and if it required plastic quality suturing, or vascular surgery, etc., clean the cement off the edges, then often as not having to help it close by secondary intention (open it up wider still surgically then do dressing changes until it granulates and scars from the bottom up).

Suturing used to be a primary means to control battlefield bleeding until the infection rate was scrutinized.

Note: this may be a reiteration, but promptly applying a means to slow clotting/scarring (abx ointment, damp dressings under a dry cover, Adaptic or Xeroform) make it easier to debride (e.g., scub) in the receiving facility. Do not do a peroxide wet to dry, however.
 
DesertEMT66 said:
Ouch. Might as well use vodka so the patient can take a couple of shots before hand haha
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If a medic handed me a bottle and told me to take a few swigs I'd happily oblige...you don't have to threaten me with a good time!
 
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