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NousDefionsDoc
08-03-2004, 16:50
29 y/o L M c/o pain in upper medial quadrant of L lower extremity.

V/S - WNL

NousDefionsDoc
08-03-2004, 16:51
#2

Eagle5US
08-03-2004, 17:16
What was the temperature of that there branding iron?!?
Looks like a burn post initial debridement, patterned, charred edges(?), blistered peripheral...odd placement for certain.
Whatever it is, bet it hurts :(

Eagle

NousDefionsDoc
08-03-2004, 17:23
Not really debrided. All that had been done to that point was remove the soot around the wound.

It hurt like hell, but he didn't cry. LOL

Ambush Master
08-03-2004, 17:30
Flashbang-itis ?!?!

steel71
08-03-2004, 23:36
little close to the nuts for me!

swatsurgeon
08-04-2004, 07:48
depending on the history:
1) burn: flash vs direct contact with burning object
2) burn, momentary or continuous burning precess (chemical)
a) degree of burn, second is obvious, ? third centrally
3) crush: blast effect causing internal muscle injury/necrosis (muscle tissue death)
4) other associated injuries

all burns patients = trauma patients with burns
A,B,C,D,E first
any question of more than superficial burn, cover with dry sterile dressing and evac....if less than 4-5% total body surface area can cool it with saline UNLESS it's a chemical that might react with water!!!
how far do you want to go with this one??
T-2

NousDefionsDoc
08-04-2004, 08:34
Originally posted by steel71
little close to the nuts for me!

Testicles. This is the med forum. You can call them nuts everywhere else.:D

NousDefionsDoc
08-04-2004, 08:35
As far as you want Doc.:munchin


My Brother Ambush is dead on with mechanism of injury. Very observant Recon Man. Good job.

steel71
08-05-2004, 21:09
Sorry Doc, got a case of the grunt mouth. Swatsurgeon has it covered, might give the brother 3 to 5mg of MS, that's gotta hurt.

NousDefionsDoc
08-05-2004, 21:18
He took it like a man. No pain meds.

We called it 2nd degree. Debrided it with a good scrubbing and applied Silvadene. Quarters X 5 days. RTD.

Doc T
08-05-2004, 23:26
we did this on the other site...but not on here...

how do you classify first, second and third degree burns? You picked second on the above case...why?

magician
08-05-2004, 23:53
A good SCRUBBING?

No pain meds?

It is obvious to me that the patient is a brother, and fellow brown man.

:)

NousDefionsDoc
08-06-2004, 11:32
Originally posted by magician
A good SCRUBBING?

No pain meds?

It is obvious to me that the patient is a brother, and fellow brown man.

:)

Roger that. And tough as woodpecker lips.

First-degree Burns affect the top layer (epidermis) of the skin (i.e., least severe injury)

Second-degree Burns affect both the outer and the underlying layer (dermis) of skin

Third-degree Burns (most severe) affect all layers, including the deep layer of skin.

The extent of damage to the skin depends on the type, size, and severity of the burn.

Sacamuelas
08-09-2004, 16:30
1st degree - The "typical" burn is red, painful, dry, and with no blisters. Mild sunburn is an example. Permanent damage is unlikely. Brun depth as NDD described.
2nd degree - The "typical" burn site appears red, blistered, and may be swollen and painful. Burn depth as NDD described.
3rd degree - The "typical" burn site appears white or charred. There is usually no initial sensation in the area since the nerve endings are destroyed.
Pic added for very basic review of skin anatomy.