08-03-2004, 15:50
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#1
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Quiet Professional
Join Date: Jan 2004
Location: LA
Posts: 1,653
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New Case
29 y/o L M c/o pain in upper medial quadrant of L lower extremity.
V/S - WNL
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Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
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NousDefionsDoc is offline
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08-03-2004, 15:51
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#2
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Quiet Professional
Join Date: Jan 2004
Location: LA
Posts: 1,653
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#2
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Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
Still want to quit?
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NousDefionsDoc is offline
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08-03-2004, 16:16
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#3
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Quiet Professional
Join Date: Jan 2004
Location: Tampa
Posts: 2,547
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OUCHHHH!!!!!
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
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Primum non Nocere
"I have hung out in dangerous places a lot over the years, from combat zones to biker bars, and it is the weak, the unaware, or those looking for it, that usually find trouble.
Ain't no one getting out of this world alive. All you can do is try to have some choice in the way you go. Prepare yourself (and your affairs), and when your number is up, die on your feet fighting rather than on your knees. And make the SOBs pay dearly."
The Reaper-3 Sep 04
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Eagle5US is offline
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08-03-2004, 16:23
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#4
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Quiet Professional
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Location: LA
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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
__________________
Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
Still want to quit?
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NousDefionsDoc is offline
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08-03-2004, 16:30
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#5
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Quiet Professional
Join Date: Jan 2004
Location: DFW Texas Area
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Flashbang-itis ?!?!
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Martin sends.
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Ambush Master is offline
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08-03-2004, 22:36
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#6
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Guerrilla
Join Date: Jun 2004
Location: florida
Posts: 192
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little close to the nuts for me!
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steel71 is offline
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08-04-2004, 06:48
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#7
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Guerrilla Chief
Join Date: Jul 2004
Location: Phoenix, AZ
Posts: 880
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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
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'Revel in action, translate perceptions into instant judgements, and these into actions that are irrevocable, monumentous and dreadful - all this with lightning speed, in conditions of great stress and in an environment of high tension:what is expected of "us" is the impossible, yet we deliver just that.
(adapted from: Sherwin B. Nuland, MD, surgeon and author: The Wisdom of the Body, 1997 )
Education is the anti-ignorance we all need to better treat our patients. ss, 2008.
The blade is so sharp that the incision is perfect. They don't realize they've been cut until they're out of the fight: A Surgeon Warrior. I use a knife to defend life and to save it. ss (aka traumadoc)
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swatsurgeon is offline
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08-04-2004, 07:34
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#8
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Quiet Professional
Join Date: Jan 2004
Location: LA
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Quote:
Originally posted by steel71
little close to the nuts for me!
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Testicles. This is the med forum. You can call them nuts everywhere else. 
__________________
Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
Still want to quit?
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NousDefionsDoc is offline
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08-04-2004, 07:35
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#9
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Quiet Professional
Join Date: Jan 2004
Location: LA
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As far as you want Doc. 
My Brother Ambush is dead on with mechanism of injury. Very observant Recon Man. Good job.
__________________
Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
Still want to quit?
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NousDefionsDoc is offline
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08-05-2004, 20:09
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#10
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Guerrilla
Join Date: Jun 2004
Location: florida
Posts: 192
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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.
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steel71 is offline
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08-05-2004, 20:18
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#11
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Quiet Professional
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Location: LA
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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.
__________________
Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
Still want to quit?
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NousDefionsDoc is offline
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08-05-2004, 22:26
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#12
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Guest
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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?
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08-05-2004, 22:53
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#13
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Quiet Professional
Join Date: Feb 2004
Location: Bangkok
Posts: 856
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A good SCRUBBING?
No pain meds?
It is obvious to me that the patient is a brother, and fellow brown man.
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magician is offline
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08-06-2004, 10:32
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#14
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Quiet Professional
Join Date: Jan 2004
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Quote:
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.
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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.
__________________
Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
Still want to quit?
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NousDefionsDoc is offline
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08-09-2004, 15:30
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#15
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JAWBREAKER
Join Date: Jan 2004
Location: Gulf coast
Posts: 1,906
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- 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.
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Sacamuelas is offline
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