07-24-2005, 11:31
|
#1
|
|
Guerrilla Chief
Join Date: Jul 2004
Location: Phoenix, AZ
Posts: 880
|
Amputated parts
I was just thinking...what do the medics do in the sandbox to be able to "cool" an amputated body part while its being evac'ed for possible re-plantation? Or is this even a 'concern' when in the hot zone?
ss
__________________
'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)
|
|
swatsurgeon is offline
|
|
|
07-24-2005, 14:50
|
#2
|
|
Quiet Professional
Join Date: Jan 2004
Location: Tampa
Posts: 2,520
|
I have talked to a number of the ER Docs that have recently returned about this...it would appear that the type of injuries that they are seeing and experienceing do not lend themselves to the possibility of reimplantation of the amputated limb.
It is an interesting question though...
Eagle
__________________
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
|
|
Eagle5US is offline
|
|
|
07-24-2005, 17:24
|
#3
|
|
Guerrilla Chief
Join Date: Jul 2004
Location: Phoenix, AZ
Posts: 880
|
Eagle,
I know blast injury will not lend itself to re-plantation...I've dealt with a few of those...this was more the cleaner "knife", crush or similiar where there would be the possibility of re-attachment.
The IED senerio we've played out here before and the hope/chance of getting that limb on are zero and none.
Just wondering the cooling techniques possible in the field....
I imagine the 'write off' of a digit(s) is far more worth it than the potential for salvage.
__________________
'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)
|
|
swatsurgeon is offline
|
|
|
07-24-2005, 18:39
|
#4
|
|
Quiet Professional
Join Date: Jan 2004
Location: Tampa
Posts: 2,520
|
No arguements by me...honest.
The docs just said that there wasn't an identified need for the ability to cool the limbs for transplantation.
Biggest gripe:
Nothing to handle peds and ped trauma.
Eagle
__________________
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
|
|
Eagle5US is offline
|
|
|
07-24-2005, 19:32
|
#5
|
|
Guerrilla Chief
Join Date: Jul 2004
Location: Phoenix, AZ
Posts: 880
|
if there is the desire I'll post peds resus/trauma info........
__________________
'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)
|
|
swatsurgeon is offline
|
|
|
07-25-2005, 05:18
|
#6
|
|
Guerrilla
Join Date: Jan 2004
Posts: 215
|
Just for kicks...
x
Last edited by DoctorDoom; 07-29-2013 at 09:12.
|
|
DoctorDoom is offline
|
|
|
07-25-2005, 06:21
|
#7
|
|
Guerrilla Chief
Join Date: Jul 2004
Location: Phoenix, AZ
Posts: 880
|
water bad, saline okay but not soaking just moist....
wrapping in saline moist gauze won't damage the exposed soft tissues where regular water will break cells apart and render the digit worthless.
I was thinking, is there a policy on this in the regs book somewhere or is it a "non-issue", i.e., deal with the stumps, forget the digits every time????
__________________
'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)
|
|
swatsurgeon is offline
|
|
|
07-25-2005, 15:26
|
#8
|
|
Guerrilla
Join Date: Jan 2004
Posts: 215
|
x
Last edited by DoctorDoom; 07-29-2013 at 09:09.
|
|
DoctorDoom is offline
|
|
|
07-25-2005, 17:16
|
#9
|
|
Guerrilla Chief
Join Date: Jul 2004
Location: Phoenix, AZ
Posts: 880
|
that's what I was wondering....do you retrieve them or forget them?
__________________
'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)
|
|
swatsurgeon is offline
|
|
|
07-26-2005, 01:32
|
#10
|
|
Guerrilla
Join Date: Jul 2005
Location: Orange, CA
Posts: 129
|
I'd police every part I could find, even if it's going to lay exposed on the floor of a helicopter, get the patient to a facility with MD's, and let them decide if the part is viable.
I'd say to always try, you never know...
|
|
Detcord is offline
|
|
|
07-26-2005, 01:50
|
#11
|
|
Guerrilla
Join Date: Jan 2004
Posts: 215
|
x
Last edited by DoctorDoom; 07-29-2013 at 09:09.
|
|
DoctorDoom is offline
|
|
|
Currently Active Users Viewing This Thread: 1 (0 members and 1 guests)
|
|
|
Posting Rules
|
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts
HTML code is Off
|
|
|
All times are GMT -6. The time now is 17:38.
|
|
|
Linear Mode
