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hand anatomy
One of the skills I like to teach is the nerve block.....if you look at the figures already presented, you see where the major nerves are in relation to the arteries. Being able to perform a good block may keep an injured fighter in the fight or at least capable of defending his/her butt and the '6' of their comrades.
I have treated and spoken to many soldiers/SEALS/SWAT personnel (notice no SF...maybe they don't get hurt..or don't admit it??), etc that do go through the adrenaline surge of no pain post injury but it doesn't last....maybe 2-5 minutes than it's a bitch of a pain (fingers or hand). This time period gives the medic an opportunity to do a digital or other nerve block. I have done it as part of my Tactical doc role with our SWAT team. I'll post the references when I dig them up later today or tomarrow. It is a procedure worth learning...can also do it to yourself if need be. I'll discuss technique, meds, equipment, and myths.
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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