So I took care of the above patient a few months ago and before telling you the whole story I thought it would be fun to let you guess the mechanism of injury. Have at it! Then have a guess at what we did for her to fix this little boo-boo. More soon.
Wednesday, March 04, 2009
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a little slip with the food processor?
ReplyDeleteall those lacerations...
ReplyDeleteSnowblower accident? I have no idea what it is, I only know that it was gross to click over here and see that while I was eating breakfast! But I am always terrified to use our snowblower because of horror stories I have heard.
ReplyDeleteRototiller.
ReplyDeletewow... I am not a doctor/nurse/emt so I am not used to seeing such things. It is kinda weird looking at that picture, because it is nasty and gross... but so intriguing at the same time.
ReplyDeleteI was going to say a weed wacker or something like that, but you said it happened a few months ago, its March now. So a January accident where you live (in the snow) would point to a snowblower.
But, I have never used a snow blower, or seen an injury from one.
Or maybe an animal attack? Is that a side of a leg, or an arm?
Snowblower
ReplyDeleteHmmm...
ReplyDeleteI would think that if it were a dog, there'd maybe be more skin tears, or more pieces missing from there? But lots of cuts...
Hmmmmm...Is that an arm?
Hmmm...
Chainsaw. Gotta be.
ReplyDeleteAfter Hurricane Ike I am surprised I didn't meet people with chainsaw injuries. There were so many in use, and we got so tired.
It doesn't matter what caused the injury, only that we know who to blame. Global warming and George Bush.
ReplyDeleteBadger attack and following the U of C protocol the patient was referred out for a delayed closure... :-)
ReplyDeleteamy,
ReplyDeleteyou are an inspiration. due to climate change promulgated by dick cheney, both the bushes, and Christians, a polar bear attack in south florida was responsible for this injury. only the shouting of 'obama' and 'change' was able to put an end to the attack thereby saving this young woman's life. answer to follow tomorrow.
Crazed chimp attack?
ReplyDeletethere are some superficial-ish marks on the borders of the wound; looks like claw marks of some sort.
ReplyDeletei'm going with a deranged circus bear.
Not a med-professional so a bilnd guess here....You don't say what body part it is - arm or leg - so perspective doesn't help any. My first instinct is to say an animal bite of some sort. Then again, there's a part of me that really wants to say "cutter".
ReplyDeleteAnxiously waiting to find out the real story.
Snowmobile into a barbed wire fence, I'll bet. Injury severity correlates to blood alcohol (911Doc's law)
ReplyDeleteYuck! A chainsaw by any chance? Or the mother of all paper cuts?
ReplyDeleteWhen I saw this picture, I immediately just shouted "Oh my god!"...it really caught me off guard.
ReplyDeleteBut a few months ago? I would guess this was a Clinton Campaign aid who was just the unlucky one to be around when Hillary finally figured out that she lost to Obama...
...probably had to get rabies shots as well.
It's chainsaw, the give away is the peculiar parallel cuts.
ReplyDeleteTo extend on Amy's answer to fix this problem we must stop global warming which encourages the growth of foliage requiring removal, rescind Bush's policies of logging in national forests, socialize health care (average chainsaw injury required $12,000 of care in 2000) nationalize pharmaceutical companies, require liscensing of chainsaw users (30,000 injuries per year) offer subsidized chainsaw chaps. Cities and states should sue big chainsaw and retailers such as Lowe's and Home Despot for manufacturing and distributing a known dangerous product and public nuissance in order to recover medical costs. Further more, Congress must fund "green" (called green because it requires green dollars from the govt) wood removal alternatives such as trained termites or beavers tied to the end of poles.
Until green alternatives have been put in place loggers and gardeners should be advised to use sporks for chipping away at trees and bushes and/or insurance companies should be required to pay for $75 chainsaw chaps as preventative health care without increasing premiums of its members. Since providers should always be the primary resource for health education, they will be required to educate patients about proper chainsaw usage. Failure to do so makes you liable.
Mary
Escalator at a shopping centre
ReplyDeleteWell, my first thought was a roto-tiller, but that is inconsistant with the middle of winter, unless the patient was in a really large greenhouse. Since I have never seen any snowblower injuries, I'm gonna go with chain saw of some type, as a direct result of eight years of Bush. Glad to know that come spring I'll just have to ask my yard to change itself--with a boatload of YOUR money! Pattie, RN
ReplyDeleteI thought they shot Travis the Chimpanzee....
ReplyDeletegot caught in a fan belt
ReplyDeleteBUT, I'll bet you a) did an immediate closure with no washout
b) debrided, covered, then sent to another facility for "secondary closure"