arccola
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1277
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Consulted on hand v. mill equipment. No fractures or dislocations, ok cool.
Next step check neurovascular status and tendon function at DIPs, PIPs, and MCPs. He was good on both.
Numbed the wound with lido/bupivocaine, washed him out with irrisept, explored wound, prepped and draped, closed with 3-0 nylon in simple interrupted manner, volar splint for muscle rest, follow up in hand clinic. Dude was a pleasure to help, joking around the whole time, Received verbal consent to post. Always hard telling ppl that dorsal hand degloving injuries don't always take, even with quick intervention.
RoxyRue
deechill
For a whole minute , I thought they amputated 3 fingers and I didn't understand :/
arccola
Posts chastising me for no warning got dv'd, ❤️you Imgur. On the real though sorry folks, would it really have stopped you sick fucks? ;)
User1044
Op is Dr. Frankenstein
Angaram
#1 What's wrong with that, looks fine to me. #2 Jesus!
ViveLaBalloonAnimals
I admire your ability to keep calm when faced with this -- I sure as hell couldn't do it
BlackInkOutlaw
What did he do hand feed a chainsaw shark?
octopencilpus
"Degloving"
TheElusiveEnchilada
thebonemaster
orto here! Great job
Carefuler
"don't always take" - What does this mean exactly?
mudmann1012
DarkSock
I bet it smells like a freshly opened a can of Dinty Moore beef stew…
Onestrangeguy
gangrenouscyst
What did that to his hand?
Nintura1182
Wow this went from interesting to cringe in the space of one pic.
ALICCX
Is it me or do those MCPs look really short? turner syndrome or am i just being dumb?
ThatSoundPeopleMakeWhenTheyStandUp
So what happens if it doesn't "take?"
bubblehearth
If I'm not mistaken, the damaged flesh will be rejected, die, and it will try to scab over. Will probably need a graft.
Lobstrositiesbitme
So that's why they call it degloving... I will never fuck with heavy machinery so long as I live.
Noappi
Looking at the before photo I’m amazed his extensor tendons made a narrow escape!
jbilly90
How? Yessss i love medical stuff
anthony022
Ok honestly wasn't expecting that. Imgur really needs an nsfw tag
AxAnderW37
Isnt this more like NSFL?
Pundamentalist
Maybe a hamburger hand tag?
CirB
There is one. It's mostly used on the science side. I think this would be more a NSFL tag that we would need here?
ererr
Mature is the tag, technically.
RoyRoboTron
Imgur, where even non-sexualized images of breasts are unacceptable, but gore is great for all ages!
Smurphtastix
As a medic i loved this
SasquatchEsq
I dont think this needs a NSFW warning. I think people need to grow up. *insert Confession Bear Meme*
Brosius
Depends where you work really. Probably not the best idea for a kindergarden teacher to get caught looking at this in front of kiddos
notimporant
Kindergarten teachers should NOT be on imgur during work hours, this place is no places for very young kids eyes.
Brosius
Not necessarily, that's why we have a mature content filter.
HandoB4Javert
That will buff right out.
NgeruiscatinMaori
Rub Arnica cream on it
NgeruiscatinMaori
Rub Arnica cream on it
NgeruiscatinMaori
Rub Arnica cream on it
NgeruiscatinMaori
Rub Arnica cream on it
NgeruiscatinMaori
Rub Arnica cream on it
NgeruiscatinMaori
Rub Arnica cream on it
UnrealPie
Hope this dude's girlfriend heals fast. Must have been hard for him to go through that with her.
Danmanbadman
I heard he was seeing someone on the side..
KtownBCguy
And she is no longer wiping his ass. The struggle is real!!
bigdaddyfatpants
Hello stranger my old friend.
MladyFiend
Oh my. It took me much longer to realize what you meant than I'd like to admit. I thought I was missing the story or something.
MadeOfSteel
No she is Franken-girlfriend
weaselswarm
If there's ever been a time for this guy to become ambidextrous, it's now
slimshaggy540
I hear he's a lefty.
arccola
Dextral male????
Labtech67
Can we have a follow up in the future. Curious to see if it takes.
arccola
I'm a joint replacement guy, so he'll follow up with hands, but I'll see what I can do
Labtech67
Cheers :)
Rekkora
If it doesn't take will need to have it amputated?
Justmakingthingsup
X-ray looks alright. I wonder why this is post... Holy shit!
peanutbutterandham
boneshugsandirony
Better reaction.
delta3835
My reaction as well
Dagordae
I was trying to figure out what would bloat a hand like that. I guessed epic bruise, not flaying
boneshugsandirony
Hahaha! My exact reaction.
ConductorOfTheStruggleTrain
I knew something was wrong because you can see that there is a large amount of swelling and fluid in the hand based on the opaqueness of it.
iAMthedroidurlookingfor
Orhoz
basically my exact reaction
RamsesMCMXCI
arccola
If there's interest, I'll walk through some hip and knee replacement info and stories. We do a lot of very difficult revisions too.
z3lfmoord
Yes please. The more graphic it is, the better. Someone I know watches r/watchpeopledie. So I've got a strong stomach.
Jeysus
yesssss
PhotoBear
He'll yesh
ghostbonerofpyke
There is interest! Also in follow up on whether this guy's recovery went well
catweasels
As a nursing student, yes please
whyteraven74
I'm up for some stories about revisions
shaqie
Clean job my man! As an ER guy, I would have sent them straight upstairs!
cktuba
.
jamesgreene
Ermergerd yas
Labtech67
Certainly interested here
Visiblur
You're doing one of my dream jobs, you have peaked my interest here
arccola
Keep at it! See you at the conference;)
BearsDontCare
Do it. Now.
urfirstborn
Oh yes please.
GreyhLightning
Yes please
qqkikilicious
Please post.
SpitefulRed
Go on...
lllamallamapigbang
Yup please.
PensiveGorilla
more, please
ImTheOneWhoTookYourRug
Please! Yes! Do eeet!
cplchuck
That is a damn good suture job!
CardinalRichelieu
Yes please good sir. This is pretty interesting!
MermaidLeggings
Maybe a warning block saying there's a fucking gory ripped up hand heading our way next time
catweasels
As a nursing student, yes please
MarcTheRN
As an RN that works on an ortho/neuro floor, yes! Very interested.
z3lfmoord
Yes please. The more graphic it is, the better. Someone I know watches r/watchpeopledie. So I've got a strong stomach.
Ludoime
Please and thank you!
Ludoime
Foot stuff would be pretty rad, too. Pod student here.
DeadOnionSaysWhat
Yeah I think a lot of us have some kind of background/exposure to this, it's actually informative.
megabeetus
There is interest.
yepyepyepski
So much interest
yepyepyepski
So much interest
ConductorOfTheStruggleTrain
As a PT student, yes please.
arccola
Love my PT folks, lord's work!
ConductorOfTheStruggleTrain
And we love MD's that know the value of what we do :D
arccola
PT/OT cheerleader all day ;)
Girlgerms21
Ok so dumb question, how do you stich that up when there doesn't look to be enough skin? Or does it strech and make it fit?
arccola
I generally start by lining up an obvious landmark and move from there. A bit of undermining can free up more tissue.
arccola
And not dumb, the patient didn't think I could do it either;)
arccola
I generally start by lining up an obvious landmark and move from there. A bit of undermining can free up more tissue.
Girlgerms21
That's awesome, thank you for sharing
SquishyMarBear
I'm currently in surgical tech school and ortho has always interested me, also worked at an ortho clinic. Always love hearing these stories!
arccola
I came up as a surg tech in the Air Force
SquishyMarBear
Awesome! How long were you a ST for??
arccola
5 or so years, but did a bunch of other stuff in the AF
arccola
5 or so years, but did a bunch of other stuff in the AF
SquishyMarBear
I did work at Barksdale AFB as an ortho tech, but it was a contract job that they called me last minute for the last month. I couldn't 1/?
SquishyMarBear
Stand the lack of patients. Seeing only 10-15 pt's a day was a drag. I was use to seeing 70-100 pt's a day.
arccola
All you've gotta remember: position of use and anticipation is key;)
SquishyMarBear
Awesome! Thanks for the tips!