RE: Traumatic injuries and vets

[Guest guest]

From Drain, Oh yes, the veterinarian experience is good for learning trauma. The real trick is knowing when to send it to plastics or ortho. In all of the previous wars, DVMs were pressed into fixing all these musculoskeletal wounds on GIs in the field, quite quietly. I haven't heard about this one in Iraq..appparently they have a lot of head wounds. Probably they are using dentists. Mulitple layer closure is just a matter of knowing the anatomy, and what size and shape needle and closure material to use. Other than that it is about the same as single closure. You get the edges together after cleaning and anesthesia. You use a drain if you think you didn't get out all the gunk. I did mention to my insurers that I was going to be doing procedures of this kind when I got my malpractice, and they

didn't blink. Joanne, the Old MD in Drain Eads wrote: Good for you, Joanne! I bet your vet days came in handy there (being able to do that kind of wound closure – more than I’d be wanting to do)! A. Eads, M.D. Pinnacle Family Medicine, PLLC phone fax P.O. Box 7275 Woodland Park, CO 80863 www.PinnacleFamilyMedicine.com From: [mailto: ] On Behalf Of joanne hollandSent: Monday, September 03, 2007 11:56 AMTo: Subject: Re: another great patient's view of micropractice From the Old MD in Drain, Oregon: This week I got a best compliment of the week also: a new patient showed up in my front office bleeding from a very recent router injury: he walked in with a pad and an ace bandange wrapped around his hand, dripping blood, asking if there was any way I could help him since he caught his hand in the router about 20 minutes ago. I put on gloves, applied local arterial pressure and removed the ace bandage: looked at the perfusion and had him move all the pertinent tendons: successfully. Yes, this was something I could fix. I replaced the pad and pressure bandage somewhat more scientifically, so that he wasn't dripping blood any more, and had my significant other fill out the paperwork with him in my extra room while I finished with the patient I had. Then I cleaned the wound, did a nerve block, while having him scoff down two grams of Amoxicillin (Single high dose early antibiotics in a contaminated wound means fewer complications), repaired the injury with the three layers of internal and the stay stitch that it required prior to the skin stitching. I dressed the wound with Aquapore dressing because some of

the skin was simply not there and placed a moderate pressure bandage over a proximal bandage base so it would be easy to change. He was out of there in an hour. On the way out the door he said " Well, at least I know where to find a Real doctor." Boy, that made me feel good. Joanne Holland DVM/MD Drain, Oregon Shape Yahoo! in your own image. Join our Network Research Panel

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