Guest guest Posted June 20, 2002 Report Share Posted June 20, 2002 The blisters could be herpes. Do they lessen or go away when you take l-lysine? Celeste mjolson621 wrote: > I have those too! I am on Synthroid. I thought it was from using cloth > diapers on my daughter. Who knows... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 16, 2002 Report Share Posted August 16, 2002 jeannette ...i too get the blisters especilly itches in heat or shower or stress... i have been using large bandaids and when the itching is very bad or after my shower i put the gel icepack on my arms and it calms the itching.... i have seen both the hepatologist and my internist this week and it is a symptom of prednisone hope this helps .....we have serious fights with our cats heheheheheheh take care karen/s.c. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 16, 2002 Report Share Posted August 16, 2002 Dear Jeanette, Blisters too, how awful. I am so sorry you are having this flare. I would call your doctor, you could be having an allergic reaction, in any case you need relief. I love you lots. Love, Ruth > Hi, can anyone help me with my latest problem. As i told you my billirubin is very high and i am a lovely shade of yellow and very itchy. Last night i was having a good scratch and i noticed some small spots one the back of my hands and lower arms and didn't think anymore about it. This morning when i got up i noticed blisters all over the back of my hands and lower arms. I am not seeing the doctor till the end of next week and i am not sure what to do with the blisters in case they pop. I don't want to get an infection into them so do you think i should keep a dressing on top or not?. Also doe's anyone have any idea what could be causing it. I am taking double the dose of prednisolone but this time i feel so much worse than i have before when i had a flare up. Whats happening any help would be appriciated. Love and Hugs Jeanette UK AIH 1998 Cirrhosis 2001 > > > > --------------------------------- > Get a bigger mailbox -- choose a size that fits your needs. > > http://uk.docs./mail_storage.html Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 16, 2002 Report Share Posted August 16, 2002 Have you been pulling weeds and maybe got into some poison ivy? Shireen >From: " hrby97111 " <hrby97111@...> >Reply- > >Subject: [ ] Re: Blisters >Date: Fri, 16 Aug 2002 18:32:47 -0000 > >Dear Jeanette, > Blisters too, how awful. I am so sorry you are having this flare. >I would call your doctor, you could be having an allergic reaction, >in any case you need relief. I love you lots. >Love, >Ruth > > > > > Hi, can anyone help me with my latest problem. As i told you my >billirubin is very high and i am a lovely shade of yellow and very >itchy. Last night i was having a good scratch and i noticed some >small spots one the back of my hands and lower arms and didn't think >anymore about it. This morning when i got up i noticed blisters all >over the back of my hands and lower arms. I am not seeing the doctor >till the end of next week and i am not sure what to do with the >blisters in case they pop. I don't want to get an infection into them >so do you think i should keep a dressing on top or not?. Also doe's >anyone have any idea what could be causing it. I am taking double the >dose of prednisolone but this time i feel so much worse than i have >before when i had a flare up. Whats happening any help would be >appriciated. Love and Hugs Jeanette UK AIH 1998 Cirrhosis 2001 > > > > > > > > --------------------------------- > > Get a bigger mailbox -- choose a size that fits your needs. > > > > http://uk.docs./mail_storage.html > _________________________________________________________________ Join the world’s largest e-mail service with MSN Hotmail. http://www.hotmail.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 16, 2002 Report Share Posted August 16, 2002 Dear Jeanette, I am more worried about you being yellow. Will it go away? Did you have a fever? Perhaps that caused the blistering? [ ] Blisters Hi, can anyone help me with my latest problem. As i told you my billirubin is very high and i am a lovely shade of yellow and very itchy. Last night i was having a good scratch and i noticed some small spots one the back of my hands and lower arms and didn't think anymore about it. This morning when i got up i noticed blisters all over the back of my hands and lower arms. I am not seeing the doctor till the end of next week and i am not sure what to do with the blisters in case they pop. I don't want to get an infection into them so do you think i should keep a dressing on top or not?. Also doe's anyone have any idea what could be causing it. I am taking double the dose of prednisolone but this time i feel so much worse than i have before when i had a flare up. Whats happening any help would be appriciated. Love and Hugs Jeanette UK AIH 1998 Cirrhosis 2001 Get a bigger mailbox -- choose a size that fits your needs. http://uk.docs./mail_storage.html Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 25, 2003 Report Share Posted October 25, 2003 Tom, as a very non ex-military guy, I have nevertheless treated countless large blisters at rock festivals etc, I was taught by a very experienced A & E sister to cut a sliver of skin out of the blister with a pair of sterile scissors to relieve the pressure (and yes I know all the First Aid manuals say never to burst blisters) then cover them with a cushioned non-adherent sterile dressing such as melolin or alleyvin. I have never used antiseptics or alcohol to clean them first although in tropical areas my attitude may well be different. Out of all the blisters I've treated in this way I've never seen one get infected. I would certainly also endorse the wearing of thick socks and/or 2 pairs until healed. Hope this helps, All the best, Simon Furmage RTO Loch Lomond Rescue Boat. Blisters > Hello all, > Can anyone , especially the ex-military guys, point me in the direction of a > resource for blister care (feet) as there seem to be a lot of treatments > that have only anecdotal evidence to back them up, ie injecting Friar's > Balsam into a drained blister - is it worth the watering eyes - or wearing > duct-tape over them. > Many thanks, > Tom Watkinson > > _________________________________________________________________ > On the move? Get Hotmail on your mobile phone http://www.msn.co.uk/msnmobile > > > > Member Information: > > List owner: Ian Sharpe Owner@... > Editor: Ross Boardman Editor@... > > ALL list admin messages (subscriptions & unsubscriptions) should be sent to the list owner. > > Post message: egroups > > Please visit our website http://www.remotemedics.co.uk > > Regards > > The Remote Medics Team > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 26, 2003 Report Share Posted October 26, 2003 -Hi Tom,Working in the Parachute Training Depot,Aldershot in the early 1970,where blister were the order of the day for any recruit, be it on thier shoulders,back, feet.The treatment was always,(Your eyes will water in a minute). A mixture of 25%Surgical Spirit & 75%Tinc Benz Compoud. The procedure was given like this: Medic:This will hurt a little,but its the best treatment,you'll be fine in the morning. Patient then placed a bite between his teeth. The medic then dabbed on the mixture. A grunt (They never ever screamed,there mates were also waiting for the treatment,couldn't be seen to loose face)was then heard. Asked them to report the next day,99.9% never came back. The main thing I was told about blisters was,exposed skin must be dried as quickly as possible,and nothing dried it better than the above mixture. AHHH THE GOOD OLD DAYS.!!!!! Yours Aye Rab Aitken -- In , " Simon Furmage " <simonfurmage@g...> wrote: > Tom, > > as a very non ex-military guy, I have nevertheless treated countless large > blisters at rock festivals etc, I was taught by a very experienced A & E > sister to cut a sliver of skin out of the blister with a pair of sterile > scissors to relieve the pressure (and yes I know all the First Aid manuals > say never to burst blisters) then cover them with a cushioned non- adherent > sterile dressing such as melolin or alleyvin. > > I have never used antiseptics or alcohol to clean them first although in > tropical areas my attitude may well be different. Out of all the blisters > I've treated in this way I've never seen one get infected. > > I would certainly also endorse the wearing of thick socks and/or 2 pairs > until healed. > > Hope this helps, > > All the best, > > Simon Furmage > RTO > Loch Lomond Rescue Boat. > Blisters > > > > Hello all, > > Can anyone , especially the ex-military guys, point me in the direction of > a > > resource for blister care (feet) as there seem to be a lot of treatments > > that have only anecdotal evidence to back them up, ie injecting Friar's > > Balsam into a drained blister - is it worth the watering eyes - or wearing > > duct-tape over them. > > Many thanks, > > Tom Watkinson > > > > _________________________________________________________________ > > On the move? Get Hotmail on your mobile phone > http://www.msn.co.uk/msnmobile > > > > > > > > Member Information: > > > > List owner: Ian Sharpe Owner@R... > > Editor: Ross Boardman Editor@R... > > > > ALL list admin messages (subscriptions & unsubscriptions) should be sent > to the list owner. > > > > Post message: egroups > > > > Please visit our website http://www.remotemedics.co.uk > > > > Regards > > > > The Remote Medics Team > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 26, 2003 Report Share Posted October 26, 2003 Simon, Experienced A & E Sister or not- first line of defence is in the epidermal layers (especially in the case of burns!!) so cutting a sliver away has no rational reason- pressure usually subsides with dispersal into surrounding tissue . Why contradict perfectly good advice and encourage first aiders to act contrary to what makes good sense? All the best, Simon Simon Growcott- Medic/SHEA Brae Alpha Platform Marathon Oil Aberdeen Tel: 01224 803000 ext 1161 Email: SGrowcott@... Re: Blisters Tom, as a very non ex-military guy, I have nevertheless treated countless large blisters at rock festivals etc, I was taught by a very experienced A & E sister to cut a sliver of skin out of the blister with a pair of sterile scissors to relieve the pressure (and yes I know all the First Aid manuals say never to burst blisters) then cover them with a cushioned non-adherent sterile dressing such as melolin or alleyvin. I have never used antiseptics or alcohol to clean them first although in tropical areas my attitude may well be different. Out of all the blisters I've treated in this way I've never seen one get infected. I would certainly also endorse the wearing of thick socks and/or 2 pairs until healed. Hope this helps, All the best, Simon Furmage RTO Loch Lomond Rescue Boat. Blisters > Hello all, > Can anyone , especially the ex-military guys, point me in the direction of a > resource for blister care (feet) as there seem to be a lot of treatments > that have only anecdotal evidence to back them up, ie injecting Friar's > Balsam into a drained blister - is it worth the watering eyes - or wearing > duct-tape over them. > Many thanks, > Tom Watkinson > > _________________________________________________________________ > On the move? Get Hotmail on your mobile phone http://www.msn.co.uk/msnmobile > > > > Member Information: > > List owner: Ian Sharpe Owner@... > Editor: Ross Boardman Editor@... > > ALL list admin messages (subscriptions & unsubscriptions) should be sent to the list owner. > > Post message: egroups > > Please visit our website http://www.remotemedics.co.uk > > Regards > > The Remote Medics Team > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 26, 2003 Report Share Posted October 26, 2003 Never heard of that one, even having worked in A & E and a lot of other less clean areas, isn't that classed as invasive in the realm of Docs, think I prefer the sterile triangular needle and a good sterile cover with padding which has always stood me in good stead. Funnily enough never got blisters myself until last year trying out new socks with combat and other boots, and I have walked thousands of miles in the hills etc in all conditions I have treated a lot in other people though. Always thought the fluid acted as a cushion aided by the dressing and to open it was aiding in the introduction of bacteria but needling did work and no infections. By a sliver exactly how big did she mean and where on the blister, top or at the sides? JC Re: Blisters >Tom, > >as a very non ex-military guy, I have nevertheless treated countless large >blisters at rock festivals etc, I was taught by a very experienced A & E >sister to cut a sliver of skin out of the blister with a pair of sterile >scissors to relieve the pressure (and yes I know all the First Aid manuals >say never to burst blisters) then cover them with a cushioned non-adherent >sterile dressing such as melolin or alleyvin. > >I have never used antiseptics or alcohol to clean them first although in >tropical areas my attitude may well be different. Out of all the blisters >I've treated in this way I've never seen one get infected. > >I would certainly also endorse the wearing of thick socks and/or 2 pairs >until healed. > >Hope this helps, > >All the best, > >Simon Furmage >RTO >Loch Lomond Rescue Boat. > Blisters > > >> Hello all, >> Can anyone , especially the ex-military guys, point me in the direction of >a >> resource for blister care (feet) as there seem to be a lot of treatments >> that have only anecdotal evidence to back them up, ie injecting Friar's >> Balsam into a drained blister - is it worth the watering eyes - or wearing >> duct-tape over them. >> Many thanks, >> Tom Watkinson >> >> _________________________________________________________________ >> On the move? Get Hotmail on your mobile phone >http://www.msn.co.uk/msnmobile >> >> >> >> Member Information: >> >> List owner: Ian Sharpe Owner@... >> Editor: Ross Boardman Editor@... >> >> ALL list admin messages (subscriptions & unsubscriptions) should be sent >to the list owner. >> >> Post message: egroups >> >> Please visit our website http://www.remotemedics.co.uk >> >> Regards >> >> The Remote Medics Team >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 26, 2003 Report Share Posted October 26, 2003 Wouldn't a bit of Germolene with aenesthetic cream under a dressing with padding do as well with less damage, most of the people I have dealt with over the years had a lot of walking to do afterwards. Have never used Tincbenco but have heard a lot of horror stories from ex Paras about the stuff, on Pre para BLISTERs > >Before commencing any treatment on blisters it is worth considering what the >patient will be doing after the treatment. > >If the patient is going on to a physical activity that requires hard work >across rough terrain perhaps carrying a bergen then the reccommended >treatments are woefully inadequate and often result in my experience with a >worse injury. I tend to agree with Rab and the 'in the old days' approach to >treatment in this circumstance. Tinc Benz Co has a couple of advantages >here. Firstly because is causes tissue destruction the layer of cells that >are so sore are devitalised and the second benefit is that the area is very >sticky (not so sure about the ethics of causing patients pain and destrying >tissue, but where needs must!!!). So in addition to the treatment Rab >describes some Zinc Oxide applied directly over the treated blister or >indeed Hypafix will keep the patient on his feet and mobile. > >Otherwise blister treatments that have already been discussed are adequate >if the patient is not required to do very much afterward. > > >DJ Connell >www.ex-med.co.uk > >_________________________________________________________________ >On the move? Get Hotmail on your mobile phone http://www.msn.co.uk/msnmobile > > > >Member Information: > >List owner: Ian Sharpe Owner@... >Editor: Ross Boardman Editor@... > >ALL list admin messages (subscriptions & unsubscriptions) should be sent to the list owner. > >Post message: egroups > >Please visit our website http://www.remotemedics.co.uk > >Regards > >The Remote Medics Team > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 26, 2003 Report Share Posted October 26, 2003 I don't often comment on the list topics just read and learn but as an outdoor activity instructor I have had my fair share of blisters. Personally I prefer the prevention is better than cure policy so well fitting footwear socks etc. I suffered for years until I invested time as well as money to try different footwear to make sure I got a pair that fitted correctly the same with socks. If however a blister does appear if its just a hot spot just a dry dressing, tape etc if anything more I personally prefer to drain the blister of fluid and cover with a hydrocolloid dressing such as compeed comfeel etc. The above method worked fine on both the Pennine way and west highland way not to mention a couple of alpine trips in Austria. Just my two minor currencies worth for what its worth Ian W I was put on this earth to accomplish a certain number of tasks, right now I am so far behind I will never die. BLISTERs > > Before commencing any treatment on blisters it is worth considering what the > patient will be doing after the treatment. > > If the patient is going on to a physical activity that requires hard work > across rough terrain perhaps carrying a bergen then the reccommended > treatments are woefully inadequate and often result in my experience with a > worse injury. I tend to agree with Rab and the 'in the old days' approach to > treatment in this circumstance. Tinc Benz Co has a couple of advantages > here. Firstly because is causes tissue destruction the layer of cells that > are so sore are devitalised and the second benefit is that the area is very > sticky (not so sure about the ethics of causing patients pain and destrying > tissue, but where needs must!!!). So in addition to the treatment Rab > describes some Zinc Oxide applied directly over the treated blister or > indeed Hypafix will keep the patient on his feet and mobile. > > Otherwise blister treatments that have already been discussed are adequate > if the patient is not required to do very much afterward. > > > DJ Connell > www.ex-med.co.uk > > _________________________________________________________________ > On the move? Get Hotmail on your mobile phone http://www.msn.co.uk/msnmobile > > > > Member Information: > > List owner: Ian Sharpe Owner@... > Editor: Ross Boardman Editor@... > > ALL list admin messages (subscriptions & unsubscriptions) should be sent to the list owner. > > Post message: egroups > > Please visit our website http://www.remotemedics.co.uk > > Regards > > The Remote Medics Team > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 26, 2003 Report Share Posted October 26, 2003 call me old fashion but what ever happened to pop plaster and crack on! Ricky. Blisters > Hello all, > Can anyone , especially the ex-military guys, point me in the direction of a > resource for blister care (feet) as there seem to be a lot of treatments > that have only anecdotal evidence to back them up, ie injecting Friar's > Balsam into a drained blister - is it worth the watering eyes - or wearing > duct-tape over them. > Many thanks, > Tom Watkinson > > _________________________________________________________________ > On the move? Get Hotmail on your mobile phone http://www.msn.co.uk/msnmobile > > > > Member Information: > > List owner: Ian Sharpe Owner@... > Editor: Ross Boardman Editor@... > > ALL list admin messages (subscriptions & unsubscriptions) should be sent to the list owner. > > Post message: egroups > > Please visit our website http://www.remotemedics.co.uk > > Regards > > The Remote Medics Team > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 26, 2003 Report Share Posted October 26, 2003 , The method I described is intended for really large blisters which affect the casualties ability to walk. The sliver taken out is at the apex, as it were, of the blister which releases the pressure without allowing it to build up again as sometimes happens if you pierce with a needle. As, for the other Simon's comment, my intention was not to contradict first aid guidance but to give a tip which can be used by healthcare professionals who have clean facilities and access to sterile disposable equipment. I take the point about removing the natural defense layer of the epidermis, but stress that I have never seen any ill-effects or infection resulting from this treatment. On the contrary, pain relief is instant and healing is rapid. However the treatment is not evidence based and I am not holding it up as an example of best practice, but it's always worked for me. Just a tip. I would certainly not advise it for first aiders who should of course stick to FAW guidance as the procedure is not without risk in inexperienced hands. Hope this clarifies, Simon Furmage RTO Loch Lomond Rescue Boat Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 26, 2003 Report Share Posted October 26, 2003 One thing that this thread has shown is the wide variety of anecdotal treatments avaialable for what is usually a non serious condition. I think one of the most sensible bits of information to come out of it was Dave's note about considering what the guy will be doing later. Eg Pt 1, gets blisters walking round the RCS in new shoes, (Say a word Boardman and you'll get a visit) but fully intends to spend the evening sipping fine malt by the fire in some hotel, then I see no reason not to just keep it clean, pad it up and let nature take its course. If however, pt 2 is busy cultivating a Herford accent, and practicing looking like a tree in the middle of the Brecon beacons, or sorting through his purple sweatshirt collection in Aldershot option 1 may well not be open to him, so more radical treatments (even the Barbaric ones) may be more appropriate. Often our objective, both as military medics and as remote medics is not to fix the guy permenantly but to do something to relieve the immediate problem and keep him mobile be to the end of his shift on the drill floor or his tab accross Wales. Our brief on Many of the E & E excersises we did was to keep the runners running, and that meant sometimes pushing the edges of what would be considered " normal " treatment. Oddly Tom W (I think it was Tom) asked for " evidence " so far all we've had is anecdotes...... Just the ramblings of a loon somewhere in Kazakhstan, Ian > > Before commencing any treatment on blisters it is worth considering what the > patient will be doing after the treatment. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 26, 2003 Report Share Posted October 26, 2003 Many thanks for all your views. In this case, I'm looking for info regarding blister treatment for myself and the other team members competing in the Sahara Marathon in April so the emphasis is very much on patch up and keep going. As Ian pointed out, no evidence, just anecdotes so I'll use the other lads as guinea-pigs to find out: 1 which ones work and 2 which ones hurt like hell! Cheers, Tom Watkinson >From: " Ian Sharpe " <Ian@...> >Reply- > >Subject: Re: BLISTERs >Date: Mon, 27 Oct 2003 03:47:19 -0000 > >One thing that this thread has shown is the wide variety of anecdotal >treatments avaialable for what is usually a non serious condition. > >I think one of the most sensible bits of information to come out of >it was Dave's note about considering what the guy will be doing >later. > >Eg Pt 1, gets blisters walking round the RCS in new shoes, (Say a >word Boardman and you'll get a visit) but fully intends to spend the >evening sipping fine malt by the fire in some hotel, then I see no >reason not to just keep it clean, pad it up and let nature take its >course. > >If however, pt 2 is busy cultivating a Herford accent, and practicing >looking like a tree in the middle of the Brecon beacons, or sorting >through his purple sweatshirt collection in Aldershot option 1 may >well not be open to him, so more radical treatments (even the >Barbaric ones) may be more appropriate. > >Often our objective, both as military medics and as remote medics is >not to fix the guy permenantly but to do something to relieve the >immediate problem and keep him mobile be to the end of his shift on >the drill floor or his tab accross Wales. Our brief on Many of the E > & E excersises we did was to keep the runners running, and that meant >sometimes pushing the edges of what would be considered " normal " >treatment. > >Oddly Tom W (I think it was Tom) asked for " evidence " so far all >we've had is anecdotes...... > >Just the ramblings of a loon somewhere in Kazakhstan, > >Ian > > > > > Before commencing any treatment on blisters it is worth considering >what the > > patient will be doing after the treatment. > > > > _________________________________________________________________ Use MSN Messenger to send music and pics to your friends http://www.msn.co.uk/messenger Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 26, 2003 Report Share Posted October 26, 2003 Although this is a relatively minor issue I have to say it's provided plenty of chuckles at this end - maybe I should get out more! I have always been a follower of the traditional method of do nothing if the blister is intact other than using some moleskin. If broken use a good old fashioned plaster and a touch of padding. A few years back I was trekking in a new pair of boots that I thought were sufficiently broken in. I developed two identical blisters on each heel. I decided to put the many arguments two the test and treated on by lancing with a sterile needle and covering with a dry dressing, the other I left intact and used a dry dressing. Although the intact blister did burst the following day it still healed quicker than the one that I lanced. Of course the best solution is to prevent them happening in the first place - I'm guessing though that Jo Squaddie doesn't get much chance to break in his newly issued boots before starting basic training! Tim Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 27, 2003 Report Share Posted October 27, 2003 Simon, Fair enough- well clarified. All the best, Simon Simon Growcott- Medic/SHEA Brae Alpha Platform Marathon Oil Aberdeen Tel: 01224 803000 ext 1161 Email: SGrowcott@... Re: Blisters , The method I described is intended for really large blisters which affect the casualties ability to walk. The sliver taken out is at the apex, as it were, of the blister which releases the pressure without allowing it to build up again as sometimes happens if you pierce with a needle. As, for the other Simon's comment, my intention was not to contradict first aid guidance but to give a tip which can be used by healthcare professionals who have clean facilities and access to sterile disposable equipment. I take the point about removing the natural defense layer of the epidermis, but stress that I have never seen any ill-effects or infection resulting from this treatment. On the contrary, pain relief is instant and healing is rapid. However the treatment is not evidence based and I am not holding it up as an example of best practice, but it's always worked for me. Just a tip. I would certainly not advise it for first aiders who should of course stick to FAW guidance as the procedure is not without risk in inexperienced hands. Hope this clarifies, Simon Furmage RTO Loch Lomond Rescue Boat Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 27, 2003 Report Share Posted October 27, 2003 Hi Tom in the south African force they use to draw out half of the liquid and inject methylated, it burns like hell for a few seconds. this works believe me. Simon Furmage <simonfurmage@...> wrote: Tom, as a very non ex-military guy, I have nevertheless treated countless large blisters at rock festivals etc, I was taught by a very experienced A & E sister to cut a sliver of skin out of the blister with a pair of sterile scissors to relieve the pressure (and yes I know all the First Aid manuals say never to burst blisters) then cover them with a cushioned non-adherent sterile dressing such as melolin or alleyvin. I have never used antiseptics or alcohol to clean them first although in tropical areas my attitude may well be different. Out of all the blisters I've treated in this way I've never seen one get infected. I would certainly also endorse the wearing of thick socks and/or 2 pairs until healed. Hope this helps, All the best, Simon Furmage RTO Loch Lomond Rescue Boat. Blisters > Hello all, > Can anyone , especially the ex-military guys, point me in the direction of a > resource for blister care (feet) as there seem to be a lot of treatments > that have only anecdotal evidence to back them up, ie injecting Friar's > Balsam into a drained blister - is it worth the watering eyes - or wearing > duct-tape over them. > Many thanks, > Tom Watkinson > > _________________________________________________________________ > On the move? Get Hotmail on your mobile phone http://www.msn.co.uk/msnmobile > > > > Member Information: > > List owner: Ian Sharpe Owner@... > Editor: Ross Boardman Editor@... > > ALL list admin messages (subscriptions & unsubscriptions) should be sent to the list owner. > > Post message: egroups > > Please visit our website http://www.remotemedics.co.uk > > Regards > > The Remote Medics Team > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 27, 2003 Report Share Posted October 27, 2003 Christ ! And I thought the Brit medics were Barbaic. METHS.... Glad I'm not in your mob then :-) Cheers Ian > Tom, > > as a very non ex-military guy, I have nevertheless treated countless large > blisters at rock festivals etc, I was taught by a very experienced A & E > sister to cut a sliver of skin out of the blister with a pair of sterile > scissors to relieve the pressure (and yes I know all the First Aid manuals > say never to burst blisters) then cover them with a cushioned non- adherent > sterile dressing such as melolin or alleyvin. > > I have never used antiseptics or alcohol to clean them first although in > tropical areas my attitude may well be different. Out of all the blisters > I've treated in this way I've never seen one get infected. > > I would certainly also endorse the wearing of thick socks and/or 2 pairs > until healed. > > Hope this helps, > > All the best, > > Simon Furmage > RTO > Loch Lomond Rescue Boat. > Blisters > > > > Hello all, > > Can anyone , especially the ex-military guys, point me in the direction of > a > > resource for blister care (feet) as there seem to be a lot of treatments > > that have only anecdotal evidence to back them up, ie injecting Friar's > > Balsam into a drained blister - is it worth the watering eyes - or wearing > > duct-tape over them. > > Many thanks, > > Tom Watkinson > > > > _________________________________________________________________ > > On the move? Get Hotmail on your mobile phone > http://www.msn.co.uk/msnmobile > > > > > > > > Member Information: > > > > List owner: Ian Sharpe Owner@R... > > Editor: Ross Boardman Editor@R... > > > > ALL list admin messages (subscriptions & unsubscriptions) should be sent > to the list owner. > > > > Post message: egroups > > > > Please visit our website http://www.remotemedics.co.uk > > > > Regards > > > > The Remote Medics Team > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 27, 2003 Report Share Posted October 27, 2003 Some one was mentioning the validity of comments re blister treatment and whether treatments mentioned came under first aid. Well a reference I use is Langmuir.E. (1996)Mountaincraft and Leadership, 3rd ed. p69 - 71. This text is the recommended text for the UK Mountain Leader Training Board and The ish Sports Council for all their mountaineering qualifications. There is a clear diagram showing using a needle sterilised in a flame for piercing a blister to drain fluid and relieve pressure. I know its not the most resent reference but it does work without causing the excruciating pain some of the other methods would cause. Ian W I was put on this earth to accomplish a certain number of tasks, right now I am so far behind I will never die. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 27, 2003 Report Share Posted October 27, 2003 Hi all, I am not of a military background but when I was in A & E we were told that if the blister was intact you were best to leave it alone. If it had burst or was so huge that you had to intervene then it was deroofed i.e. the entire top was removed. This was a quick and (mainly) painless aseptic procedure. It was then treated like the appropriately sized open wound. As it was put to me just aspirating blisters would temporarily alleviate the symptoms but they tended to refill, and if any bugs had got in you then had a near perfect growth medium for them to multiply in and cause problems. Also if you are expecting open wounds (punctured / ruptured blisters) don't forget to make sure that everyone is covered against tetanus. Just my two pence for what it is worth. Gareth _________________________________________________________________ Hotmail messages direct to your mobile phone http://www.msn.co.uk/msnmobile Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 28, 2003 Report Share Posted October 28, 2003 Hi Tom, good luck with the Trek, from someone who is a fanatical walker, I wish you all the best. As far as treatment, I have always found drainage via a needle, support of a padded dressing works best for me. I have in the past applied the following rules for looking after my feet. For three to four days prior to a long walk, apply Tic Benz the the soles of the feet, stains them but hardens the skin. Two pairs of socks, inner layer to be cotton, this will help soak up the sweat Most important of all, Proper fitting footwear, do not under any circumstances use new boots, make sure they have been worn in. After the days walking is over, air the feet, then pat dry , do not rub rigourusly, clean cotton socks and all should be hunky dory. regards Neil Poole Elgin/lin Medic " chloegwa " <libre67@...> 28/10/2003 01:16 Please respond to cc: Subject: Blisters Dear Tom, I have never experienced the Sahara before but i can imagine its not too pleasant.I would think with a combination of weight on your back,heat radiating from the sand,friction and the shear distance you have to cover you will undoubtedly get blisters. 1.Take preventative measures,before starting the marathon tape your heels and balls of your feet up with zinc oxide tape,re- assessing after day one when you will know where your hot spots are. 2.A lot of the discomfort in blisters is caused by pressure,each time you take a step the fluid is forced to the edges of the blister causing pain,drain daily with needle and syringe. 3.Never debride the skin from a covered blister,this would leave the underlying tissue raw and open to infection,this treatment is for post event when you can put your feet up,not during. 4.Do not use talcum powder during the event it is made of minute ballbearings of talc,this increases movement between foot and footwear,thus increasing friction. 5.If all else fails and you are in a lot of pain before you start in the morning then aspirate the blister and replace with a very small amount of lidocaine 1%,wait two minutes and you'll feel ok for an hour or so. 6.When you have successfully completed your 5 day marathon seek alternative treatment. I hope you do well and i tip my hat to you,good luck,Stu. Member Information: List owner: Ian Sharpe Owner@... Editor: Ross Boardman Editor@... ALL list admin messages (subscriptions & unsubscriptions) should be sent to the list owner. Post message: egroups Please visit our website http://www.remotemedics.co.uk Regards The Remote Medics Team Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 28, 2003 Report Share Posted October 28, 2003 Stu, Thanks for that. Using lidocaine would never have occurred to me - that's definitely going in the pack, or better yet, someone else's! Zinc oxide tape sounds a lot more sensible than duct tape too. Been on a few training runs in the desert here (Algerian Sahara) and am mainly having probs with pack chafe but expect the feet will be playing up soon, as the distance and weight go up. Cheers for that, Tom >From: " chloegwa " <libre67@...> >Reply- > >Subject: Blisters >Date: Tue, 28 Oct 2003 01:16:54 -0000 > >Dear Tom, > I have never experienced the Sahara before but i can imagine its >not too pleasant.I would think with a combination of weight on your >back,heat radiating from the sand,friction and the shear distance >you have to cover you will undoubtedly get blisters. > > 1.Take preventative measures,before starting the marathon tape >your heels and balls of your feet up with zinc oxide tape,re- >assessing after day one when you will know where your hot spots are. > > 2.A lot of the discomfort in blisters is caused by pressure,each >time you take a step the fluid is forced to the edges of the blister >causing pain,drain daily with needle and syringe. > > 3.Never debride the skin from a covered blister,this would leave >the underlying tissue raw and open to infection,this treatment is >for post event when you can put your feet up,not during. > > 4.Do not use talcum powder during the event it is made of minute >ballbearings of talc,this increases movement between foot and >footwear,thus increasing friction. > > 5.If all else fails and you are in a lot of pain before you start >in the morning then aspirate the blister and replace with a very >small amount of lidocaine 1%,wait two minutes and you'll feel ok for >an hour or so. > > 6.When you have successfully completed your 5 day marathon seek >alternative treatment. > > I hope you do well and i tip my hat to you,good luck,Stu. > > _________________________________________________________________ Use MSN Messenger to send music and pics to your friends http://www.msn.co.uk/messenger Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 28, 2003 Report Share Posted October 28, 2003 I was always taught wicks or drains into wounds acted as a source of potential infection even if used for beneficial purposes and thus need special care which I am not sure would be applicable in field conditions. This topics theme seems often to be what works for you is best so why change it, which I admit I do myself but it does make one wonder what evidence based medicine is available on this for best practice with quickest relief and repair. Blisters >Hi everyone, > > I don't normally comment,i just like to sit here,read and >learn,however i feel i have something to contribute to this >particular discussion. > Having spent many years treating other peoples blisters with a >different array of techniques(i must admit taking a certain amount >of sadistic pleasure in the more painful techniques as some of the >reactions were extremely funny,highly unproffessional i know)i had >the opportunity to experiment on myself whilst serving with the >Legion,producing a fantastic array of different types of blisters on >a regular basis.I have injected my own blisters with Tinc Benz,the >theory being that if i did it myself it would hurt less,this >unfortunately is not the case,i can only compare it with sticking >red hot needles in my eyes whilst someone hits my testicles with an >ice pick,this i found to be the best technique if you want to >continue tabbing the next day,however there is not enough money in >the world to make me use it again,suffering the blisters is >deffinately the better option. > A relatively painless alternative,which has been mentioned earlier >is to release some of the pressure with a syringe and needle then >sew some cotton through the skin of the blister repeating 3 to 4 >times,this acts as a wick and is quite effective,then cover with a >porous tape.If the blister is raw then treat as any open >wound ,clean,apply dry dressing then tape.I hope i haven't prattled >on too long. > Take care everyone,Stu > > > > >Member Information: > >List owner: Ian Sharpe Owner@... >Editor: Ross Boardman Editor@... > >ALL list admin messages (subscriptions & unsubscriptions) should be sent to the list owner. > >Post message: egroups > >Please visit our website http://www.remotemedics.co.uk > >Regards > >The Remote Medics Team > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 29, 2003 Report Share Posted October 29, 2003 For those of you who haven't had exposure to the UEL (S) and or JSMEL Langmuir is THE bible when it comes to Mountain Leadership..... Rgs Ian Re: Blisters Some one was mentioning the validity of comments re blister treatment and whether treatments mentioned came under first aid. Well a reference I use is Langmuir.E. (1996)Mountaincraft and Leadership, 3rd ed. p69 - 71. This text is the recommended text for the UK Mountain Leader Training Board and The ish Sports Council for all their mountaineering qualifications. There is a clear diagram showing using a needle sterilised in a flame for piercing a blister to drain fluid and relieve pressure. I know its not the most resent reference but it does work without causing the excruciating pain some of the other methods would cause. Ian W I was put on this earth to accomplish a certain number of tasks, right now I am so far behind I will never die. Member Information: List owner: Ian Sharpe Owner@... Editor: Ross Boardman Editor@... ALL list admin messages (subscriptions & unsubscriptions) should be sent to the list owner. Post message: egroups Please visit our website http://www.remotemedics.co.uk Regards The Remote Medics Team Quote Link to comment Share on other sites More sharing options...
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