02-15-2005, 17:50
|
#1
|
|
Guerrilla Chief
Join Date: Jul 2004
Location: Phoenix, AZ
Posts: 880
|
Bringing it all together
Tomorrow I'll present a case that will utilize many of the issues discussed in recent threads....this will include not just medical issues but others as well.
Something to ponder until I upload the pics and story tomorrow (around 10 am EST).....
stay tuned for an act of bravery, self preservation and guts.
I'm sure the QP's will offer other words as well.
__________________
'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)
|
|
swatsurgeon is offline
|
|
|
02-16-2005, 05:42
|
#2
|
|
Guerrilla Chief
Join Date: Jul 2004
Location: Phoenix, AZ
Posts: 880
|
He's the scenerio.....
40 something year old male trapped under his car for 3 hrs. Car is sitting on his hand, no one responds to his calls for help. He needs his medications (he has multiple medical problems) and knows he needs to get free soon or he could develop serious problems and likely die. Takes out his pocket knife and self amputates his hand, snaps the bones by standing up quickly, walks back to his house (~500-700 yrds), calls 911 and is brought to us.....awake, alert, 'dealing with the pain. Was very glad he keeps his knife sharp...I have to find out what knife it was.
He is a retired marine (some special unit he won't talk about)...retired due to arm disability from a GSW to the shoulder that destroyed nerves to the arm....self applied a tourniquet, held direct pressure on the wound, covered in a cloth.
Says he did it to survive, that it hurt more than he expected but that didn't stop him, he knew he had to get free so his wife wouldn't find him dead...not the way he wanted to "go out".
Brave?, Crazy? Ballsy? Insane? or just someone taught the survival instinct that is so honed that he used his skills, physically and mentally to survive.
__________________
'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)
|
|
swatsurgeon is offline
|
|
|
02-16-2005, 06:21
|
#3
|
|
Guest
|
I take it that the death threat by the car was because of the medication issues, please correct me if that is wrong.
Did he apply the tourniquet after the severing of the hand and what/how did he use to do it?
|
|
|
|
|
02-16-2005, 11:28
|
#4
|
|
Guerrilla
Join Date: Mar 2004
Location: Event Horizon...
Posts: 383
|
I'm wondering what medical condition he has that would be so urgent as to amuptate his own hand and would be life threatening within a few hours?
Was he bleeding into the hand?
Severe brittle diabetes?
Severe liver failure requiring lactulose rx?
PS
What kind of knife?
Edit spelling
Last edited by ccrn; 02-16-2005 at 17:05.
|
|
ccrn is offline
|
|
|
02-16-2005, 11:33
|
#5
|
|
Bladesmith to the Quiet Professionals
Join Date: Feb 2004
Location: Oregon, Land of the Silver Grey Sunsets
Posts: 3,886
|
We can talk about this being the right thing or not to have done but he's already done it.
Is/was the hand re-attachable?
|
|
Bill Harsey is offline
|
|
|
02-16-2005, 12:50
|
#6
|
|
Consigliere
Join Date: Jan 2004
Location: Free Pineland (at last)
Posts: 8,841
|
Wow. 
|
|
Roguish Lawyer is offline
|
|
|
02-16-2005, 16:26
|
#7
|
|
Guerrilla Chief
Join Date: Jul 2004
Location: Phoenix, AZ
Posts: 880
|
the hand was infact re-plantable but the patient did not want to go through the procedure despite the fact we offered it.....
the urgency of meds, we now find out were depression/PTSD related.
he felt the immediate threat of being trapped and it did a number on his head.
He's doing well so far.
__________________
'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)
|
|
swatsurgeon is offline
|
|
|
02-16-2005, 17:03
|
#8
|
|
Guerrilla
Join Date: Mar 2004
Location: Event Horizon...
Posts: 383
|
I second that "wow"
|
|
ccrn is offline
|
|
|
02-16-2005, 17:45
|
#9
|
|
Asset
Join Date: Feb 2005
Location: South Dakota
Posts: 36
|
Truly amazing what the mind can conjure!
__________________
You got to cut to cure and hurt to heal, so if you're not bleeding and screamin', I ain't doin' my job!!
|
|
hurly is offline
|
|
|
02-16-2005, 18:50
|
#10
|
|
Quiet Professional
Join Date: Oct 2004
Location: east coast
Posts: 607
|
His will to live overwhelmed his ability to accept death. Good job.
|
|
casey is offline
|
|
|
02-16-2005, 19:21
|
#11
|
|
Quiet Professional
Join Date: Jan 2004
Location: LA
Posts: 1,653
|
Woodpecker Lips
__________________
Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
Still want to quit?
|
|
NousDefionsDoc is offline
|
|
|
02-16-2005, 23:54
|
#12
|
|
Guerrilla Chief
Join Date: Jul 2004
Location: Phoenix, AZ
Posts: 880
|
ahhhhhhh...new news.
NDD may have nailed it.........we have a small psych issue now. Yes he cut it off but the story is changing and this may have been 'staged/planned'....damn, ruins a good story...at least I have good pics!!
__________________
'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)
|
|
swatsurgeon is offline
|
|
|
02-17-2005, 07:22
|
#13
|
|
Quiet Professional
Join Date: Oct 2004
Location: east coast
Posts: 607
|
Quote:
|
Originally Posted by Bill Harsey
We can talk about this being the right thing or not to have done but he's already done it.
Is/was the hand re-attachable?
|
Ok, now I can post this. Is it just me or does anyone else see the Mr. Harsey(brilliant/innocent) subtle Addams Family reference here? I've been holding this back for days ......
|
|
casey is offline
|
|
|
02-17-2005, 08:57
|
#14
|
|
Guerrilla
Join Date: Mar 2004
Location: Event Horizon...
Posts: 383
|
Quote:
|
Originally Posted by casey
Is it just me or does anyone else see the Mr. Harsey(brilliant/innocent) subtle Addams Family reference here? I've been holding this back for days ......
|
I'm picking myself up off the floor for the second time in two days.
Quote:
|
Originally Posted by swatsurgeon
...NDD may have nailed it...
|
I thought this was a reference to being tough, not crazy.
People might not be happy with my position but I'm not giving this pt props for this-
|
|
ccrn is offline
|
|
|
02-17-2005, 11:25
|
#15
|
|
Quiet Professional
Join Date: Jan 2004
Location: LA
Posts: 1,653
|
It was a reference to being tough. He also quite obviously needs psych help.
__________________
Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
Still want to quit?
|
|
NousDefionsDoc is offline
|
|
|
Currently Active Users Viewing This Thread: 1 (0 members and 1 guests)
|
|
|
Posting Rules
|
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts
HTML code is Off
|
|
|
All times are GMT -6. The time now is 16:05.
|
|
|
Linear Mode
