|
Just stirring the pot a little here guys...
removal of the post from the ground is a good start, as is letting the post be the tamponadeing element...
NDD has us in the UWOA, accepting the fact that there is only one SGN on these boards, and in a true hospital environment this case would present a significant challenge...
Let's go best case scenario with what we have...
Facts:
-LArge wooden object impaled in the sft tissue of the upper R thigh with entry and exit protrusion.
-circulatory compromise to the R lower extremity
-post removed from its mooring, patient trasnportable to your grass hut clinic
-breathing on his own, shocky, 2 IV's running wide. pain at 7/10 with MS on board, no other significant injuries...
Things to consider:
-how long to leave it in before infection will set in...or has it already begun?
-which antibiotics do you want to load early on?
-how would you go about removal...if you would at all
-what are some anesthesia considerations for the surgical procedure if you wanted to do one.
Kepe in mind some of the parameters...UWOA, no evac for 14+ days, you are it...you have meds...you aren't going to write this guy off...
thoughts???
Eagle
__________________
Primum non Nocere
"I have hung out in dangerous places a lot over the years, from combat zones to biker bars, and it is the weak, the unaware, or those looking for it, that usually find trouble.
Ain't no one getting out of this world alive. All you can do is try to have some choice in the way you go. Prepare yourself (and your affairs), and when your number is up, die on your feet fighting rather than on your knees. And make the SOBs pay dearly."
The Reaper-3 Sep 04
|
Threaded Mode
