I would like to point out a few things mentioned here... only nit-picking though....
You in-correctly used the word sterilized a few times. Use the word clean, it's more accurate and makes it sound like you know what you are talking about if someone is to follow your lead. There is a huge difference between the two.
Never suture a would past 6hrs of the injury
If possible use a monochrome vs polychrome suture (single thread like most fishing lines) not a braided suture.
NEVER EVER EVER use any form of chemical anticoagulant. Period.
I am trained an I won't touch the stuff.
There are several styles and ways to suture... but as you have demonstrated just because one way it the "way" to do it....doesn't make it the only way.
Please keep us up to date on the healing process and your successes or how you would do things differently as you see fit.
The hand is a tough place to heal since its used so much, good luck.
And if I haven't said it yet... Good Job!
That's been a predicament I've thought of.
Needing stitches on my sewing hand or on my backside that I can't reach.
You're a good son to be near by and available.
(Not throwing-up is also a plus)
Hope all his nerves are not affected.
NEVER EVER EVER use any form of chemical anticoagulant. Period.
Yep, just like that. I don't find it complicated. Out of curiosity have you ever had to suture anything?
Yes
Do you have pictures of your fathers hand? I think many would like to see.
Did you have local anesthetic or the grit your teeth method?
Thanks,
TJ
I understand that this is essentially cauterizes, and requires burn treatment to repair the affected area. Correct me if I'm wrong.
The chemical process causes an exothermic reaction destroying all tissues that are used in the process. Major surgery is needed the reconcile the area, with a rehab time uncertain for debridement of the inside wound cavity. Infection is outrageous and success rate is really unknown. Not to mention the creation of throbis in blood vessles. The window to actually get me to use this is sooooo small that by the time I thought to use it, get to my kit, open it, apply it, and stop the bleeding, the patient would have a front row seat hovering over their own body.
The debate on whether its OK to destroy tissues to save a life is fair, however the gross chances of mis-use, conpletely out weight the purchase for me.... and I'm trained.
The military removed them from their medic (to the best of my knowledge), metropolitan 911, ERs, trauma centers and OR's don't use them.... why the heck would Dick's market them to your weekend warrior mountain biker?
/rant
The chemical process causes an exothermic reaction destroying all tissues that are used in the process. Major surgery is needed the reconcile the area, with a rehab time uncertain for debridement of the inside wound cavity. Infection is outrageous and success rate is really unknown. Not to mention the creation of throbis in blood vessles. The window to actually get me to use this is sooooo small that by the time I thought to use it, get to my kit, open it, apply it, and stop the bleeding, the patient would have a front row seat hovering over their own body.
The debate on whether its OK to destroy tissues to save a life is fair, however the gross chances of mis-use, conpletely out weight the purchase for me.... and I'm trained.
The military removed them from their medic (to the best of my knowledge), metropolitan 911, ERs, trauma centers and OR's don't use them.... why the heck would Dick's market them to your weekend warrior mountain biker?
/rant
No, its like sewing... Needle in one side, through cut to other side, square knot on top of square knot. It's simple really, and this isn't the first time we done this. May not be to "standards" but it works.
Quick clot is a brand name, it is one of a few chemical coagulants. You won't read much about the negitive outcomes for a few reasons, they're data isn't showing the full picture, its from an exposed vascular wound in a controlled enviroment. On sedated patients.
Controlling bleeding hasn't changed in years...
Direct pressure
Elevation
Arterial pressure
Tourniquet
In reference to the post above... 12 hrs post injury is way too long to wait to use sutures, the tissues have lost all integrety to hold taught by then.
I am aware that there are many physicians that won't suture post 3-4 hour injury, but the closure of noncontaminated wounds may be successful up to 12 hours, or even 24 hours in healthy patients with a clean laceration of a vascular area, such as the face and scalp.
Such is subject to the discretion of the attending.
Post 6+ hours has nothing to do with infection. It has to do with how the skin breaks down, cells leak fluid and lose integrity. By all means each clinician has their own set of standards, I'm speaking in terms of human pathophysiology and don't forget, you are offering medical advice on an open forum to a group of medically untrained folks. Try to see the forest through the trees here.