Definitive Wound Care question

[Guest guest]

I was recently mauled by a dog, involving mostly my right hand. I slathered the

wounds with 3x anti biotic salve after soaking in a hot saline bucket. Sterile

4x4's were applied, and wrapped in Kerlix and taped into place. How often should

I change the dressings? I was thinking every 2-3 days. I do not know a whole lot

about definitive care for wounds, but I do know how to do the pre hospital care.

Just need to know the optimum time before I cut the bandaging off, and apply a

new one. The dog belongs to us, long story short, I tackeled him after he got

out, to keep him from crossing a busy street, and he may have thought I was

trying to hurt him. The bites that were inflicted were defensive. (although

rather misplaced) The dog has every shot needed and goes to the vet 3 times a

year. There is no risk of anything other than infection. How often should I

change the dressing?

I'll keep my Guns, my Freedom and my MONEY,

You can keep the " CHANGE. "

[Guest guest]

And, the reason why you haven't sought the expertise of a traumatologist is

......... ?

> **

>

>

> I was recently mauled by a dog, involving mostly my right hand. I

> slathered the wounds with 3x anti biotic salve after soaking in a hot

> saline bucket. Sterile 4x4's were applied, and wrapped in Kerlix and taped

> into place. How often should I change the dressings? I was thinking every

> 2-3 days. I do not know a whole lot about definitive care for wounds, but I

> do know how to do the pre hospital care. Just need to know the optimum time

> before I cut the bandaging off, and apply a new one. The dog belongs to us,

> long story short, I tackeled him after he got out, to keep him from

> crossing a busy street, and he may have thought I was trying to hurt him.

> The bites that were inflicted were defensive. (although rather misplaced)

> The dog has every shot needed and goes to the vet 3 times a year. There is

> no risk of anything other than infection. How often should I change the

> dressing?

>

> I'll keep my Guns, my Freedom and my MONEY,

> You can keep the " CHANGE. "

>

>

[Guest guest]

And, the reason why you haven't sought the expertise of a traumatologist is

......... ?

> **

>

>

> I was recently mauled by a dog, involving mostly my right hand. I

> slathered the wounds with 3x anti biotic salve after soaking in a hot

> saline bucket. Sterile 4x4's were applied, and wrapped in Kerlix and taped

> into place. How often should I change the dressings? I was thinking every

> 2-3 days. I do not know a whole lot about definitive care for wounds, but I

> do know how to do the pre hospital care. Just need to know the optimum time

> before I cut the bandaging off, and apply a new one. The dog belongs to us,

> long story short, I tackeled him after he got out, to keep him from

> crossing a busy street, and he may have thought I was trying to hurt him.

> The bites that were inflicted were defensive. (although rather misplaced)

> The dog has every shot needed and goes to the vet 3 times a year. There is

> no risk of anything other than infection. How often should I change the

> dressing?

>

> I'll keep my Guns, my Freedom and my MONEY,

> You can keep the " CHANGE. "

>

>

[Guest guest]

Not knowing much about any form of definitive care is the reason why we go see a

doctor.

Wes

Sent from my iPad

> I was recently mauled by a dog, involving mostly my right hand. I slathered

the wounds with 3x anti biotic salve after soaking in a hot saline bucket.

Sterile 4x4's were applied, and wrapped in Kerlix and taped into place. How

often should I change the dressings? I was thinking every 2-3 days. I do not

know a whole lot about definitive care for wounds, but I do know how to do the

pre hospital care. Just need to know the optimum time before I cut the bandaging

off, and apply a new one. The dog belongs to us, long story short, I tackeled

him after he got out, to keep him from crossing a busy street, and he may have

thought I was trying to hurt him. The bites that were inflicted were defensive.

(although rather misplaced) The dog has every shot needed and goes to the vet 3

times a year. There is no risk of anything other than infection. How often

should I change the dressing?

>

> I'll keep my Guns, my Freedom and my MONEY,

> You can keep the " CHANGE. "

>

>

[Guest guest]

Not knowing much about any form of definitive care is the reason why we go see a

doctor.

Wes

Sent from my iPad

> I was recently mauled by a dog, involving mostly my right hand. I slathered

the wounds with 3x anti biotic salve after soaking in a hot saline bucket.

Sterile 4x4's were applied, and wrapped in Kerlix and taped into place. How

often should I change the dressings? I was thinking every 2-3 days. I do not

know a whole lot about definitive care for wounds, but I do know how to do the

pre hospital care. Just need to know the optimum time before I cut the bandaging

off, and apply a new one. The dog belongs to us, long story short, I tackeled

him after he got out, to keep him from crossing a busy street, and he may have

thought I was trying to hurt him. The bites that were inflicted were defensive.

(although rather misplaced) The dog has every shot needed and goes to the vet 3

times a year. There is no risk of anything other than infection. How often

should I change the dressing?

>

> I'll keep my Guns, my Freedom and my MONEY,

> You can keep the " CHANGE. "

>

>

[Guest guest]

Why pay 3 grand, for something I can take care of myself? But I will however,

keep a close eye on it, and seek a higher level of care, if I feel it is getting

out of control. I had a really bad experience using the E.R. at Memorial Hermann

Sugar Land last year. I had an excruciating toothache, but had a dentist appt

the next day. DeDe took me to the ER, and I told them what was going on. Before

they did anything, I asked how much this was going to cost, I just needed

something to ease the pain till I could get to the dentist. The woman said that

they would not charge me for Emergency Services, only for and exam, since they

were just going to look at it, and not pull it. She said 200.00 and I gave her

my debit card. She left and came back with the receipt for me to sign. Doc took

a quick look, never even touched me. He said " yeah, that looks like it hurts,

let me write you a script. So I got 1 shot of Demerol, and a #10 script for

Hydrocodone. I went to

the dentist the next day, and got it pulled. Simple right? wrong. About a month

later I started getting bills from the H, wanting an additional 2,500.00. Bill

from the Doc wanting another 400.00. I fought it all the way up to

administration, even threatening to file suit and subpoena everyone who worked

in the ER that night. But they sold the bill to collections before I could do

that. So,....I dont go to hospitals unless I am dying. (besides you cannot

smoke there anymore, and that is rather uncomfortable!) Anyhoo, I will be okay,

but unfortunately, I am not a " vunnerable " and have to pay for medical care. I

will keep an eye on it, looking for red streaks, etc. The dog is in great

health, with all shots. We take very good care of them. We just had a slight

misunderstanding, and he bit the heck out of me. He had backed out of his

collar, and was trying to run into the traffic, and I refused to let go of him

till I got him into the car. He is safe now

though, but I still have this issue to deal with. I soaked in hot epsom salt,

lathered up with 3x antibiotic salve, Talked DeDe through the bandaging, then

checked distal cap refill. She did a great job. There are pics of my F/B page.

Just wanted to double check the time till it needs to be changed.

Cougar! aka Mike

I'll keep my Guns, my Freedom and my MONEY,

You can keep the " CHANGE. "

>

> > **

> >

> >

> > I was recently mauled by a dog, involving mostly my

> right hand. I

> > slathered the wounds with 3x anti biotic salve after

> soaking in a hot

> > saline bucket. Sterile 4x4's were applied, and wrapped

> in Kerlix and taped

> > into place. How often should I change the dressings? I

> was thinking every

> > 2-3 days. I do not know a whole lot about definitive

> care for wounds, but I

> > do know how to do the pre hospital care. Just need to

> know the optimum time

> > before I cut the bandaging off, and apply a new one.

> The dog belongs to us,

> > long story short, I tackeled him after he got out, to

> keep him from

> > crossing a busy street, and he may have thought I was

> trying to hurt him.

> > The bites that were inflicted were defensive. (although

> rather misplaced)

> > The dog has every shot needed and goes to the vet 3

> times a year. There is

> > no risk of anything other than infection. How often

> should I change the

> > dressing?

> >

> > I'll keep my Guns, my Freedom and my MONEY,

> > You can keep the " CHANGE. "

> >

> >

[Guest guest]

Thank you, that is what I thought, about 2 days. Yes, I will keep a close eye on

it, and go to my regular doctor, if things take a wrong turn. Again, Thank You.

There is one deep puncture wound to the palm, distal and between the

metacarpals, and between the the first phalanges of the 4th and 5th fingers.

(right of top of the callous) I will watch it. I'm personally ok with the salve,

I have used it all my life.

Cougar!! aka Mike

I'll keep my Guns, my Freedom and my MONEY,

You can keep the " CHANGE. "

Subject: Re: Definitive Wound Care question

To: texasems-l

Date: Wednesday, February 22, 2012, 7:58 AM

 

for starters, dispose of the triple abx ointment- stick with plain

Bacitracin and only to keep the dressings from sticking. Neomycin has a nasty

habit of causing skin reactions from past experience.

second: while I was working at the local animal shelter about two years

ago, I had a similar bite to my right fore arm- four punctures and the dog

realized that he had bitten the 'top dog' as soon as he looked at me- I was

breaking up a fight between two dogs on either side of a fence.

I'd recommend only using a dressing to keep it clean and changing it about

every two days (or when it gets dirty or wet).

Healing is safest by 'secondary intent' (letting it heal from the base up

and not closing the wound) in this kind of situation (although I have closed

these wounds in the past after a *complete* irrigation).

expect it to take about a month to fully heal.

last, if the injuries involve the palm of the hand or anywhere around the

extensor tendons on the back of the hand, GET EVALUATED NOW!

deep palmar infections or infections involving the tendons/tendons sheaths

(teno-synovitis) are NOT something to 'ride out.' Similarly, at the first

sign of an infection (increasing pain, warmth, redness or swelling- the

classic 'dolor, calor, rubor, tumor' constellation), seek professional

evaluation immediately!

ck

In a message dated 02/22/12 07:48:39 Central Standard Time,

ems_cougar@... writes:

I was recently mauled by a dog, involving mostly my right hand. I

slathered the wounds with 3x anti biotic salve after soaking in a hot saline

bucket. Sterile 4x4's were applied, and wrapped in Kerlix and taped into place.

How often should I change the dressings? I was thinking every 2-3 days. I do

not know a whole lot about definitive care for wounds, but I do know how

to do the pre hospital care. Just need to know the optimum time before I cut

the bandaging off, and apply a new one. The dog belongs to us, long story

short, I tackeled him after he got out, to keep him from crossing a busy

street, and he may have thought I was trying to hurt him. The bites that were

inflicted were defensive. (although rather misplaced) The dog has every

shot needed and goes to the vet 3 times a year. There is no risk of anything

other than infection. How often should I change the dressing?

I'll keep my Guns, my Freedom and my MONEY,

You can keep the " CHANGE. "

[Non-text portions of this message have been removed]

------------------------------------

Yahoo! Groups Links

[Guest guest]

Thank you, that is what I thought, about 2 days. Yes, I will keep a close eye on

it, and go to my regular doctor, if things take a wrong turn. Again, Thank You.

There is one deep puncture wound to the palm, distal and between the

metacarpals, and between the the first phalanges of the 4th and 5th fingers.

(right of top of the callous) I will watch it. I'm personally ok with the salve,

I have used it all my life.

Cougar!! aka Mike

I'll keep my Guns, my Freedom and my MONEY,

You can keep the " CHANGE. "

Subject: Re: Definitive Wound Care question

To: texasems-l

Date: Wednesday, February 22, 2012, 7:58 AM

 

for starters, dispose of the triple abx ointment- stick with plain

Bacitracin and only to keep the dressings from sticking. Neomycin has a nasty

habit of causing skin reactions from past experience.

second: while I was working at the local animal shelter about two years

ago, I had a similar bite to my right fore arm- four punctures and the dog

realized that he had bitten the 'top dog' as soon as he looked at me- I was

breaking up a fight between two dogs on either side of a fence.

I'd recommend only using a dressing to keep it clean and changing it about

every two days (or when it gets dirty or wet).

Healing is safest by 'secondary intent' (letting it heal from the base up

and not closing the wound) in this kind of situation (although I have closed

these wounds in the past after a *complete* irrigation).

expect it to take about a month to fully heal.

last, if the injuries involve the palm of the hand or anywhere around the

extensor tendons on the back of the hand, GET EVALUATED NOW!

deep palmar infections or infections involving the tendons/tendons sheaths

(teno-synovitis) are NOT something to 'ride out.' Similarly, at the first

sign of an infection (increasing pain, warmth, redness or swelling- the

classic 'dolor, calor, rubor, tumor' constellation), seek professional

evaluation immediately!

ck

In a message dated 02/22/12 07:48:39 Central Standard Time,

ems_cougar@... writes:

I was recently mauled by a dog, involving mostly my right hand. I

slathered the wounds with 3x anti biotic salve after soaking in a hot saline

bucket. Sterile 4x4's were applied, and wrapped in Kerlix and taped into place.

How often should I change the dressings? I was thinking every 2-3 days. I do

not know a whole lot about definitive care for wounds, but I do know how

to do the pre hospital care. Just need to know the optimum time before I cut

the bandaging off, and apply a new one. The dog belongs to us, long story

short, I tackeled him after he got out, to keep him from crossing a busy

street, and he may have thought I was trying to hurt him. The bites that were

inflicted were defensive. (although rather misplaced) The dog has every

shot needed and goes to the vet 3 times a year. There is no risk of anything

other than infection. How often should I change the dressing?

I'll keep my Guns, my Freedom and my MONEY,

You can keep the " CHANGE. "

[Non-text portions of this message have been removed]

------------------------------------

Yahoo! Groups Links

[Guest guest]

I AM going to a doctor! All my EMS friends! There are doctors here, and Medics

that I would trust with my life. I'm not TOTALLY ignorant of definitive care,

just checking to make sure I was right about the dressing change time.

Cougar!! aka Mike

I'll keep my Guns, my Freedom and my MONEY,

You can keep the " CHANGE. "

> I was recently mauled by a dog, involving mostly my right hand. I slathered

the wounds with 3x anti biotic salve after soaking in a hot saline bucket.

Sterile 4x4's were applied, and wrapped in Kerlix and taped into place. How

often should I change the dressings? I was thinking every 2-3 days. I do not

know a whole lot about definitive care for wounds, but I do know how to do the

pre hospital care. Just need to know the optimum time before I cut the bandaging

off, and apply a new one. The dog belongs to us, long story short, I tackeled

him after he got out, to keep him from crossing a busy street, and he may have

thought I was trying to hurt him. The bites that were inflicted were defensive.

(although rather misplaced) The dog has every shot needed and goes to the vet 3

times a year. There is no risk of anything other than infection. How often

should I change the dressing?

>

> I'll keep my Guns, my Freedom and my MONEY,

> You can keep the " CHANGE. "

>

>

[Guest guest]

I AM going to a doctor! All my EMS friends! There are doctors here, and Medics

that I would trust with my life. I'm not TOTALLY ignorant of definitive care,

just checking to make sure I was right about the dressing change time.

Cougar!! aka Mike

I'll keep my Guns, my Freedom and my MONEY,

You can keep the " CHANGE. "

> I was recently mauled by a dog, involving mostly my right hand. I slathered

the wounds with 3x anti biotic salve after soaking in a hot saline bucket.

Sterile 4x4's were applied, and wrapped in Kerlix and taped into place. How

often should I change the dressings? I was thinking every 2-3 days. I do not

know a whole lot about definitive care for wounds, but I do know how to do the

pre hospital care. Just need to know the optimum time before I cut the bandaging

off, and apply a new one. The dog belongs to us, long story short, I tackeled

him after he got out, to keep him from crossing a busy street, and he may have

thought I was trying to hurt him. The bites that were inflicted were defensive.

(although rather misplaced) The dog has every shot needed and goes to the vet 3

times a year. There is no risk of anything other than infection. How often

should I change the dressing?

>

> I'll keep my Guns, my Freedom and my MONEY,

> You can keep the " CHANGE. "

>

>

[Guest guest]

I did not use any skin closures, because of the fact that they are puncture

wounds created by a dog. I did not want to trap any bacteria inside the wounds.

I will do another hot H2o/Saline soak when the dressing is changed. That should

help draw any developing infection out. I am using a 12 Qt. pot with hot water,

and 2 cups of Epsom salt, and I swirl around in it. I am using Tylenol and Aleve

for the pain. I would like to thank everyone for the responses, you guys rock!

Cougar!! aka Mike

I'll keep my Guns, my Freedom and my MONEY,

You can keep the " CHANGE. "

Subject: Re: Definitive Wound Care question

To: texasems-l

Date: Wednesday, February 22, 2012, 7:58 AM

 

for starters, dispose of the triple abx ointment- stick with plain

Bacitracin and only to keep the dressings from sticking. Neomycin has a nasty

habit of causing skin reactions from past experience.

second: while I was working at the local animal shelter about two years

ago, I had a similar bite to my right fore arm- four punctures and the dog

realized that he had bitten the 'top dog' as soon as he looked at me- I was

breaking up a fight between two dogs on either side of a fence.

I'd recommend only using a dressing to keep it clean and changing it about

every two days (or when it gets dirty or wet).

Healing is safest by 'secondary intent' (letting it heal from the base up

and not closing the wound) in this kind of situation (although I have closed

these wounds in the past after a *complete* irrigation).

expect it to take about a month to fully heal.

last, if the injuries involve the palm of the hand or anywhere around the

extensor tendons on the back of the hand, GET EVALUATED NOW!

deep palmar infections or infections involving the tendons/tendons sheaths

(teno-synovitis) are NOT something to 'ride out.' Similarly, at the first

sign of an infection (increasing pain, warmth, redness or swelling- the

classic 'dolor, calor, rubor, tumor' constellation), seek professional

evaluation immediately!

ck

In a message dated 02/22/12 07:48:39 Central Standard Time,

ems_cougar@... writes:

I was recently mauled by a dog, involving mostly my right hand. I

slathered the wounds with 3x anti biotic salve after soaking in a hot saline

bucket. Sterile 4x4's were applied, and wrapped in Kerlix and taped into place.

How often should I change the dressings? I was thinking every 2-3 days. I do

not know a whole lot about definitive care for wounds, but I do know how

to do the pre hospital care. Just need to know the optimum time before I cut

the bandaging off, and apply a new one. The dog belongs to us, long story

short, I tackeled him after he got out, to keep him from crossing a busy

street, and he may have thought I was trying to hurt him. The bites that were

inflicted were defensive. (although rather misplaced) The dog has every

shot needed and goes to the vet 3 times a year. There is no risk of anything

other than infection. How often should I change the dressing?

I'll keep my Guns, my Freedom and my MONEY,

You can keep the " CHANGE. "

[Non-text portions of this message have been removed]

------------------------------------

Yahoo! Groups Links

[Guest guest]

I did not use any skin closures, because of the fact that they are puncture

wounds created by a dog. I did not want to trap any bacteria inside the wounds.

I will do another hot H2o/Saline soak when the dressing is changed. That should

help draw any developing infection out. I am using a 12 Qt. pot with hot water,

and 2 cups of Epsom salt, and I swirl around in it. I am using Tylenol and Aleve

for the pain. I would like to thank everyone for the responses, you guys rock!

Cougar!! aka Mike

I'll keep my Guns, my Freedom and my MONEY,

You can keep the " CHANGE. "

Subject: Re: Definitive Wound Care question

To: texasems-l

Date: Wednesday, February 22, 2012, 7:58 AM

 

for starters, dispose of the triple abx ointment- stick with plain

Bacitracin and only to keep the dressings from sticking. Neomycin has a nasty

habit of causing skin reactions from past experience.

second: while I was working at the local animal shelter about two years

ago, I had a similar bite to my right fore arm- four punctures and the dog

realized that he had bitten the 'top dog' as soon as he looked at me- I was

breaking up a fight between two dogs on either side of a fence.

I'd recommend only using a dressing to keep it clean and changing it about

every two days (or when it gets dirty or wet).

Healing is safest by 'secondary intent' (letting it heal from the base up

and not closing the wound) in this kind of situation (although I have closed

these wounds in the past after a *complete* irrigation).

expect it to take about a month to fully heal.

last, if the injuries involve the palm of the hand or anywhere around the

extensor tendons on the back of the hand, GET EVALUATED NOW!

deep palmar infections or infections involving the tendons/tendons sheaths

(teno-synovitis) are NOT something to 'ride out.' Similarly, at the first

sign of an infection (increasing pain, warmth, redness or swelling- the

classic 'dolor, calor, rubor, tumor' constellation), seek professional

evaluation immediately!

ck

In a message dated 02/22/12 07:48:39 Central Standard Time,

ems_cougar@... writes:

I was recently mauled by a dog, involving mostly my right hand. I

slathered the wounds with 3x anti biotic salve after soaking in a hot saline

bucket. Sterile 4x4's were applied, and wrapped in Kerlix and taped into place.

How often should I change the dressings? I was thinking every 2-3 days. I do

not know a whole lot about definitive care for wounds, but I do know how

to do the pre hospital care. Just need to know the optimum time before I cut

the bandaging off, and apply a new one. The dog belongs to us, long story

short, I tackeled him after he got out, to keep him from crossing a busy

street, and he may have thought I was trying to hurt him. The bites that were

inflicted were defensive. (although rather misplaced) The dog has every

shot needed and goes to the vet 3 times a year. There is no risk of anything

other than infection. How often should I change the dressing?

I'll keep my Guns, my Freedom and my MONEY,

You can keep the " CHANGE. "

[Non-text portions of this message have been removed]

------------------------------------

Yahoo! Groups Links

[Guest guest]

Here is a link to the first photo in my " Dog Bites " album. You can hit " next " to

see the rest, and what a wonderful job of bandaging DeDe did.

http://www.facebook.com/photo.php?fbid=3413554576556&l=17dcac88c8

Mike

I'll keep my Guns, my Freedom and my MONEY,

You can keep the " CHANGE. "

Subject: Re: Definitive Wound Care question

To: texasems-l

Date: Wednesday, February 22, 2012, 7:58 AM

 

for starters, dispose of the triple abx ointment- stick with plain

Bacitracin and only to keep the dressings from sticking. Neomycin has a nasty

habit of causing skin reactions from past experience.

second: while I was working at the local animal shelter about two years

ago, I had a similar bite to my right fore arm- four punctures and the dog

realized that he had bitten the 'top dog' as soon as he looked at me- I was

breaking up a fight between two dogs on either side of a fence.

I'd recommend only using a dressing to keep it clean and changing it about

every two days (or when it gets dirty or wet).

Healing is safest by 'secondary intent' (letting it heal from the base up

and not closing the wound) in this kind of situation (although I have closed

these wounds in the past after a *complete* irrigation).

expect it to take about a month to fully heal.

last, if the injuries involve the palm of the hand or anywhere around the

extensor tendons on the back of the hand, GET EVALUATED NOW!

deep palmar infections or infections involving the tendons/tendons sheaths

(teno-synovitis) are NOT something to 'ride out.' Similarly, at the first

sign of an infection (increasing pain, warmth, redness or swelling- the

classic 'dolor, calor, rubor, tumor' constellation), seek professional

evaluation immediately!

ck

In a message dated 02/22/12 07:48:39 Central Standard Time,

ems_cougar@... writes:

I was recently mauled by a dog, involving mostly my right hand. I

slathered the wounds with 3x anti biotic salve after soaking in a hot saline

bucket. Sterile 4x4's were applied, and wrapped in Kerlix and taped into place.

How often should I change the dressings? I was thinking every 2-3 days. I do

not know a whole lot about definitive care for wounds, but I do know how

to do the pre hospital care. Just need to know the optimum time before I cut

the bandaging off, and apply a new one. The dog belongs to us, long story

short, I tackeled him after he got out, to keep him from crossing a busy

street, and he may have thought I was trying to hurt him. The bites that were

inflicted were defensive. (although rather misplaced) The dog has every

shot needed and goes to the vet 3 times a year. There is no risk of anything

other than infection. How often should I change the dressing?

I'll keep my Guns, my Freedom and my MONEY,

You can keep the " CHANGE. "

[Non-text portions of this message have been removed]

------------------------------------

Yahoo! Groups Links

[Guest guest]

Here is a link to the first photo in my " Dog Bites " album. You can hit " next " to

see the rest, and what a wonderful job of bandaging DeDe did.

http://www.facebook.com/photo.php?fbid=3413554576556&l=17dcac88c8

Mike

I'll keep my Guns, my Freedom and my MONEY,

You can keep the " CHANGE. "

Subject: Re: Definitive Wound Care question

To: texasems-l

Date: Wednesday, February 22, 2012, 7:58 AM

 

for starters, dispose of the triple abx ointment- stick with plain

Bacitracin and only to keep the dressings from sticking. Neomycin has a nasty

habit of causing skin reactions from past experience.

second: while I was working at the local animal shelter about two years

ago, I had a similar bite to my right fore arm- four punctures and the dog

realized that he had bitten the 'top dog' as soon as he looked at me- I was

breaking up a fight between two dogs on either side of a fence.

I'd recommend only using a dressing to keep it clean and changing it about

every two days (or when it gets dirty or wet).

Healing is safest by 'secondary intent' (letting it heal from the base up

and not closing the wound) in this kind of situation (although I have closed

these wounds in the past after a *complete* irrigation).

expect it to take about a month to fully heal.

last, if the injuries involve the palm of the hand or anywhere around the

extensor tendons on the back of the hand, GET EVALUATED NOW!

deep palmar infections or infections involving the tendons/tendons sheaths

(teno-synovitis) are NOT something to 'ride out.' Similarly, at the first

sign of an infection (increasing pain, warmth, redness or swelling- the

classic 'dolor, calor, rubor, tumor' constellation), seek professional

evaluation immediately!

ck

In a message dated 02/22/12 07:48:39 Central Standard Time,

ems_cougar@... writes:

I was recently mauled by a dog, involving mostly my right hand. I

slathered the wounds with 3x anti biotic salve after soaking in a hot saline

bucket. Sterile 4x4's were applied, and wrapped in Kerlix and taped into place.

How often should I change the dressings? I was thinking every 2-3 days. I do

not know a whole lot about definitive care for wounds, but I do know how

to do the pre hospital care. Just need to know the optimum time before I cut

the bandaging off, and apply a new one. The dog belongs to us, long story

short, I tackeled him after he got out, to keep him from crossing a busy

street, and he may have thought I was trying to hurt him. The bites that were

inflicted were defensive. (although rather misplaced) The dog has every

shot needed and goes to the vet 3 times a year. There is no risk of anything

other than infection. How often should I change the dressing?

I'll keep my Guns, my Freedom and my MONEY,

You can keep the " CHANGE. "

[Non-text portions of this message have been removed]

------------------------------------

Yahoo! Groups Links

[Guest guest]

Where can I purchase an upper thigh? hahahaha! that was a joke..I love poking

fun at typos, but ONLY if you know I was just joking!

So, you think that open air is better than re wrapping it tonight? Our bed is

clean, and it would give it a chance to coagulate, and seal the wounds.

Coug.

I'll keep my Guns, my Freedom and my MONEY,

You can keep the " CHANGE. "

>

> From: krin135@...

> krin135@...>

> Subject: Re: Definitive Wound Care question

> To: texasems-l

> Date: Wednesday, February 22, 2012, 7:58 AM

>

>

>

> for starters, dispose of the triple abx ointment- stick with

> plain

>

> Bacitracin and only to keep the dressings from sticking.

> Neomycin has a nasty

>

> habit of causing skin reactions from past experience.

>

> second: while I was working at the local animal shelter

> about two years

>

> ago, I had a similar bite to my right fore arm- four

> punctures and the dog

>

> realized that he had bitten the 'top dog' as soon as he

> looked at me- I was

>

> breaking up a fight between two dogs on either side of a

> fence.

>

> I'd recommend only using a dressing to keep it clean and

> changing it about

>

> every two days (or when it gets dirty or wet).

>

> Healing is safest by 'secondary intent' (letting it heal

> from the base up

>

> and not closing the wound) in this kind of situation

> (although I have closed

>

> these wounds in the past after a *complete* irrigation).

>

> expect it to take about a month to fully heal.

>

> last, if the injuries involve the palm of the hand or

> anywhere around the

>

> extensor tendons on the back of the hand, GET EVALUATED

> NOW!

>

> deep palmar infections or infections involving the

> tendons/tendons sheaths

>

> (teno-synovitis) are NOT something to 'ride out.' Similarly,

> at the first

>

> sign of an infection (increasing pain, warmth, redness or

> swelling- the

>

> classic 'dolor, calor, rubor, tumor' constellation), seek

> professional

>

> evaluation immediately!

>

> ck

>

> In a message dated 02/22/12 07:48:39 Central Standard Time,

>

> ems_cougar@...

> writes:

>

> I was recently mauled by a dog, involving mostly my right

> hand. I

>

> slathered the wounds with 3x anti biotic salve after soaking

> in a hot saline

>

> bucket. Sterile 4x4's were applied, and wrapped in Kerlix

> and taped into place.

>

> How often should I change the dressings? I was thinking

> every 2-3 days. I do

>

> not know a whole lot about definitive care for wounds, but I

> do know how

>

> to do the pre hospital care. Just need to know the optimum

> time before I cut

>

> the bandaging off, and apply a new one. The dog belongs to

> us, long story

>

> short, I tackeled him after he got out, to keep him from

> crossing a busy

>

> street, and he may have thought I was trying to hurt him.

> The bites that were

>

> inflicted were defensive. (although rather misplaced) The

> dog has every

>

> shot needed and goes to the vet 3 times a year. There is no

> risk of anything

>

> other than infection. How often should I change the

> dressing?

>

> I'll keep my Guns, my Freedom and my MONEY,

>

> You can keep the " CHANGE. "

>

>

[Guest guest]

Where can I purchase an upper thigh? hahahaha! that was a joke..I love poking

fun at typos, but ONLY if you know I was just joking!

So, you think that open air is better than re wrapping it tonight? Our bed is

clean, and it would give it a chance to coagulate, and seal the wounds.

Coug.

I'll keep my Guns, my Freedom and my MONEY,

You can keep the " CHANGE. "

>

> From: krin135@...

> krin135@...>

> Subject: Re: Definitive Wound Care question

> To: texasems-l

> Date: Wednesday, February 22, 2012, 7:58 AM

>

>

>

> for starters, dispose of the triple abx ointment- stick with

> plain

>

> Bacitracin and only to keep the dressings from sticking.

> Neomycin has a nasty

>

> habit of causing skin reactions from past experience.

>

> second: while I was working at the local animal shelter

> about two years

>

> ago, I had a similar bite to my right fore arm- four

> punctures and the dog

>

> realized that he had bitten the 'top dog' as soon as he

> looked at me- I was

>

> breaking up a fight between two dogs on either side of a

> fence.

>

> I'd recommend only using a dressing to keep it clean and

> changing it about

>

> every two days (or when it gets dirty or wet).

>

> Healing is safest by 'secondary intent' (letting it heal

> from the base up

>

> and not closing the wound) in this kind of situation

> (although I have closed

>

> these wounds in the past after a *complete* irrigation).

>

> expect it to take about a month to fully heal.

>

> last, if the injuries involve the palm of the hand or

> anywhere around the

>

> extensor tendons on the back of the hand, GET EVALUATED

> NOW!

>

> deep palmar infections or infections involving the

> tendons/tendons sheaths

>

> (teno-synovitis) are NOT something to 'ride out.' Similarly,

> at the first

>

> sign of an infection (increasing pain, warmth, redness or

> swelling- the

>

> classic 'dolor, calor, rubor, tumor' constellation), seek

> professional

>

> evaluation immediately!

>

> ck

>

> In a message dated 02/22/12 07:48:39 Central Standard Time,

>

> ems_cougar@...

> writes:

>

> I was recently mauled by a dog, involving mostly my right

> hand. I

>

> slathered the wounds with 3x anti biotic salve after soaking

> in a hot saline

>

> bucket. Sterile 4x4's were applied, and wrapped in Kerlix

> and taped into place.

>

> How often should I change the dressings? I was thinking

> every 2-3 days. I do

>

> not know a whole lot about definitive care for wounds, but I

> do know how

>

> to do the pre hospital care. Just need to know the optimum

> time before I cut

>

> the bandaging off, and apply a new one. The dog belongs to

> us, long story

>

> short, I tackeled him after he got out, to keep him from

> crossing a busy

>

> street, and he may have thought I was trying to hurt him.

> The bites that were

>

> inflicted were defensive. (although rather misplaced) The

> dog has every

>

> shot needed and goes to the vet 3 times a year. There is no

> risk of anything

>

> other than infection. How often should I change the

> dressing?

>

> I'll keep my Guns, my Freedom and my MONEY,

>

> You can keep the " CHANGE. "

>

>

[Guest guest]

It does not look bad now, but had you seen me sitting in the car calming down

after getting the dogs back in the house, you would have thought it was a

homicide scene! My arms were covered in blood up to the elbows and my pants were

muddy. It is not really that bad, after the saline soaks and cleaning up, it

almost looks like it doesn't even hurt. But it does. I now have severe bruising

on the medial side of the right arm, that almost reaches the elbow. It will be

okay, having the knowledge to take care of it, and friends like you guys to

reach out to, has been a great blessing. It will heal.

Cougar!! aka Mike

I'll keep my Guns, my Freedom and my MONEY,

You can keep the " CHANGE. "

>

> From: krin135@...

> krin135@...>

> Subject: Re: Definitive Wound Care question

> To: texasems-l

> Date: Wednesday, February 22, 2012, 7:58 AM

>

>

>

> for starters, dispose of the triple abx ointment- stick with

> plain

>

> Bacitracin and only to keep the dressings from sticking.

> Neomycin has a nasty

>

> habit of causing skin reactions from past experience.

>

> second: while I was working at the local animal shelter

> about two years

>

> ago, I had a similar bite to my right fore arm- four

> punctures and the dog

>

> realized that he had bitten the 'top dog' as soon as he

> looked at me- I was

>

> breaking up a fight between two dogs on either side of a

> fence.

>

> I'd recommend only using a dressing to keep it clean and

> changing it about

>

> every two days (or when it gets dirty or wet).

>

> Healing is safest by 'secondary intent' (letting it heal

> from the base up

>

> and not closing the wound) in this kind of situation

> (although I have closed

>

> these wounds in the past after a *complete* irrigation).

>

> expect it to take about a month to fully heal.

>

> last, if the injuries involve the palm of the hand or

> anywhere around the

>

> extensor tendons on the back of the hand, GET EVALUATED

> NOW!

>

> deep palmar infections or infections involving the

> tendons/tendons sheaths

>

> (teno-synovitis) are NOT something to 'ride out.' Similarly,

> at the first

>

> sign of an infection (increasing pain, warmth, redness or

> swelling- the

>

> classic 'dolor, calor, rubor, tumor' constellation), seek

> professional

>

> evaluation immediately!

>

> ck

>

> In a message dated 02/22/12 07:48:39 Central Standard Time,

>

> ems_cougar@...

> writes:

>

> I was recently mauled by a dog, involving mostly my right

> hand. I

>

> slathered the wounds with 3x anti biotic salve after soaking

> in a hot saline

>

> bucket. Sterile 4x4's were applied, and wrapped in Kerlix

> and taped into place.

>

> How often should I change the dressings? I was thinking

> every 2-3 days. I do

>

> not know a whole lot about definitive care for wounds, but I

> do know how

>

> to do the pre hospital care. Just need to know the optimum

> time before I cut

>

> the bandaging off, and apply a new one. The dog belongs to

> us, long story

>

> short, I tackeled him after he got out, to keep him from

> crossing a busy

>

> street, and he may have thought I was trying to hurt him.

> The bites that were

>

> inflicted were defensive. (although rather misplaced) The

> dog has every

>

> shot needed and goes to the vet 3 times a year. There is no

> risk of anything

>

> other than infection. How often should I change the

> dressing?

>

> I'll keep my Guns, my Freedom and my MONEY,

>

> You can keep the " CHANGE. "

>

>

[Guest guest]

Hell I remember the days where blood on arms to the elbows was a right or

passage. Mine you it was some one else's blood.

Today we avoid all bodily secretions even when you're married to you partner.

Louis N. Molino, Sr. CET

FF/NREMT/FSI/EMSI

Training Program Manager

Fire & Safety Specialists, Inc.

Typed by my fingers on my iPhone.

Please excuse any typos.

(Cell)

(Office)

(Office Fax)

LNMolino@...

Lou@...

> It does not look bad now, but had you seen me sitting in the car calming down

after getting the dogs back in the house, you would have thought it was a

homicide scene! My arms were covered in blood up to the elbows and my pants were

muddy. It is not really that bad, after the saline soaks and cleaning up, it

almost looks like it doesn't even hurt. But it does. I now have severe bruising

on the medial side of the right arm, that almost reaches the elbow. It will be

okay, having the knowledge to take care of it, and friends like you guys to

reach out to, has been a great blessing. It will heal.

>

> Cougar!! aka Mike

> I'll keep my Guns, my Freedom and my MONEY,

> You can keep the " CHANGE. "

>

>

> >

> > From: krin135@...

> > krin135@...>

> > Subject: Re: Definitive Wound Care question

> > To: texasems-l

> > Date: Wednesday, February 22, 2012, 7:58 AM

> >

> >

> >

> > for starters, dispose of the triple abx ointment- stick with

> > plain

> >

> > Bacitracin and only to keep the dressings from sticking.

> > Neomycin has a nasty

> >

> > habit of causing skin reactions from past experience.

> >

> > second: while I was working at the local animal shelter

> > about two years

> >

> > ago, I had a similar bite to my right fore arm- four

> > punctures and the dog

> >

> > realized that he had bitten the 'top dog' as soon as he

> > looked at me- I was

> >

> > breaking up a fight between two dogs on either side of a

> > fence.

> >

> > I'd recommend only using a dressing to keep it clean and

> > changing it about

> >

> > every two days (or when it gets dirty or wet).

> >

> > Healing is safest by 'secondary intent' (letting it heal

> > from the base up

> >

> > and not closing the wound) in this kind of situation

> > (although I have closed

> >

> > these wounds in the past after a *complete* irrigation).

> >

> > expect it to take about a month to fully heal.

> >

> > last, if the injuries involve the palm of the hand or

> > anywhere around the

> >

> > extensor tendons on the back of the hand, GET EVALUATED

> > NOW!

> >

> > deep palmar infections or infections involving the

> > tendons/tendons sheaths

> >

> > (teno-synovitis) are NOT something to 'ride out.' Similarly,

> > at the first

> >

> > sign of an infection (increasing pain, warmth, redness or

> > swelling- the

> >

> > classic 'dolor, calor, rubor, tumor' constellation), seek

> > professional

> >

> > evaluation immediately!

> >

> > ck

> >

> > In a message dated 02/22/12 07:48:39 Central Standard Time,

> >

> > ems_cougar@...

> > writes:

> >

> > I was recently mauled by a dog, involving mostly my right

> > hand. I

> >

> > slathered the wounds with 3x anti biotic salve after soaking

> > in a hot saline

> >

> > bucket. Sterile 4x4's were applied, and wrapped in Kerlix

> > and taped into place.

> >

> > How often should I change the dressings? I was thinking

> > every 2-3 days. I do

> >

> > not know a whole lot about definitive care for wounds, but I

> > do know how

> >

> > to do the pre hospital care. Just need to know the optimum

> > time before I cut

> >

> > the bandaging off, and apply a new one. The dog belongs to

> > us, long story

> >

> > short, I tackeled him after he got out, to keep him from

> > crossing a busy

> >

> > street, and he may have thought I was trying to hurt him.

> > The bites that were

> >

> > inflicted were defensive. (although rather misplaced) The

> > dog has every

> >

> > shot needed and goes to the vet 3 times a year. There is no

> > risk of anything

> >

> > other than infection. How often should I change the

> > dressing?

> >

> > I'll keep my Guns, my Freedom and my MONEY,

> >

> > You can keep the " CHANGE. "

> >

> >

[Guest guest]

Hell I remember the days where blood on arms to the elbows was a right or

passage. Mine you it was some one else's blood.

Today we avoid all bodily secretions even when you're married to you partner.

Louis N. Molino, Sr. CET

FF/NREMT/FSI/EMSI

Training Program Manager

Fire & Safety Specialists, Inc.

Typed by my fingers on my iPhone.

Please excuse any typos.

(Cell)

(Office)

(Office Fax)

LNMolino@...

Lou@...

> It does not look bad now, but had you seen me sitting in the car calming down

after getting the dogs back in the house, you would have thought it was a

homicide scene! My arms were covered in blood up to the elbows and my pants were

muddy. It is not really that bad, after the saline soaks and cleaning up, it

almost looks like it doesn't even hurt. But it does. I now have severe bruising

on the medial side of the right arm, that almost reaches the elbow. It will be

okay, having the knowledge to take care of it, and friends like you guys to

reach out to, has been a great blessing. It will heal.

>

> Cougar!! aka Mike

> I'll keep my Guns, my Freedom and my MONEY,

> You can keep the " CHANGE. "

>

>

> >

> > From: krin135@...

> > krin135@...>

> > Subject: Re: Definitive Wound Care question

> > To: texasems-l

> > Date: Wednesday, February 22, 2012, 7:58 AM

> >

> >

> >

> > for starters, dispose of the triple abx ointment- stick with

> > plain

> >

> > Bacitracin and only to keep the dressings from sticking.

> > Neomycin has a nasty

> >

> > habit of causing skin reactions from past experience.

> >

> > second: while I was working at the local animal shelter

> > about two years

> >

> > ago, I had a similar bite to my right fore arm- four

> > punctures and the dog

> >

> > realized that he had bitten the 'top dog' as soon as he

> > looked at me- I was

> >

> > breaking up a fight between two dogs on either side of a

> > fence.

> >

> > I'd recommend only using a dressing to keep it clean and

> > changing it about

> >

> > every two days (or when it gets dirty or wet).

> >

> > Healing is safest by 'secondary intent' (letting it heal

> > from the base up

> >

> > and not closing the wound) in this kind of situation

> > (although I have closed

> >

> > these wounds in the past after a *complete* irrigation).

> >

> > expect it to take about a month to fully heal.

> >

> > last, if the injuries involve the palm of the hand or

> > anywhere around the

> >

> > extensor tendons on the back of the hand, GET EVALUATED

> > NOW!

> >

> > deep palmar infections or infections involving the

> > tendons/tendons sheaths

> >

> > (teno-synovitis) are NOT something to 'ride out.' Similarly,

> > at the first

> >

> > sign of an infection (increasing pain, warmth, redness or

> > swelling- the

> >

> > classic 'dolor, calor, rubor, tumor' constellation), seek

> > professional

> >

> > evaluation immediately!

> >

> > ck

> >

> > In a message dated 02/22/12 07:48:39 Central Standard Time,

> >

> > ems_cougar@...

> > writes:

> >

> > I was recently mauled by a dog, involving mostly my right

> > hand. I

> >

> > slathered the wounds with 3x anti biotic salve after soaking

> > in a hot saline

> >

> > bucket. Sterile 4x4's were applied, and wrapped in Kerlix

> > and taped into place.

> >

> > How often should I change the dressings? I was thinking

> > every 2-3 days. I do

> >

> > not know a whole lot about definitive care for wounds, but I

> > do know how

> >

> > to do the pre hospital care. Just need to know the optimum

> > time before I cut

> >

> > the bandaging off, and apply a new one. The dog belongs to

> > us, long story

> >

> > short, I tackeled him after he got out, to keep him from

> > crossing a busy

> >

> > street, and he may have thought I was trying to hurt him.

> > The bites that were

> >

> > inflicted were defensive. (although rather misplaced) The

> > dog has every

> >

> > shot needed and goes to the vet 3 times a year. There is no

> > risk of anything

> >

> > other than infection. How often should I change the

> > dressing?

> >

> > I'll keep my Guns, my Freedom and my MONEY,

> >

> > You can keep the " CHANGE. "

> >

> >

[Guest guest]

I tried the open air treatment last night. It feels great today. Most of the

wounds have closed up on their own, a few are still a little wet, but nothing is

" oozing " . This weekend I will have wrap it up though, We camp 8 weekends in a

row At Tex Ren Faire, and now 8 weekends at Sherwood Ren Faire in McDade TX. I

act as the camp medic for our group. Then DeDe wants to meet our Ghost Hunting

group at Concord Cemetery in Bellville TX, Sat. night then head back to McDade.

So I am going to have to keep it heavily bandaged. Thank you guys, so much for

all your help and suggestions!

Cougar!! aka Mike.

I'll keep my Guns, my Freedom and my MONEY,

You can keep the " CHANGE. "

[Guest guest]

hey, Coug:

ever run into this young violinist?

_

(

)

seems she's rather popular at the Houston RenFaire....

ck

In a message dated 02/24/12 16:33:54 Central Standard Time,

ems_cougar@... writes:

I tried the open air treatment last night. It feels great today. Most of

the wounds have closed up on their own, a few are still a little wet, but

nothing is " oozing " . This weekend I will have wrap it up though, We camp 8

weekends in a row At Tex Ren Faire, and now 8 weekends at Sherwood Ren Faire

in McDade TX. I act as the camp medic for our group. Then DeDe wants to

meet our Ghost Hunting group at Concord Cemetery in Bellville TX, Sat. night

then head back to McDade. So I am going to have to keep it heavily bandaged.

Thank you guys, so much for all your help and suggestions!

Cougar!! aka Mike.

I'll keep my Guns, my Freedom and my MONEY,

You can keep the " CHANGE. "

[Non-text portions of this message have been removed]

------------------------------------

Yahoo! Groups Links