Guest guest Posted January 23, 2012 Report Share Posted January 23, 2012 ok if ya have a scalping injury and the scalp is partially on do you a replace the scalp and bandage over it b place a bandage on the scull put the scalp back then bandage this was a recent topic of discussion and wanted to get people opinions here Lawrence Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 23, 2012 Report Share Posted January 23, 2012 we were taught in the military (and in the EMT-A course) to rinse the wound out as best as possible, then replace the flap and apply a head dressing. this is one place where knowing how to do cravat bandaging comes in handy, as a cravat head bandage provides some compression of those nasty bleeding scalp arteries! If bone is sticking out, or gray matter is showing....then most bets are off...and I'd use a wet dressing and pad things extensively without putting any pressure on the wound. ck In a message dated 01/23/12 16:58:04 Central Standard Time, lgverrett@... writes: ok if ya have a scalping injury and the scalp is partially on do you a replace the scalp and bandage over it b place a bandage on the scull put the scalp back then bandage this was a recent topic of discussion and wanted to get people opinions here Lawrence [Non-text portions of this message have been removed] ------------------------------------ Yahoo! Groups Links Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 23, 2012 Report Share Posted January 23, 2012 we were taught in the military (and in the EMT-A course) to rinse the wound out as best as possible, then replace the flap and apply a head dressing. this is one place where knowing how to do cravat bandaging comes in handy, as a cravat head bandage provides some compression of those nasty bleeding scalp arteries! If bone is sticking out, or gray matter is showing....then most bets are off...and I'd use a wet dressing and pad things extensively without putting any pressure on the wound. ck In a message dated 01/23/12 16:58:04 Central Standard Time, lgverrett@... writes: ok if ya have a scalping injury and the scalp is partially on do you a replace the scalp and bandage over it b place a bandage on the scull put the scalp back then bandage this was a recent topic of discussion and wanted to get people opinions here Lawrence [Non-text portions of this message have been removed] ------------------------------------ Yahoo! Groups Links Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 24, 2012 Report Share Posted January 24, 2012 I always chuckle when we talk about aseptic or sterile technique in EMS. Di we really think we can be sterile in the back of the box? Or that what we do even in light if technique is going to massively infect a Patient given how long we see them? 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@... > Peroxide (as well as alcohol and iodine for that matter) tend to kill off > the delicate cells that speed healing (gee! D'oh!). > > a dilute solution of the pink stuff (chlorhexidine) or the white stuff > (hexaclorophene) is probably OK for skin and most soft tissues but NOT directly > on the brain!!! > > stick to plain water or saline in the field for most purposes...if you are > going on a wilderness expedition or if you are *way* out in the rural > areas, discuss the situation with medical control as to what your best options > are. > > ck > > > In a message dated 01/24/12 05:34:13 Central Standard Time, > lnmolino@... writes: > > Add to that you must never use hydrogen peroxide on anything that might be > stitched as it ruins the skin for stitches. > > Doc Krin why is that? > > 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@... > > > > > we were taught in the military (and in the EMT-A course) to rinse the > wound > > out as best as possible, then replace the flap and apply a head > dressing. > > this is one place where knowing how to do cravat bandaging comes in > handy, > > as a cravat head bandage provides some compression of those nasty > bleeding > > scalp arteries! > > > > If bone is sticking out, or gray matter is showing....then most bets are > > off...and I'd use a wet dressing and pad things extensively without > putting > > any pressure on the wound. > > > > ck > > > > > > In a message dated 01/23/12 16:58:04 Central Standard Time, > > lgverrett@... writes: > > > > ok if ya have a scalping injury and the scalp is partially on do you > > a replace the scalp and bandage over it > > b place a bandage on the scull put the scalp back then bandage > > this was a recent topic of discussion and wanted to get people opinions > > here > > Lawrence > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 1, 2012 Report Share Posted February 1, 2012 if you haven't read this article yet, I highly recommend doing so...it is a very interesting case review! ck In a message dated 01/31/12 08:59:47 Central Standard Time, rangrsteve@... writes: http://bja.oxfordjournals.org/content/88/4/597.long Quote Link to comment Share on other sites More sharing options...
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