Summary of "Case Discussion || Hand Injury"
Key Wellness Strategies and Self-Care Techniques Discussed
- Pain Management:
- Initial pain assessment is crucial; for this patient, the pain score was 9 out of 10, later reduced to 7 after analgesia.
- Preferred analgesics include opioids (like Morphine) for severe pain; if pain persists, consider digital blocks (e.g., ring blocks).
- Wound Examination and Treatment:
- Proper examination of the Amputation site is essential; look for active bleeding, skin discoloration, and sensation in surrounding areas.
- Digital blocks can be administered for localized pain relief, requiring knowledge of anatomy to avoid complications.
- Transporting Amputated Parts:
- Clean the amputated part with saline, wrap it in moist gauze, and place it in a plastic bag inside a container with ice and saline.
- Ensure the amputated part is not in direct contact with ice and saline to maintain viability.
- Classification of Amputations:
- Understand the types of amputations: transverse and oblique, with specific classifications based on soft tissue and bone exposure.
- Referral to plastic surgery is necessary for certain types of amputations (e.g., type two or higher).
- Preoperative Management:
- Administer IV antibiotics (first-generation cephalosporins) and provide Tetanus Prophylaxis.
- Keep the patient NPO (nothing by mouth) for a specified duration before surgery.
- Digital Block Technique:
- Use a small gauge needle (25 G) for minimal injury and effective anesthesia.
- Administer anesthetic at the base of the finger, ensuring proper technique to avoid complications like infection or hematoma.
- Patient Counseling:
- Educate patients about the procedure, including indications, contraindications, complications, and post-procedure care.
Presenters/Sources
- Dr. Nain Moan
- Dr. Bry Matthews
- Dr. SH (first-year PG)
- Dr. J (first-year PG)
Category
Wellness and Self-Improvement
