#docchain
I just heard the news from
https://www.youtube.com/watch?v=tpmgIAof014
Without checking local guidelines, I am really interested in your initial thought / procedures.
This OF COURSE, without judging! I just want to learn.
So here my take:
1) no initial Diclophenac
ad 1) I would have administered locally Lidocain right away, and start cleaning the wound extensively (Povidone-Iodine). I would be afraid to extend bleeding, as Diclophenac is a platelet agglutination inhibitor. Of course, post-care with NSAR. Surely with their fast emergency system, arguably the effect of Diclophenac would just start to take effect when they were done :-D (great job for the total 1.5hours!)
2) no initial antibiotics
ad 2) I thought that fast wound cleaning is the best protection; and she has 'obviously' no risk factors (diabetes etc). Maybe something local?
Let me know what you think. Happy to learn!
Marcos Wolf, MD /
npub1p5…45h0x
2023-08-09 06:32:22
Author Public Key
npub1p5cg590lrd7z38v8vkpaw3afwj9f0jq6ttajl70l0uz4juxs3kpsx45h0xSeen on
wss://relay.nostr.bandPublished at
2023-08-09 06:32:22Event JSON
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"content": "#docchain\n\nI just heard the news from \nhttps://www.youtube.com/watch?v=tpmgIAof014\n\nWithout checking local guidelines, I am really interested in your initial thought / procedures. \nThis OF COURSE, without judging! I just want to learn. \n\nSo here my take: \n\n1) no initial Diclophenac\nad 1) I would have administered locally Lidocain right away, and start cleaning the wound extensively (Povidone-Iodine). I would be afraid to extend bleeding, as Diclophenac is a platelet agglutination inhibitor. Of course, post-care with NSAR. Surely with their fast emergency system, arguably the effect of Diclophenac would just start to take effect when they were done :-D (great job for the total 1.5hours!)\n\n2) no initial antibiotics \nad 2) I thought that fast wound cleaning is the best protection; and she has 'obviously' no risk factors (diabetes etc). Maybe something local?\n\nLet me know what you think. Happy to learn!",
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