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#73923 - 09/27/06 07:00 PM Re: suggestion on small commercial FAK
KenK Offline
"Be Prepared"
Pooh-Bah

Registered: 06/26/04
Posts: 2211
Loc: NE Wisconsin
Maybe using super glue would do what you need - in place of sutures?

(Yes, I know there is a medical version that won't sting as much, but not sure if those are available to the public)

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#73924 - 09/27/06 07:41 PM Re: suggestion on small commercial FAK
paramedicpete Offline
Pooh-Bah

Registered: 04/09/02
Posts: 1920
Loc: Frederick, Maryland
Dear Friends (not directed to freeballer in particular, his post was just next),

The issue of closing wounds in the field has been discussed numerous times on the forum and would suggest that the consensus of these previous posts recommends not closing wounds in the field with any method (sutures, staples, steri-strips, super glue, safety pins, etc.). Yes, there could be rare cases where prolonged time and/or distance from medical care may require innovated ways of skin closure for purposes of travel. However, skin closure in the field significantly increases the chances of infection and/or tissue necrosis (tissue death) making the procedure generally not only unnecessary but also dangerous.

Most of the time bleeding control can be accomplished with direct pressure, elevation, occasionally the need for a pressure point and rarely (if ever) a tourniquet. Wound care should primarily involve irrigation with sterile water or saline and if excessively contaminated, perhaps with a mild provodine-iodine solution. Coverage with a sterile or clean dressing and followed with a snug but not too tight bandage will most likely suffice in 95+% of the time.

In no way I am trying to intimidate or flame anyone and I believe this forum is the place to ask these questions and receive responsible answers from a wide variety individuals with helpful backgrounds and knowledge. However, I would suggest if you are asking questions regarding the use of these techniques, it is unlikely you have the training or background to do so safely. I feel that an ongoing discussion is of benefit to all, so still pose the questions.

Pete


Edited by paramedicpete (09/27/06 08:38 PM)

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#73925 - 09/27/06 08:14 PM Re: suggestion on small commercial FAK
billym Offline
Addict

Registered: 12/01/05
Posts: 616
Loc: Oakland, California
Still a pretty "technical" procedure but a lot easier than sutures.
Cabelas sells one on their website. But Pete is right; don't bother closing most wounds until you let a pro do it in a clean environment.
Bill


Edited by billym (09/27/06 08:17 PM)

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#73926 - 09/27/06 08:38 PM Re: suggestion on small commercial FAK
freeballer Offline
Journeyman

Registered: 08/25/06
Posts: 60
Loc: nb, Canada
Jim has suggested duct tape and the adv med .9 ultralight that ras has suggested has duct tape as well.
I've used it in past to keep a burns from rubbing and breaking blisters or at times small wound to stop bleeding.
Is that the entended use for duct tape or per red green, duct tape can fix anything??

BTW, jim is your kit @ My updated FAK commercial kit or something you added to from a basic kit?


Edited by freeballer (09/27/06 08:56 PM)

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#73927 - 09/27/06 11:08 PM Re: suggestion on small commercial FAK
billym Offline
Addict

Registered: 12/01/05
Posts: 616
Loc: Oakland, California
Duct tape is very useful in general. It helps the "improvisation" aspect of a first aid kit.

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#73928 - 09/28/06 12:01 AM Re: suggestion on small commercial FAK
marduk Offline
Member

Registered: 01/25/04
Posts: 160
Loc: Mid-Missouri
Foreceps: look like "tweezers", some have small teeth at the tips to grip tissue - "tissue foreceps", others have smooth tips for general grasping.

Hemostats: look like small pliers and generally have a locking ratchet mechanism, most have various gooved tips ( jaws) to improve their grip, smooth jaws are for suturing or may be vascular clamps tolimit damage to vessels.
_________________________
"Sometimes, it's better to be lucky than skillfull"


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#73929 - 09/28/06 01:59 PM Re: suggestion on small commercial FAK
kd7fqd Offline
Enthusiast

Registered: 08/07/05
Posts: 359
Loc: Saratoga Springs,Utah,USA
Pete I agree with you working in an ER we see all kinds of ways people try and close wounds (had one two weeks ago that was scotch taped) (rolling eyes) any way people keep asking questions and somewhere out here somebody will have or find the answer
Mike
_________________________
EDC: Samsung Galaxy Note 2,DR PSK, Swiss Army Champ, Leatherman Blast
My Blog emergencybobs.wordpress.com


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#73930 - 09/28/06 03:53 PM Re: suggestion on small commercial FAK
JIM Offline
Old Hand

Registered: 03/18/06
Posts: 1032
Loc: The Netherlands
I normally use the Duct-tape for securing bandages and gauze pads,
so that they don't come of from sweat, blood, etc. I never used it directly on a wound.

My updated FAK is made from scratch. (pretty cool huh? <img src="/images/graemlins/grin.gif" alt="" />)
BTW: The pic in that post works again. The upload-site I use whas down for a while.


Edited by JIM (09/28/06 03:56 PM)
_________________________
''It's time for Plan B...'' ''We have a Plan B?'' ''No, but it's time for one.'' -Stargate SG-1

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#73931 - 09/28/06 08:20 PM Re: suggestion on small commercial FAK
freeballer Offline
Journeyman

Registered: 08/25/06
Posts: 60
Loc: nb, Canada
Very.. very nice kit jim!

I'll admit straight out that I fall in that catagory.. But at least never used scotch tape! A long time ago I had made a mistake with a knife and cut myself very deeply. Being something like 13 at the time and not wanting to tell my mother I used the "basic" pressure, cleaning methods and closed the wound.. Of course my mother came home, found out what happened and I went to the ER afterwards. They opened the wound back up, irrigated it and gave me a shot (didn't know last time I had tetanus shot) and stitched it back up.

If anybody can learn from this experience a wound can be closed using techniques pete described. My concern with
wounds like that is if they will hold.. If I had moved my arm, hand would normal closure strips have held.
But I understand now suture or otherwise closing wound wouldn't be an ideal solution in a non sterile enviroment and would just make things worse..


Edited by freeballer (09/28/06 11:11 PM)

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#73932 - 09/30/06 12:43 PM Re: suggestion on small commercial FAK
redflare Offline
Addict

Registered: 12/25/05
Posts: 647
Loc: SF Bay Area, CA
by popular demand: Suture kits

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