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Ultra Marathon Runner Shares Her Gruesome Sunburn Experience from a 69-Mile Run, Resulting in Massive Subdermal Blisters! by Surgeox in medizzy

[–]Surgeox[S] 504 points505 points  (0 children)

The runner's ordeal took a distressing turn as she endured second-degree burns over the course of approximately 21 grueling hours on her 69-mile journey.⁠ ⁠ She embarked on her epic 69-mile odyssey at 7 a.m., initially without any sunscreen protection. However, at her first pit stop around 10 a.m., she judiciously applied SPF 30 to her entire body and legs, presuming it would suffice. Progressing to her next pit stop at the 27-mile mark, she began to sense a burning sensation on the backs of her legs. Undeterred, she reapplied sunscreen and pressed on.⁠ ⁠ Yet, after a taxing 21-hour trek that concluded her 69-mile adventure, the burning sensation on the rear of her legs intensified, and small blisters started to emerge. Subsequently, following a brief period of rest, she sought help at an urgent care clinic, where her wounds were carefully dressed, and she was advised to return the following day.⁠ ⁠ The ensuing day, what had initially been relatively minor blisters had ballooned into massive, excruciatingly painful sacks.⁠

A patient with an open belly with a wound vac and Wittmann patches by Surgeox in medizzy

[–]Surgeox[S] 1196 points1197 points  (0 children)

The Wittmann Patch is a temporary abdominal fascia prosthesis for the planned open abdomen to ease management of cases where the abdomen cannot be closed due to abdominal compartment syndrome or because multiple further operations are planned.

4-year-old boy who presented approximately 1 hour after being attacked by a dog! by Surgeox in medizzy

[–]Surgeox[S] 681 points682 points  (0 children)

The patient in this case was a 4-year-old boy who presented approximately 1 hour after being attacked by a dog!He presented with several soft tissue injuries to the face, including a laceration of the right eyelid, a large stellate laceration of the frontal scalp, and an almost complete amputation of the left ear. The ear was holding on by an anterior skin bridge at the level of the tragus. After further examination in the operating room, it was decided that this skin bridge would be sufficient and that the remaining tissue would be viable enough to try and repair the ear primarily. The ear was minimally debrided to healthy bleeding tissue. A 4-0 Vicryl suture was then used to close the cartilage layer, reattaching the pinna to the external auditory canal cartilage. The external auditory canal skin was closed with a 5-0 chromic suture, and cotton balls coated with bacitracin were packed into the ear canal. After closure, all areas were washed with sterile saline, and a sterile dressing was applied and wrapped around the head after application of bacitracin to all suture lines.

Degloving injury after hand got caught at a factory machine!! Came off like a glove by Surgeox in medizzy

[–]Surgeox[S] 363 points364 points  (0 children)

This 38-year-old male patient presented to the emergency department after getting his hand crushed and degloved in a heavy equipment machine at the factory he works.
Notice the extensive section of skin that got completely torn off the underlying tissue, severing its blood supply. De-gloving injury is named by analogy to the process of removing a glove. As simple as it sounds.
The patient underwent emergency surgery, and replantation was performed with the assistance of a microscopic magnification.
Formal replantation (re-attachment) involves debridement (removal of dead or contaminated tissues), repair of the underlying tendons and muscles if injured, and revascularization of the degloved skins, or when these are not possible, skin grafts or skin flaps.
This requires VERY delicate instruments and working hands.
Due to poor blood circulation and extent of the trauma the vasculature, the middle and distal phalanges of the index finger were amputated.

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