A month ago, I was working in ER and the female patient came in asking for help. She was holding her left arm flexed in front of her body asking me to check it. It was winter time, and the snow was really thick. So, I assumed she fell and broke her arm. I assumed she was 35 years old, or something like that. I never was good at guessing one's age, but this time I was sure she was in her 30s.
She seemed really sick, and in pain too. I asked her to come in, and to take off the jacket and shirt, to see that arm. N. did it slowly. It seemed really painful. When she took her shirt of, I was shocked to see in what condition her forearm was. Whole forearm was green and blue, dry, with deep fissures, and one centimeter deep ulcer on the surface. The ulcer was penetrating muscle tissue, and almost reaching the bone. It was 4 centimeters in diameter, obviously still active and spreading.
Patient wasn't able to move the wrist, and the hand was out of the function too. Nerves were damaged, and the wound was infected. Around the elbow, I noticed purple strings, warm, and very painful on pressure. It was phlebitis, an infection of the veins.
N. had high temperature, she was covered in sweat, pale, breathing deep and frequently. I knew she had severe infection, possibly sepsis. But what was the cause? It must be some previous deep damage of the forearm. This way she would bring bacteria deeper in tissue, which would later lead to this.
My first two questions were: "When did this happen?" and "What did you do?"




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MladenMay 26, 2012
DavidPaulWagnerMay 24, 2012
MladenMar 31, 2012
terrilorahMar 26, 2012
MladenMar 16, 2012
That is right, they really do feel invincible. That is why it is so hard to explain things to them. Sad thing is, that most of us learn things trough making mistakes. Sometimes there is nothing after the mistake.
MladenMar 16, 2012
Always appreciated your comments, Katie. Knowledge is our weapon, I guess.
GuestMar 15, 2012
katiem2Mar 15, 2012
MladenMar 15, 2012
Thank you for your comment, zteve! I really would like the world knows about this drug. It is too late if someone chooses to try it not knowing what it is.
GuestMar 15, 2012