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#1
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04-15-2023, 03:18 AM
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Burn Evisceration
Source: The patient, a 22-year-old male, was transferred to our institution from his local hospital after sustaining a suspected electrical burn. On arrival the patient was noted to have severe burn injuries to the lower abdominal wall with evisceration of multiple loops of burned small bowel as well as burns to the groin, left upper, and bilateral lower extremities. In the trauma bay, primary and secondary surveys were completed, and the patient was taken for CT imaging and then emergently to the operating room. On exploration, the patient had massive full-thickness burns to the lower abdominal wall, five full-thickness burns to small bowel, and intraperitoneal bladder rupture secondary to full-thickness burn. The patient underwent damage-control laparotomy including enterectomies, debridement of bladder coagulative necrosis, and layered closure of bladder injury followed by temporary abdominal closure with vacuum dressing. The patient also underwent right leg escharotomy and partial right foot fasciotomies. The patient was subsequently transferred to the nearest burn center for continued resuscitation and comprehensive burn care. |
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#8
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04-15-2023, 11:42 PM
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Re: Burn Evisceration
Medically-induced comas are fantastic...... I was put in one for about a month and I'm GLAD. I had an external cardiac defibrillator implanted through my femoral artery in the OR and my parents were told that I would feel each shock intensely if I were awake and it would hurt. I also had a dialysis port put in my right shoulder while out. Imagine waking up and having that hanging out. Freaked the fuck out of me.....
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