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Is Fasciotomy for You?
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by Ptk on February 9, 2011
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Does anyone have a resource to a photo collection of before, during and after of a severe crotalus or viperidae envenomation where a fasciotomy was not performed?
Thanks
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RE: Is Fasciotomy for You?
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by Brutus1175 on February 22, 2011
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I've had fasciotomy and it was one of the worst experiences of my life. I was shot in the leg and thigh, had to have external fixation for 5 weeks, and that pain was bearable compared to the fasciotomy I went through. BTW, I was bitten by a mojave outside of Phoenix in 1994. That's when I had the fasciotomy.
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RE: Is Fasciotomy for You?
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by CanadianSnakeMan on March 7, 2011
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I think this article is a bit too harsh in chastising the medical profession by saying that fasciotomy for snakebite is more 'voodoo' inspired and less research based. Fasciotomy is commonly used for traumatic limb injuries with signs of compartment syndrome, usually improving the patient's outlook.
The difference is that snakebite can appear as compartment syndrome through symptoms alone without the same effect on the underlying tissues. A doctor practicing a technique that to the best of his or her knowledge would be beneficial to the patient without understanding the true nature of snakebite is hardly malicious or arrogant, and to demonize the medical profession because of that line of thinking is unfair.
It's obvious that what the collective body of orthopaedic surgeons needs is some widespread and lengthy professional development training on fasciotomy and snakebite. Most people try to do the right thing given their level of awareness. This demographic should be no different.
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RE: Is Fasciotomy for You?
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by morrisdesmond on March 17, 2011
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I don't see as he is saying there is any malicious intent, rather, an unconscious intent that is very ancient and that man is powerless to control. But a quack is still a quack whether he knows he is a quack or not. He is still selling a quack remedy. Dr. J. R. Brinkley, world's most famous quack, made millions sewing pieces of goat testicles into men's scrotums and became celebrated because of it. He believed till the end of his life that he was a great surgeon. He killed dozens of people. And he had hundreds of satisfied customers, too. They had Faith, and I think that is what this writer is talking about. Faith gone wrong, terribly, terribly wrong.
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RE: Is Fasciotomy for You?
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by Chris_Harper on May 15, 2011
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Fasciotomies have been performed in the past by many doctors as a "CYA" insurance policy. The thought process goes something like this: If I do a fasciotomy, the patient won't develop compartment syndrome, and no one will be able to prove otherwise even if the patient wasn't going to develop compartment syndrome in the first place. If I don't do a fasciotomy, the patient may develop compartment syndrome, and subsequently lose their arm or leg. But no matter what happens, if the patient loses a limb, I'll definitely be blamed for sure if I didn't do a fasciotomy, and that's what the attorneys will hang their hat on. And that's pretty much correct. It's sad that medical decisions in the US are all considered based on their legal liability, no matter if they're ethically right or wrong. I've been right in the middle of those situations numerous times, and the decisions are agonizing to make. I hate it.
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Is Fasciotomy for You?
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by Supaiman on June 21, 2013
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My 2 year, 9 month old daughter received three bites from a prairie rattler in Nutrioso, Apache County, Arizona in 1985. Stage III envenomation caused extreme swelling of her calf; eventually it turned black. She was treated by non-invasive medical management of snakebite (e.g., with drug therapy including 20 vials of anti-venom and other nonsurgical methods) resulting in a full recovery with no long term physical deficit or disfigurement other than two small calcium nodules in her calf from the two "wet" bites. The third bite, in her ankle was a "dry" bite. She was in intensive care for 2 days, in hospital for 3 days and experienced full blown "serum sickness" about two weeks after the bites. She is now 30 and keeps a room full of reptiles of all kinds but no venomous ones thank goodness.
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