#medical (Discord ID: 322712621503479809) in MacGuyver - Skills & Academics, page 1
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@ me if you have questions internal medicine doc could answer
Anyone have good treatment for burn blisters?
Cool water for about 7 minutes.
Put really loose wrapping around it.
There is some medication you can take for them, but you can just put some aloe vera on it.
Don't pop it for starters. Blister treatment 101
Yeah, popping it will open you to infection.
and yes don't pop it
prevent any more friction moleskin is the best way to do that if its on your foot
Also I thought mole skin was for preventative measures.
Ohhh, that is what you had in mind.
its more for after the fact but can be used for both
you cut a hole the size of the blister in the moleskin and place it on preventing any more friction while allowing the blister to breath and heal
@Louis Loire - NY that's something I never even considered for my bag. Mole skin.
"Don't pop it"
>D E D
Reeses in Pieces
Rest in pepperoni
Don't freak out about it, I have had em popped and have had other horrifying things open to infection. Just clean it about twice a day, especially when you come home. @StrawberryArmada
Just soap and water?
Yeah it's what I most of the time use.
Neosporin too if you got it.
just be a man and use alcohol or witch hazel
don't worry about it but blisters on the back of your heel can get infected easily
Once blister open the pocket is a site for infection. Usually want to debride extra skin, keep wound dry and clean
No reason to use alcohol over less painful peroxide
I'd just use that once, then soap and water after
Any good remedy for cauliflower ear? Just ice?
@Deleted User if I remember correctly you can drain it before it solidifies or whatever tf happens but Google how to before you take my word for it. Mileage may vary.
Dean lister has a great video in how to drain it on YouTube bro... @Deleted User
Anyone here know anything about improvised antibiotics? Wanting some for my bug out/medical kit. I guess I could throw In some used ones the next time I get a script but I've heard fish tank antibotixs are similar to cypro and safe for human consumption
@Deleted User yes actually fish antibiotics are the same as the ones they give to mammals. Just make sure you take a high enough dose for long enough. An infection coming back is bad news bears.
@Placidseven - MO#5546 👍🏻
Who can put me in the medic lessons thread?
I was a corpsman, does that count lol
@Deleted User only the moderators can post in the lessons threads
Can we get some CPR stuff posted in there? One of the better places to start. @Brandon Ironside- ND
CPR is very basic just YouTube red cross CPR if you dont break a rib your doing it wrong
I will post how to do the head tilt chin lift for rescure breathing and BVM operation
Idk if I'd post the rib breaking stuff lol. That's how you get people pushing to the spine. 2 inches, you might crack a rib or 2, just be weary of that. Depth is 1/3 for kiddos.
Reminder that everyone who is a medic and has something to share should. Just because youre not a mod at this stage does not mean we don't want to hear from you. That goes for every subject.
Ive done CPR many time on real patients you will almost always break a rib
Breaking a rib is minor compared to dying of an infarction
So have I, work on an ambulance full time, hospital part. I've seen plenty of newbys to CPR try purposely to break ribs because someone told them they have to.
Then they need to retake anatomy
Amd should be fired
Or, we could teach them the depth without saying "if you don't break ribs, you're not doing it right". It leads to pigeon religion like when people put a spoon in a seizing persons mouth.
Literally everytime I see a code, someone is doing CPR atrociously wrong. That's the reason I brought it up. It is the most basic thing, and it's usually done wrong.
ABC for a regular code, CAB for trauma.
Honestly though, if you are a bystander doing CPR, just open the airway with a head tilt (if no signs of spinal trauma), make sure someone calls 911, and do the chest compressions. If you get an assistant, you can worry about the rescue breaths, but building up blood pressure, and keeping it circulating is more important.
@everyone Did anyone talk to the guys we used home remedies for pepper spray on? Did anything seem to work more than just water and air?
Data shows most important things to surviving arrest is quality compressions and how quickly someone can be cardioverted
If someone goes down, start compressions and get AED asap.
My only concern with the milk is if we are out in the heat, not sure someone would like stinky hot milk on their face.
1:3 baby soap to water in a spray bottle. Scrub scrub scrub. Then 1:1 maalox to water in a spray bottle. Make sure to get both the soap mixture and maalox in the patient's eyes. Rise with water good. Repeat the process. Don't use milk. That's gross
^ this is a Richard Spencer approved method, btw. Got to test it on him a couple times
@ErikaI saw you using it, i was using just normal saline for an eye flush which didn't seem to help much.
OC spray is oil based. Milk. Water. Saline. Etc. won't do anything to strip away the oil. Stripping away the oil is something that needs to happen before you can neutralize the capsaicin.
Baked A. Freaked when I gave him my baby shampoo and water solution.
Richard. McLaren. Freiberg. Ajax. And several others all said my method for neutralizing OC spray worked wonders. Richard also shouted out my efforts on the latest Shoah. I'm now known as the "guardian angel" lol
@Havamal baked got a totally different level of pepper spray than what I treated.
Was it even pepper spray or some type of acid?
He received something at ultra high pressure. It's possible it was bear mace, or it could have been draino
I talked to Baked. It was apparently something called class 4 bear mace. Nasty stuff.
I though bear mace was weaker?
Which sounds odd but I swear I've read it in multiple places
It is weaker.
But if you get anything shot into your eyes at high pressure at close range, eye damage is a distinct possibility.
Especially considering bear mace often times has a shot distance of 30 feet
Good deal, i had heard online that everything was kind of just placebo effect. I didn't really believe that because i would think removing the agent would help.
@Deleted User I had two hypoglycemia cases to work with. The majority of what I dealt with was pepper spray.
@Deleted User was happy to be of service. I felt bad for the entire VIP crowd and you PSDs. Y'all got it rough and the corrupt police didn't do a damn thing.
I had multiple facial lacerations acid attacks oven cleaner attacks and cracked skulls
I treated about 15 people
I was also in the park till the very end i treated a few wounded at mc intryw as well
No just bleeding and stiches needed and rhe oven cleaner was highly toxic i had nothing and we were under fire from both cops and antifa it was a mad house
And yes i need to mix that stuff that Erika made my pepper spray wipes did jack shit
Told Nathan to not buy then again either he had the same ones
Is the person that got sprayed with the oven cleaner good? Seems like the best thing would be just flush with water, or vinegar (since oven cleaner is basic).
@Erika did you have a glucometer to check sugars, or were they just showing signs?
He was pretty messed up tried flushing it out he was making it worse by panicking he was the guy in the blue shirt with the black sun American flag
We got him out though
Any in eyes or airway?
@everyone if you are going to be part of a medic team at an event and need supplies, have someone (in leadership) who can confirm you will be there PM me, you also PM me, and I will get you most everything you need.
right wing medic squads
I think we learned from Cville that you can't have enough gauze rolls
But wait, there's more.
@Erika Your team was johnny-on-the-spot Saturday. I've wanted to commend you all for how effective and QRF you guys were. Just haven't really had the chance until now
@Phillip Wiglesworth - FL thank you. It was tough, but I think we were all happy to be there to help everyone who were in need
You guys were so busy and didn't want to bother you.
Yeah thanks again
I'm pretty certain I've got a minor case of plantar fasciitis. Anything I can do to quickly get back to running?
Quickly? Depends how bad
Freeze water bottle and roll on bottom of foot
Get.some nsaids to take with food
Get brace over the counter to sleep in to keep foot dorsiflexed
And stretch w a towel looped around bottom of feet
Of the affected.foot rather
Heel inserts help a bunch as well
What are nsiads?
Is there anything I can do to strengthen my foot and keep running without making it worse?
non steroid anti inflamatory drugs. Tylenol.
I had Plant Fasciatis. One method is to find a cool stream or lake with a smushy gravel bottom, and wade around in it.
Do a full butt-stretch. Then a hamstring stretch. Then calf stetch---In that order. Jumping ahead to the calf stretch is not advisable, because the tendons in your toes connect all the way up the back of your body, and you need to stretch the big muscles first.
Another method to deal with plantar fasciatis is to get some heavy wool socks. Coat them with duct tape, to make an improvised moccasin. Then walk around on pea gravel. Like with the stream-bed technique, what your are doing is breaking up the scar tissue on your foot tendons. You should also ice the feet, elevate them, and take ibuprofen. Before doing more of the pea-gravel walking.
With my case, I saw a foot doctor (podiatrist). He taught me how to tape my feet, and ordered VERY expensive shoe inserts. The 500 dollar inserts are just barely better (for my case) than are Spenco Total Support insoles. https://www.amazon.com/Spenco-Total-Support-Insoles-Womens/dp/B008CJNTI6?th=1
Should I lessen my running. It doesn't seem that bad. I think I just moved away from heel striking too quickly.
Tylenol is not an nsaid
Per wiki, aspirin, ibuprofen and naproxen, are all NSAIDs. But Acetaminophen is generally not considered an NSAID because it has only little anti-inflammatory activity. So that's why I was wrong to reflexivly say Tylenol. But I have found you do not want or any other form of tendonitis to set in, because once it does it becomes a chronic condition that is three times as hard to be rid of. After sometimes keeping me awake at night, mine took years to finally clear up. Early medical intervention is the best approach.
Ibuprofen, naproxen, aleve
Doc: your are correct.
If you keep running on it, it will get worse
You can get severe chronic pain from this if you keep pushing through
Unless you're training for something career critical take a break, do some swimming or something
If you're not doing significantly better after a week or so can consider some oral steroids for stronger anti inflammatory effect
Ice, nsaid, rest most important
I haven't been running at all is the thing
I was just about to get really into it
I just learned how to run correctly recently
Last big thing I did were the marches in Cville
I figured I just did too much too quickly
Yes, I pointed that out on myself already. But the stretching and walking in pea gravel are remedies I know can work.
I also recommended early genuine medical intervention. The pain from it can wake you up at night. It took years for all my tendonitis-type symptoms to diminsh. If you ever get what feels like a sore muscle that never goes away, get to a doctor. Use Ibuprofen, stretching, massage, and Ice. And steriods.
I took some ibuprofen and iced my foot. It only started to hurt after standing up at work all day and when I first woke up on the back of my heels for a minute
Ah, if that mild should be easy fix. Try frozen water bottle trick to massage and ice at same time
If it goes away in a week or two could I do some light running?
Tendons take twice as long to heal as muscles. You'd be wise to wait 4 weeks to go running. That's why you have a bicycle and a place to swim, right?
Another trick is ro roll a ball on the floor under your foot when sitting down. A tennis ball works well.
This type of thing can turn chronic if not careful. Baby it a bit for a month, do lower impact things like Chuck saying, then start back gently.
I feel like all I've done are low impact things. I'm lucky enough my grandparents have a pool but I find it disappointing that the moment start making plans to run this happens
Work on your upper body with weights. Maybe lower body 10 days. If this turns permanent (like almost happened to me) it will cause you years of misery and sleepless nights.
I've got RLS so sleepless nights are the norm. How long should I take to work my way down to using minimalist shoes so this doesn't happen again?
some would say that shoes are the problem, and that barefooting is best. Some claim FiveFingers shoes are bad, some say they are good. For now, I'd recommend getting those Spenco Inserts inside normal shoes, and getting lots of massage, stretching, IBU, ice, and rest. Then try the duct-tape sock mocassins on pea gravel. This can take months or years to heal. Buy a better bicycle.
What is pea gravel? I'm not really looking at months to fix this am I? Like one day of walking around Cville couldn't have ruined my tendon?
Pea gravel is rounded small gravel. It is found in some driveways. It is not the crushed gravel you usually see, and it moves around and never really forms a solid surface.
I injured my shoulder once in a rodeo. I did not listen to my doctor, and took off the brace and started catching baseballs before I should have. By not following my doctor's orders, the injury went on a long time. Go see a doctor, and I think he'd agree that a month off is what you need.
I've heard since it was an unusual amount of stress that I don't normally have it may heal quickly
I'm fine with taking a month easy
But if this last years I may as well just give up entirely
A month of swimming or bicyclling, and upper-body lift is not giving up. I bet you're a long-distance fag, and like most of those you need the upper body workout anyway.
I used to be a runner, too. Sorry if I my specualtions were wrong or insulting, it was meant to be funny.
My best Two-Mile run was 11:02. I'm still pretty pround of it.
Proud, I meant.
I'm trying to get into long distance and free running
And I never even got to run in my transitional shoes and my foot is already messed up
Some blame shoes for mankind's physical problems. I can't stand barefooting, personally. After 14 days of rest, you might try hiking. And you should look into the arcane theory of "grounding." -Which involves hiking in mocassins. SEE wwwDot.moccasinscanada.com/mens/moccasin-boots/earthing-cork-moosehide
Is hiking really the best option since that's pretty much the cause of this?
I've always felt unnatural in big shoes but my mother always forced me to wear them.
Good question. I like hiking, and never had the same problems from that as running. "Earthing" with moccasins gets your foot bones and muscles a little work-out.
I'd be up for something like that once it doesn't hurt to walk anymore. Unfortunately I can't get out of my long work shifts
My podiatrist taught me how to tape my feet, and ordered 500 dollar inserts. I'd suggett Spenco Total Support insoles, which are less than 30 bucks: https://www.amazon.com/Spenco-Total-Support-Insoles-Womens/dp/B008CJNTI6?th=1
@StrawberryArmada Night splints worked wonders for my plantar fasciitis. I only had to wear them a few nights and it was gone, after weeks of pain.
Do you know where I can get one?
Walgreens or cvs
This is one I like the best. Got at Walgreens
What's up brother?
I got a swollen bee sting. Should I just wait it out, or do something about it?
Not particularly painful, but annoying to walk with because it's on my foot
How bad is the swelling? I assume you're not allergic
@Helbrecht - WA The side of my foot has noticeably grown, though I can still put shoes on.
Benadryl would be best. It'll slow down and stop anything that could be going on. And if you know where exactly the bee sting is a baking soda and water paste on it will draw out the bees venom which will help a lot too
As long as your whole foot isn't swelling up and you're not having other symptoms it's nothing to be too worried about 😃
Aye and ice and elevation can't hurt either
All of the above is great
@everyone who will be going to an event any time soon? I'm going to be making small kits for the medics in the crowd, and an ambulance bag for the triage point/medic truck. For the higher ups, I think this would be the best way to coordinate the medic teams. C-ville was kind of a cluster-f for us, and I think we should focus on getting structured. This includes comms, universal kit setups, a point that all elements (security, etc.) Know where to take someone for medical care.
Great idea, Joe. I know we'd be interested in those kits.
We're working on some better concoctions to deal with injuries from bear mace, acid, and bleach.
Our own ambulance service would be a good idea too, with a truck/van waiting to medevac someone to the nearest hospital.
Would save our guys a good bit of cash too
From a logistics perspective if doing a big event like cville I agree Wiley.
@Erika can you have someone post your mace remedy in the medic lessons thread?
@Deleted User I'll write it up tonight and send it to whoever has the ability to post in that channel.
I'm trying to find a cheap small bag guys can buy without sweating it. Any ideas on what we need in them? So far:
2x large gauze
1x bottle of saline
1x bottle of pepper spray remedy
5x 4x4 gauze
1x medical sheers
2x Cold packs
Anything else you guys can think of for first responders in the crowd?
I can tell you one thing, with the amount of pepper spray I had to treat at Cville, a lot of gauze is needed. I was using so much and I didn't even treat any bloody wounds.
ab pads or 5x9s work well for wiping off the solution and having a soaked pad to leave the patient
4x4s and cut strips of 4" gauze rolls also worked well for me
Any doctors, PA's, RN's, or radiology professionals who would know enough about my calcaneus x-ray to tell me what it looks like to them?
I'm horrified at what my surgeon told me today >.<
The surgeon will know more than me and most here so id recommend listening to your team
Oh I am for sure, he just made it sound like I'm doomed if I don't do this or this or this, etc
@Phillip Wiglesworth - FL what did he say? If you're comfortable sharing.
He might be saying avoiding surgery will lead to futher complications and permanent injury
I'd do the surgery avoid future pain
Yeah I'd do the surgery its not worth trying to avoid it esp if the bone damage is bad
my calcaneus is broken all the way through, that much is really obvious from the x-rays. and since my ER visit, it's spreading further apart due to achilles tendon pulling on it. so now there's a sharp edge from the fracture poking up into the ankle joint, which will cause traumatic arthritis if I don't get surgery, he said
I cracked my hip when I was 18 and didn't get the recommended surgery wish I did thing still hurts sometimes
Yeah get the surgery that injury sounds like it will only get worse
Not something to fuck with
my foot is super swollen right now, with some pitting edema...so he can't do the surgery for a few weeks until that goes away
Untill then obey all directions given
so ya basically, I'm confined to my bed with my foot elevated above my heart. and bored watching movies lol
If you're gonna be in the rwds, you have to be able to use your feet😂
I guess my concern outright is that since it's worker's comp, I've been told sometimes doctors dealing with worker's comp cases basically just do what the worker's comp ins people tell them to do b/c it's such a pain in the ass for them to fight for what SHOULD be done
Have any of you looked into using x-rays for wound treatment
It would be very valuable in a situation where antibiotics were difficult to obtain
I would think that if antibiotics were difficult to obtain, x-rays would be even moreso.
No all u need is a battery
A small solar panel could obtain charge for a dozen or more treatments a day and a battery could hold hundreds
Small x Ray generators exist about the size of a large smartphone
You only need 50kV or less for surface treatments
@Deleted User , Spencer & co will be at the University of Florida on September 12.
@Deleted User looking forward to seeing y'all again! I'll be there, and I'm assembling a Florida EMS squad. Hopefully less pepper spray and more cops doing their job this time
Really looking forward to medical lessons. I'm sure IE has at least a couple nurses, or perhaps a doctor to teach us
I'm typing up the how to deal with defensive sprays guide right now. Hopefully I'll have it done tonight. The most common medical issue we seemingly have to deal with at events right now is getting pepper sprayed, so really, everyone should be prepared to know how to deal with it
Here's a lesson, if you're ever feeling soft on the euthanasia question, do a ride along on an ambulance. It's been a rough night.
Ugh. Sorry brother
Here's my "how to" guide of how to manage a patient who has been pepper sprayed, tear gassed, or sprayed with household cleaning products.
Feel free to post in <#339425301434204170>, if you have the permission to do so.
May someone repost that in PDF format
Google docs tracks you
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