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Thread: self stitching your wound

  1. #1
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    Exclamation self stitching your wound

    Anyone saw Dave Canterbury on youtube stich his own hand, anyone ever did this,what is a medic saying about this and has it anything to do with self aid ?.

  2. #2
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    Pretty much everything tht needs to be said has been said here: http://www.bushcraftusa.com/forum/sh...ad.php?t=6411&

  3. #3

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    In a word... "don't".
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  4. #4
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    would not do it my self, never would use superglue also, i saw the comments on american bushcraft, but then again i am interested in a different point of view

  5. #5
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    i think this chap watched Rambo first blood too many times tbh. kinda crazy if you ask me.
    All weather is walking weather!

  6. #6

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    Quote Originally Posted by Koa on BCUSA
    Please refer to this thread for treating wounds in the field:

    http://bushcraftusa.com/forum/showthread.php?t=318

    Ask yourself these questions before suturing as he did:
    1) Do I know where the extensor tendons are and what suture/stitch to use to repair them?
    2) Do I know where the digital nerves run?
    3) Do I know how to close an extensor hood?
    4) Do I know how to repair the sagittal band?
    5) Do I know the protocol for treating an MCP joint laceration?
    6) Do I consider my hand to be a useless appendage that I could do without?

    *If you answered no to any of the above questions close the wound with gauze and tape.
    How many non-medical people, without recourse to Google and Thickipedia, even know what half those things are let alone how to avoid damaging them while stitching themselves back together? Not many, I daresay, certainly not I.

    If you cut yourself in the field badly enough to actually require stitching to save your life, chances are very good indeed that you're not going to be in good enough shape to actually do the stitching yourself. Little cuts are different as in Dave's video. If you notice, Dave doesn't look his usual bouncy self and that's a pretty minor cut in the 'life threatening stakes'.

    He'd apparently cut himself to the bone, about an hour previously, across a knuckle. It had already stopped bleeding by the looks of things, why stitch it at all? Gauze and tape, perhaps a few steri-strips underneath to keep it tight, walk out the way you came in and go straight to casualty where they'll get around to you after they finish sewing the drunks back together.

    Best bet - don't fail to practice good knife safety.
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  7. #7
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    Interesting, but had worse than that out on site and all you do is tape it up! Like it states in the next post 9 out of 10 cuts don't need stitches.
    Hope for the best, prepare for the worst.

  8. #8
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    first aid methods that i favor most is the things i learned in the service, followed several civilan first aid courses afterwards, but the basic and simple things works best for my point of view.
    I followed Dave Canterburys efforts on the tube, and untill this item ,i tought he was a pretty serious guy , i seldom take a look anymore.

  9. #9
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    Various branches of the homo genus seem to have survived for millions of years before the invention of the needle, let alone suturing. However did we manage that?

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    I do know of a GP who performed his own vasectomy, with the aid of a mirror. I reckon he earned the 80 minor surgery fee for that.

    You really need to check for neurovascular or tendon injury before suturing anything, and you certainly do not want to close a contaminated wound. I close a lot of minor wounds either with sutures, tissue adhesive or steristrips. Sutures are most useful for scalp wounds, which bleed like stink until you close them.

    Incised wounds that go deeper than the subcut fat should be treated with great caution. Injury to underlying structures needs to be excluded, and that sometimes means examination in theatre.

  11. #11
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    Hmmm......

    Steri-strips, pad and tape for me please. Worked for me and patients i've treated well in the past

    I've been taught suturing, but would never dream of hands or face (too complex). The vast majority of wounds don't need suturing. Also deep wounds need specialist techniques to suture (usually sutured layer by layer) to ensure that no cavity is left (unless a surgical drain is placed) otherwise the resulting infection is not pretty.

    Dermabond/tissue adhesives are fine, but are only useful on superficial wounds and where no tendon/nerve damage has occured, unless these have been dealt with seperately and you are using the glue to provide a low scarring 'cosmetic' closure

  12. #12
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    all i have with me most of time is a field dressing a little bottle of iodine and small tweezers, never let me down yet.

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    Exclamation steristrips,melolin pads and micropore

    That's all I've used for the last 20 years or so.

    I carry FFD's etc but rarely use them, they are there more for the 'what if?' factor.

    I was a shift first aider, for 18 years and frankly, lost count of the number of times, I had to TEMPORARILY close ( often very nasty) wounds.

    The thing that is important here; is to realise that any wound, that needs closing in this manner, needs to be checked by a doctor or at least a qualified nurse, as soon as possible.

    R.B.
    Often Out,standing In A Field

  14. #14

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    Sounds like a job for......


  15. #15

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    TBH I've cut myself like that and the pain is sort of cancelled out when it's such a large cut so I can understand why he did it but it was kind of stupid to do it without the consultation of a professional.The reason he did it was because he was shooting a bow the next day for filming with Discovery but I'm not sure if many of you saw this video because it's quite interesting!


    http://www.youtube.com/watch?v=cF06utNBymQ

  16. #16
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    Quote Originally Posted by Matt.S View Post
    Various branches of the homo genus seem to have survived for millions of years before the invention of the needle, let alone suturing. However did we manage that?
    Uhm, the ones that were cut too badly, died; others survived?
    Wat doe je met boekweit,
    en kleding als die slijt?

  17. #17

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    Never done this myself nor would I even attempt it.

    The worst I have done is when I inflicted a nasty deep cut on my left thumb whilst sharpening a sickle (the wrong way I guess)

    I couldn't be bothered to take it down to casualty so after washing it I just put an absorbent dressing on, taped it up very firmly so it would not bend and left it for a couple of days to fester.

    Seemed to have done the job and it healed up nicely.

  18. #18
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    especcially in a hand wich is a complex piece of art ,with sinew, mussel and tissue, a lot can go wrong, if been cut trough to the bone, as Dave says, chances are you cut one of these, chances are ,some fingers will never work again.

  19. #19
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    Quote Originally Posted by Doc View Post
    I do know of a GP who performed his own vasectomy, with the aid of a mirror. I reckon he earned the 80 minor surgery fee for that.
    Holy Crap batman! As someone that had it done under local anaesthesia I can vouch for how tough injecting yourself in each testicle must be. If you're thinking about it lads go general. That needle goes DEEP in each one, it doesn't just wing it!

  20. #20
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    Quote Originally Posted by helixpteron View Post
    Sounds like a job for......

    actually duct tape and paper towels (or gauze pads) were my doctor's suggestion for even semi-serious lacerations. just be sure to irrigate ithe wound. clean water or contact (saline)solution work fine.

    without meaning to wind anyone up, i've used super glue for years. irrigation seems to be the critical part of this self aid. anything left in the wound will encapsulate. resulting in excessive scarring or infection. super glue generates a lot of heat as it cures, dermabond and petbond less so, because of different formulae, providing an antiseptic effect.

    the first aid kit i carry has duct tape, contact solution, super glue, telfa pads and pressure wraps. originally this stuff was for my dogs injuries. the glue is wonderful for head and face wounds. i've patched them and myself up many times and it seems to have had no ill effects.

  21. #21

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    Yep, all my medical kits have vials of sterile eye wash (water) for this very purpose.

  22. #22
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    Quote Originally Posted by andythecelt View Post
    Holy Crap batman! As someone that had it done under local anaesthesia I can vouch for how tough injecting yourself in each testicle must be. If you're thinking about it lads go general. That needle goes DEEP in each one, it doesn't just wing it!
    Lol, there's a reason why a large percentage of people only get "half" a vasectomy.
    first they stick a needle into your scrotum to numb the skin, then they stick a needle through that into your Vas Deferens just above the epididimis. after they've completed the procedure on one side (including cauterising the tissue) they proceed to the OTHER side and start over..

    SWMBO had to go sit down cause SHE almost fainted...

    thats the second time i've had local, first time was toenail removals when i was younger, i remember the nurse doing it said they have to yearly inject themselves on "refresher" courses to understand the pain or something.

    next time i have anything done that needs a local i'm having gas & air instead.
    Last edited by Melonfish; 30-12-2009 at 08:09.
    All weather is walking weather!

  23. #23
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    Quote Originally Posted by Melonfish View Post
    .....
    thats the second time i've .....
    I half read the post and thought "second vasectomy??" then read the rest.

    Ive use steritrips on myself and others, but never sutures, though I've assisted a few times in hospital. I'd be very cautious about trying it on myself..

  24. #24
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    Is not the big risk with this infection.

    Carry a No 9 wound dressing, and duck tape. If that cannot solve it, in real trouble.
    "Leave nothing but your thanks."
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    Robert Baden-Powell, on camping

  25. #25

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    Only thing I can add to this is that I once cut the fleshy part of my arm very deep and clean. I put three stitches in it using a normal sewing needle and thread. No big deal and it healed fine. Two biggest problems were pushing the needle through and tying the knots. I used a matchbox to help with the first and teeth the second. I wasn't able to push the needle through with just my fingers. I suppose I could have just put a dressing on it, but it would have opened up every time I changed it - and I don't usually carry that many dressings anyway. As it was all it needed was a plaster over it afterwards. I carry lots of them...
    But in general I agree with the basic principle of not going beyond your ability/knowledge horizons.

  26. #26

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    The only reason I can see for stitching a wound is to stop it opening when you move about, if you tape it up firmly enough everything should hold together long enough to get it to an expert.

  27. #27
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    put 3 stiches in my thumb once after i sliced it open with a 12" chefs knife in the field kitchen. awsome did the job but as before its tough to get through the skin and tie. id have used gause or tape if we had any but shock our first aid kit had been ravaged from the last exercise.

  28. #28
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    KOA from the US site is spot on (he should be, he's a Surgeon). IMHO that video should be removed from youtube as its advocating bad practise.

    Forward where the knocks are hardest, some to failure, some to fame;
    Never mind the cheers or hooting, keep your head and play the game





  29. #29
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    I've sewn myself up 5 times over the years,Getting pretty Good at it.
    would'nt advise it,unless it's an emergency

  30. #30

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    Hmmm, personally I hate needles, we have to do injection training as part of the mountain rescue cascare qualification, and our medical officer is very keen on us knowing how to inject IM, which means that this year I've had needles stuck in me 4 times more than I needed to.

    Now, to sew yourself up would require cojones the size of melons and the tolerance to pain only seen in specialist S&M websites.

    Not for me, and not for about 99% of people out there I'm sure

    IMHO you're never that far away from an accident and emergency department in the UK, so follow the advice given of elevate the wound and apply pressure, then seek medical help. Let the experts deal with it, they've read books and practiced on oranges to do it, and wear white coats too.

    The only bit of advice given to me about suturing is in scalp wounds, where you can lose a frightening amount of blood, as well as scaring the hell out of anyone who's had one. If the wound is clean then a suture can be put in to try to stop/control the bleeding. Interestingly some of the older books recommend using the patient's own hair to pull the edges of the wound together(wouldn't work on me as I'm a baldy bugger!)

    Did I mention that I hate needles?
    There are two theories about winning an argument with a woman, Neither of them work.

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