They Had Me in Stitches: A Grand Canyon River Guide’s Case Report and a Review of Wilderness Wound Management Literature Susanne J. Spano, MD, Brad Dimock

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Presentation transcript:

They Had Me in Stitches: A Grand Canyon River Guide’s Case Report and a Review of Wilderness Wound Management Literature Susanne J. Spano, MD, Brad Dimock Wilderness & Environmental Medicine Volume 25, Issue 2, Pages 182-189 (June 2014) DOI: 10.1016/j.wem.2013.10.007 Copyright © 2014 Wilderness Medical Society Terms and Conditions

Figure 1 The route of the Colorado River through Grand Canyon National Park.6 Wilderness & Environmental Medicine 2014 25, 182-189DOI: (10.1016/j.wem.2013.10.007) Copyright © 2014 Wilderness Medical Society Terms and Conditions

Figure 2 Initial injury. Wilderness & Environmental Medicine 2014 25, 182-189DOI: (10.1016/j.wem.2013.10.007) Copyright © 2014 Wilderness Medical Society Terms and Conditions

Figure 3 Numbing the wound with lidocaine. Wilderness & Environmental Medicine 2014 25, 182-189DOI: (10.1016/j.wem.2013.10.007) Copyright © 2014 Wilderness Medical Society Terms and Conditions

Figure 4 Suturing the wound in the boat. Wilderness & Environmental Medicine 2014 25, 182-189DOI: (10.1016/j.wem.2013.10.007) Copyright © 2014 Wilderness Medical Society Terms and Conditions

Figure 5 Final suture repair on day 1. Wilderness & Environmental Medicine 2014 25, 182-189DOI: (10.1016/j.wem.2013.10.007) Copyright © 2014 Wilderness Medical Society Terms and Conditions

Figure 6 Wound infection on day 5. Wilderness & Environmental Medicine 2014 25, 182-189DOI: (10.1016/j.wem.2013.10.007) Copyright © 2014 Wilderness Medical Society Terms and Conditions

Figure 7 Wound irrigation on day 7. Wilderness & Environmental Medicine 2014 25, 182-189DOI: (10.1016/j.wem.2013.10.007) Copyright © 2014 Wilderness Medical Society Terms and Conditions

Figure 8 Wound immediately after irrigation. Wilderness & Environmental Medicine 2014 25, 182-189DOI: (10.1016/j.wem.2013.10.007) Copyright © 2014 Wilderness Medical Society Terms and Conditions

Figure 9 Wound in the operating room on day 10. Wilderness & Environmental Medicine 2014 25, 182-189DOI: (10.1016/j.wem.2013.10.007) Copyright © 2014 Wilderness Medical Society Terms and Conditions

Figure 10 Wound healed (more than 1 year after injury). Wilderness & Environmental Medicine 2014 25, 182-189DOI: (10.1016/j.wem.2013.10.007) Copyright © 2014 Wilderness Medical Society Terms and Conditions