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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 on theme: "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 "— Presentation transcript:

1 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 (June 2014) DOI: /j.wem Copyright © 2014 Wilderness Medical Society Terms and Conditions

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

3 Figure 2 Initial injury. Wilderness & Environmental Medicine  , DOI: ( /j.wem ) Copyright © 2014 Wilderness Medical Society Terms and Conditions

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

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

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

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

8 Figure 7 Wound irrigation on day 7.
Wilderness & Environmental Medicine  , DOI: ( /j.wem ) Copyright © 2014 Wilderness Medical Society Terms and Conditions

9 Figure 8 Wound immediately after irrigation.
Wilderness & Environmental Medicine  , DOI: ( /j.wem ) Copyright © 2014 Wilderness Medical Society Terms and Conditions

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

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


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