Physician Huang Minxu explained that the grandmother used a rubber band to tie the big toe to stop the bleeding. After 3 hours of medical treatment, she was already cyanotic and swollen, and the rubber band was removed for a long time.

(Photo by reporter Cai Shuyuan)

[Reporter Cai Shuyuan/Taichung Report] A 73-year-old grandma in Taichung accidentally fell in September this year. The nail of her right thumb was opened and bleeding continued. In a desperate situation, she tied the big toe with a rubber band and wrapped it around several times to stop the bleeding. It has been tied for 3 hours, and the big toe is obviously cyanotic and swollen. If you don't loosen it, it will lead to amputation. However, after loosening the rubber band, the toe has not improved. He received hyperbaric oxygen therapy and negative pressure wound care on the same day, and was finally saved after 1 week of hospitalization. Toes, as usual.

Huang Minxu, director of the Hyperbaric Oxygen Therapy Center at Taichung Hospital and an orthopaedic physician, pointed out that, according to this grandma, the treatment of contusions and abrasions should be "soft and hard". The muscles, skin, nerves and blood vessels of the soft tissues also need attention. Even if the examination confirms that there is no fracture or dislocation, the grandmother's big toe has been bound by a rubber band for 3 hours, and it has obvious ischemia, cyanosis and swelling. The toes are bound to be at risk of amputation.

Please read on...

The 7-year-old mother tied the big toe with a rubber band to stop the bleeding. After 3 hours of treatment, she was cyanotic and swollen, and almost had to amputate.

(Photo by reporter Cai Shuyuan)

The blood vessels of this grandmother's big toe were tightly bound by rubber bands, and the blood flow could not pass through for a long time, resulting in hypoxia, necrosis and swelling of the toe tissue. Eventually, cyanosis and necrosis lead to amputation. Adjuvant hyperbaric oxygen therapy can break this vicious circle.

Huang Minxu pointed out that grandma's big toe was tied for 3 hours and then loosened. She was old and had poor blood circulation, and her toes continued to cyanide and swell. I am afraid she could not escape the fate of amputation. On the same day, she treated her with hyperbaric oxygen for 1 hour a day for 5 consecutive days. At the same time, he was admitted to the hospital for negative pressure care of the wound. After 1 week of hospitalization, he was discharged from the hospital. The wound almost recovered, with only a little black and blue.

After hyperbaric oxygen therapy and negative pressure wound care, the toe was successfully saved.

(Photo by reporter Cai Shuyuan)

The grandmother gave 100% pure oxygen in a hyperbaric oxygen chamber at a pressure higher than 1.4 atmospheres, pressure therapy, increased microangiogenesis, promoted the proliferation of fibroblasts and collagen production, and accelerated the repair and healing of the toe wound tissue; the big toe was also subjected to negative pressure on the wound Nursing, helping wound decompression, moisturizing, and drainage of secretions.

Hyperbaric oxygen therapy can accelerate tissue repair and wound healing.

(Photo by reporter Cai Shuyuan)

Huang Minxu reminded that when an injury bleeds, the wound can be irrigated with sterile saline, and then sterilized with disinfectant. The wound can be stopped by "direct pressure", and a sterile gauze or a clean and absorbent cloth can be placed on the wound. Press it with your hands. If the blood flow is still persistent or bright red arterial blood is found, you can add a bandage or an elastic tourniquet after the pressure. Please go to the hospital for examination as soon as possible, and the doctor will professionally determine whether further treatment is required.

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keywords

  • amputation

  • contusion

  • nail

  • blood circulation

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