A Nurse with a Gun

Friday, January 30, 2009

Stay or Go?

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16 Comments:

Blogger Jake (formerly Riposte3) said...

Meh. It's a bit cheesy, like most educational videos.

I am curious about the reasoning and evidence behind the recommendation to go the the ER for any lac over 1/2", though. Is there an age range on that, or just all peds? On the older kids, even 3/4" isn't really all that big unless it's somewhat deep. I survived worse as a kid, and without any scarring, too.

7:15 PM  
Anonymous andrew said...

include a tapmeasure in the first aid kid now?

9:13 PM  
Anonymous Mr.Potato said...

If you don't cut veins or organs then why not just let it heal?

9:41 PM  
Blogger Xavier said...

Hell, 3/4 laceration, very little blood? I'm staying too. A steri strip or two after washing it out, and monitor healing each day if you dress it. AAP is nuts.

10:06 PM  
Anonymous Anonymous said...

As a nurse I find this a little insulting. Common sense (a rare commodity I agree)will tell Dad when it's time to go to the ER. Mom on the other hand will shlep the little toad to the ER with the sniffles, a hang nail or a bump/abrasion on the knee. I've seen them. Is Nanny Statism being pushed as PSAs derigeur for most urban/liberal nurses now? A little soap and water, some butterfies or Steri Strips, maybe a dressing and watch the wound.
Thad

10:35 PM  
OpenID reflectoscope said...

I agree the 1/2" thing is a little excessive (barring projectile bleeding, of course) but the rest of it seems like usefully conservative FYI.

Jim

10:47 PM  
Anonymous Anonymous said...

When I was a kid, you only went to the ER if a part of your body was hanging by a thread, or lying in the sand. Otherwise, it's Robitussin as Chris Rock would say.

Kids are such wimps these days.

5:50 AM  
Blogger Aanoosh said...

Steri Strip? We'd use an oily rag, a piece of old newspaper, or just shove it into salt. I don't think any of us ever got infected, or got permanently disfigured.

We also walked 10 miles to school in the blinding snow, put newspaper in our boots for insulation, and never used tissues to blow our noses when we were out in the woods.

Tough.

5:53 AM  
Blogger stbaguley said...

"Going to the ER" instead of taking care of it yourself. There is a balance there, I've got soap and water and Neosporin at home what are they going to do at the ER that is better than that? (Oh yeah My kids had all their vacinations too). I worried about deep wound cleaning or later infection, broken bones or bad sprains and that is about all. I worry more about the constant pressure to replace parenting with a rulebook that allows the State to step in screaming child endangerment or abuse. Also a balance point which should not be defined by those with an interest in the outcome, such as an "expert" in need of more files.

8:32 AM  
Anonymous Mr.Potato said...

Shows like this are the reason I returned my cable box. That was over a year ago and I haven't regretted it.

Of course I have to thank the burglars who broke into my house and stole my brand new flat screen TV. :-) Thank you bastards. You made me a luddite ;-)

8:49 AM  
Blogger Rorschach said...

Xav, this is the same crew that interrogates your kid about whether you have guns in the house too. AAP is a bunch of idiots.

10:32 AM  
Blogger MauserMedic said...

Hm...

Had the wife (surgical scrub tech) open up a 1" incision on my left arm in the kitchen to retrieve that 1/2" piece of wood I managed to embed completely sub q while working on a house project. Mostly because I refuse to pay the co-pay on a $500+ ER visit for a glorified splinter removal. I'm a cheap bastard.

OTOH, The Boy turned white and went running back up the steps when he walked into the wife using the scalpel on me, so I guess it depends on your client :)

1:00 PM  
Anonymous tony said...

Sheesh - I'd have to lease a room at the hospital if I took one of my kids every time there was a 1/2" cut... Sounds like the AAP drumming up biz to me!

1:01 PM  
Anonymous Big Jake said...

I would have to disagree on the cut. In your back yard, maybe stay. In a public playground you do not know what the kid cut himself on, the threat of tetanus or worse, hepatitis would make me inclined to go to the hospital. If not the hospital at least to the pediatrician for a tetanus booster.

I sliced my self up plenty of times with knives and woodworking tools as a kid, to be patched up with a bandaid (or a gauze pad and duck tape), but the time I stepped on a nail in the back yard I was taken to the hospital.

10:47 PM  
Blogger Stoney Pete said...

I only got at far as the dad's being wrong according to the AAP. Had to shut it off as I got sick to my stomach. Maybe I should go to the ER. ; )

6:36 AM  
Anonymous Steve said...

Is it just me, or did they have the colors backwards? Red should be for going to the hospital; green for it's ok to stay home.

With red being the "danger" color, it seems to me like they set this up to say that you are in danger by staying home.

Or am I overreacting?
Steve

11:14 PM  

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