- Joined
- Feb 6, 2004
- Messages
- 279
Geez. Dont know where to start here. I think you are missing the point of contention. It is fine that you didnt care for parts of the video but when you are essentially stating that the lad is doing something wrong, I feel that it should be supported by evidence that your method is superior. If I say red is more appealing than blue then it very well may be to you. If you say that Canada is in South America, well
"Wrap around" instead of "slide on" is kind of the issue here because that is the premise that led to your padding of the original statement. I am not going into the intricacies of wound management here nor was it shown in the video. There is quite a bit more that would go into prepping the wound just like the wood in the video did not naturally manifest as perfectly cut ends.
The goal is to preserve the function of the digit as much as possible while still maintaining protection. Trying to be succinct here but challenge you to try something.
Take a length of tube gauze as you suggested then wrap it. Now use a tool in that hand for five minutes like you would if you were up one of the rivers in your area and were stuck several days with no definitive evac. Also, if you do rig a way to tie this bandage that you feel is more effective, check your capillary refill and dont forget about the jostling when you are doing the bandage tuck. After this test, try the method shown in the video securing the dressing at the base of the finger as demonstrated and also check your capillary refill. This is just a test without a true injury. After this, assume that you have an injury that has disrupted the joint. Now repeat the test and tell me which method provides stability and more importantly, which actually stays in place without causing deficits in motor, circulation, or sensory function. You just might be surprised by your findings. This is not even taking into consideration the fluctuating edema factor that just might require a bit of adjustment. I believe you will figure out which will be less disruptive to the underlying tissue.
I dont know you but the dressing issue does seem like you made a mistake and then have been trying to cover it or wrap it instead of just admitting it and moving forward.
I dont think anyone would argue that a HH knife is the best option for applying a tube gauze and unless I missed something, no one did. Interestingly enough, you feel that I am being snarky yet you continue to persist with subversive comments. I have to come clean on the video. It was shot with an iPhone and it was in fact my wife doing the recording during the dreaded tube gauze demonstration. My son really does not have 4 hands, it was me applying it to his finger.
"Wrap around" instead of "slide on" is kind of the issue here because that is the premise that led to your padding of the original statement. I am not going into the intricacies of wound management here nor was it shown in the video. There is quite a bit more that would go into prepping the wound just like the wood in the video did not naturally manifest as perfectly cut ends.
The goal is to preserve the function of the digit as much as possible while still maintaining protection. Trying to be succinct here but challenge you to try something.
Take a length of tube gauze as you suggested then wrap it. Now use a tool in that hand for five minutes like you would if you were up one of the rivers in your area and were stuck several days with no definitive evac. Also, if you do rig a way to tie this bandage that you feel is more effective, check your capillary refill and dont forget about the jostling when you are doing the bandage tuck. After this test, try the method shown in the video securing the dressing at the base of the finger as demonstrated and also check your capillary refill. This is just a test without a true injury. After this, assume that you have an injury that has disrupted the joint. Now repeat the test and tell me which method provides stability and more importantly, which actually stays in place without causing deficits in motor, circulation, or sensory function. You just might be surprised by your findings. This is not even taking into consideration the fluctuating edema factor that just might require a bit of adjustment. I believe you will figure out which will be less disruptive to the underlying tissue.
I dont know you but the dressing issue does seem like you made a mistake and then have been trying to cover it or wrap it instead of just admitting it and moving forward.
I dont think anyone would argue that a HH knife is the best option for applying a tube gauze and unless I missed something, no one did. Interestingly enough, you feel that I am being snarky yet you continue to persist with subversive comments. I have to come clean on the video. It was shot with an iPhone and it was in fact my wife doing the recording during the dreaded tube gauze demonstration. My son really does not have 4 hands, it was me applying it to his finger.
I believe it was a mistake to put the gauze segment into the video. I would rather have seen more of the arrow head making or other stuff you mentioned.
No 1. Wrap the gauze around the finger.
No 2. It's a good idea to put a dressing under the bandage, don't you agree. I don't think I need evidence. Whatever caused the wound is likely to introduce bacteria into it. The inside of the knife would most likely introduce more bacteria. I can't imagine how hard it might be to get the tube applied, compressed bandage off of the finger to change the dressing if no ointment was applied first, and blood was allowed to soak into the gauze and congeal there. I think that would hurt very much.
No 3. Not sure what you are asking me for here. I think it would be irritating to the wound if you put the knife handle around it and started twisting. Not to mention that it is not sterile in there.
No.4 The alternative would be to just wrap the gauze around the finger, that would have been the best practice. In survival, or life, we are always looking for best way to do something as opposed trying to think of as many ways as possible to use the knife.
I think you are probably right about his ability to talk about it maturely, but I'm not sure why you had to get snarky about it.
I'm not sure why you had to question my honesty, those that know me know that I am an honest person. Is that really your hang up, that I used the words "wrap around" instead of "slide on"? Weather the gauze is slid on or wrapped around is not the issue. Are you sure you didn't have more to do with the video than just holding the camera? You're making a pretty big deal out of it.
I stand by me original statement, in my opinion, the knife handle is not the best way to apply a bandage to a wounded finger.
Just my opinion.