self stitching your wound

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ghillieman

Member
Dec 21, 2009
27
0
netherlands
Anyone saw Dave Canterbury on youtube stich his own hand, anyone ever did this,what is a medic saying about this and has it anything to do with self aid ?.
 

ghillieman

Member
Dec 21, 2009
27
0
netherlands
would not do it my self, never would use superglue also, i saw the comments on american bushcraft, but then again i am interested in a different point of view
 

Adze

Native
Oct 9, 2009
1,874
0
Cumbria
www.adamhughes.net
Koa on BCUSA said:
Please refer to this thread for treating wounds in the field:

http://bushcraftusa.com/forum/showthread.php?t=318

Ask yourself these questions before suturing as he did:
1) Do I know where the extensor tendons are and what suture/stitch to use to repair them?
2) Do I know where the digital nerves run?
3) Do I know how to close an extensor hood?
4) Do I know how to repair the sagittal band?
5) Do I know the protocol for treating an MCP joint laceration?
6) Do I consider my hand to be a useless appendage that I could do without?

*If you answered no to any of the above questions close the wound with gauze and tape.

How many non-medical people, without recourse to Google and Thickipedia, even know what half those things are let alone how to avoid damaging them while stitching themselves back together? Not many, I daresay, certainly not I.

If you cut yourself in the field badly enough to actually require stitching to save your life, chances are very good indeed that you're not going to be in good enough shape to actually do the stitching yourself. Little cuts are different as in Dave's video. If you notice, Dave doesn't look his usual bouncy self and that's a pretty minor cut in the 'life threatening stakes'.

He'd apparently cut himself to the bone, about an hour previously, across a knuckle. It had already stopped bleeding by the looks of things, why stitch it at all? Gauze and tape, perhaps a few steri-strips underneath to keep it tight, walk out the way you came in and go straight to casualty where they'll get around to you after they finish sewing the drunks back together.

Best bet - don't fail to practice good knife safety.
 

tjwuk

Nomad
Apr 4, 2009
329
0
Cornwall
Interesting, but had worse than that out on site and all you do is tape it up! Like it states in the next post 9 out of 10 cuts don't need stitches.
 

ghillieman

Member
Dec 21, 2009
27
0
netherlands
first aid methods that i favor most is the things i learned in the service, followed several civilan first aid courses afterwards, but the basic and simple things works best for my point of view.
I followed Dave Canterburys efforts on the tube, and untill this item ,i tought he was a pretty serious guy , i seldom take a look anymore.
 

Matt.S

Native
Mar 26, 2008
1,075
0
36
Exeter, Devon
Various branches of the homo genus seem to have survived for millions of years before the invention of the needle, let alone suturing. However did we manage that?
 

Doc

Need to contact Admin...
Nov 29, 2003
2,109
10
Perthshire
I do know of a GP who performed his own vasectomy, with the aid of a mirror. I reckon he earned the £80 minor surgery fee for that.

You really need to check for neurovascular or tendon injury before suturing anything, and you certainly do not want to close a contaminated wound. I close a lot of minor wounds either with sutures, tissue adhesive or steristrips. Sutures are most useful for scalp wounds, which bleed like stink until you close them.

Incised wounds that go deeper than the subcut fat should be treated with great caution. Injury to underlying structures needs to be excluded, and that sometimes means examination in theatre.
 

MK-MIKE

Full Member
Dec 2, 2009
62
0
Milton Keynes
Hmmm...... :)

Steri-strips, pad and tape for me please. Worked for me and patients i've treated well in the past :)

I've been taught suturing, but would never dream of hands or face (too complex). The vast majority of wounds don't need suturing. Also deep wounds need specialist techniques to suture (usually sutured layer by layer) to ensure that no cavity is left (unless a surgical drain is placed) otherwise the resulting infection is not pretty.

Dermabond/tissue adhesives are fine, but are only useful on superficial wounds and where no tendon/nerve damage has occured, unless these have been dealt with seperately and you are using the glue to provide a low scarring 'cosmetic' closure
 

rancid badger

Bushcrafter (boy, I've got a lot to say!)
That's all I've used for the last 20 years or so.

I carry FFD's etc but rarely use them, they are there more for the 'what if?' factor.

I was a shift first aider, for 18 years and frankly, lost count of the number of times, I had to TEMPORARILY close ( often very nasty) wounds.

The thing that is important here; is to realise that any wound, that needs closing in this manner, needs to be checked by a doctor or at least a qualified nurse, as soon as possible.

R.B.
 

helixpteron

Native
Mar 16, 2008
1,469
0
UK
Sounds like a job for......

duct-tape-3m.jpg
 

slammer187

Nomad
Jul 11, 2009
411
0
Ireland
TBH I've cut myself like that and the pain is sort of cancelled out when it's such a large cut so I can understand why he did it but it was kind of stupid to do it without the consultation of a professional.The reason he did it was because he was shooting a bow the next day for filming with Discovery but I'm not sure if many of you saw this video because it's quite interesting!


http://www.youtube.com/watch?v=cF06utNBymQ
 

Laurentius

Bushcrafter (boy, I've got a lot to say!)
Aug 13, 2009
2,428
619
Knowhere
Never done this myself nor would I even attempt it.

The worst I have done is when I inflicted a nasty deep cut on my left thumb whilst sharpening a sickle (the wrong way I guess)

I couldn't be bothered to take it down to casualty so after washing it I just put an absorbent dressing on, taped it up very firmly so it would not bend and left it for a couple of days to fester.

Seemed to have done the job and it healed up nicely.
 

ghillieman

Member
Dec 21, 2009
27
0
netherlands
especcially in a hand wich is a complex piece of art ,with sinew, mussel and tissue, a lot can go wrong, if been cut trough to the bone, as Dave says, chances are you cut one of these, chances are ,some fingers will never work again.
 

andythecelt

Nomad
May 11, 2009
261
2
Planet Earth
I do know of a GP who performed his own vasectomy, with the aid of a mirror. I reckon he earned the £80 minor surgery fee for that.

Holy Crap batman! As someone that had it done under local anaesthesia I can vouch for how tough injecting yourself in each testicle must be. If you're thinking about it lads go general. That needle goes DEEP in each one, it doesn't just wing it!
 
3

320

Guest
Sounds like a job for......

duct-tape-3m.jpg

actually duct tape and paper towels (or gauze pads) were my doctor's suggestion for even semi-serious lacerations. just be sure to irrigate ithe wound. clean water or contact (saline)solution work fine.

without meaning to wind anyone up, i've used super glue for years. irrigation seems to be the critical part of this self aid. anything left in the wound will encapsulate. resulting in excessive scarring or infection. super glue generates a lot of heat as it cures, dermabond and petbond less so, because of different formulae, providing an antiseptic effect.

the first aid kit i carry has duct tape, contact solution, super glue, telfa pads and pressure wraps. originally this stuff was for my dogs injuries. the glue is wonderful for head and face wounds. i've patched them and myself up many times and it seems to have had no ill effects.
 

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