Whos cut their finger?

Bimble

Forager
Jul 2, 2008
157
0
Stafford, England
I think this thread should be entitled who doesn’t cut their fingers.....:D

Fortunate thing about your hand is there are only tendons in it and no muscle. If you cut yourself with a sharp tool cleanly, you can usually be fixed by simple stitching. If you ever cut through a tendon it can be stitched back together fairly easily by surgeons, you may lose some sensation below the cut but even that repairs itself to some extent over time.
What you don’t want to do is injure your hand with a blunt tool. I read stoneware that hammers are the most dangerous hand tool as the crush injuries effectively kill the digit and it has to be removed.

Squeak!!!!:eek:

As for myself, my work holding hand looks like it should belong to a depressed emo with a draw full of razor blades. Keep your knife clean and razor sharp and even deep cuts will heal very quickly without stitching if held together and prevented from moving.

It’s worth pointing out that if you do nick yourself; you have about two days to decide if it needs stitching. After this time the skin around the cut effectively dies if it keeps getting pulled apart and then it will not mesh back together properly.

Near medical help, go see the doctor just to be safe before then. In the bush, more than two days out, carry sutures by all means but these need to be done properly not bodged which is difficult if you’re on your own, with one hand, and no anaesthetic. Best to carry some steri-strips to close the wound in these situations.

Let the initial blood flow to wash out any debris or bugs. Don’t be tempted to apply any antiseptic as this will kill the cells on the wounds surface making it hard to heal. (If the knife, or you hand was really dirty (cuts in water environments are very nasty), you can use a sterri-pod of saline to jet clean the wound. These are really useful for removing debris from the eye as well, particularly sand, and I always carry at least one, ask at the counter in Boots).

After this apply pressure to close the wound until any bleeding has stopped. Now apply the sterri-strip ensuring slight tension is closing the wound.

Next get a thumping piece of strong medical fabric tape and ensure that the wound stays closed /stabilised once taped up (not too tight so that it stops proper circulation though).
Don’t be tempted to take the dressing off again until you get to medical help unless something is obviously wrong (infection) as this will do more damage than good.

Keep the dressing dry and take your broad spectrum antibiotics that you had the good sense to get from your doc just before you went on the trip. (If you explain why you may need them most doctors are glad to help on this one.)

Good knifes are not that dangerous really, unless you’re stupid enough to cut inside of your leg and risk a 5 minute total bleed-out from an artery. Misused axes on the other hand (excuse the pun) are quite literally lethal. Far out in the bush, I use a saw most of the time, slower, less sexy, but much safer.

Just what I’ve gleaned over the years, I’m no medical professional......
 

xavierdoc

Full Member
Apr 5, 2006
309
29
51
SW Wales
Fortunate thing about your hand is there are only tendons in it and no muscle.

Apart from the 19 I can think of:

Abductor Pollicis brevis, flexor pollicis brevis, opponens policis, adductor pollicis (oblique and transverse portions), Abductor digiti minimi, flexor digiti minimi brevis, opponens digiti minimi, 4 lumbricals, 4 dorsal interossei, 4 palmar interossei.

Not sure why you say it's "fortunate" anyway -muscle heals superbly without sutures (in fact suturing is a good way to kill muscle).

If you ever cut through a tendon it can be stitched back together fairly easily by surgeons

:eek: Try it! Seriously, flexor tendon repair is fiddly, technically demanding and the results are rarely brilliant. Your hands are finely-balanced, intricate machines that are easily upset. Even if you only injure a tendon to one finger, the others can be compromised, too (the "quadriga" effect.)

Simplified diagram of long flexor tendons and the annular/cruciate pulleys. Other structures omitted for sanity.
Flexor.jpg
Pulleys.jpg


In order to repair the tendon and protect the repair, it is sometimes necessary to damage the pulley. Then the pulley may need reconstruction later, requiring removal of other tendon (eg. from forearm or calf) to use as a graft. Adhesions can form, tethering the tendon and stopping it moving, requiring surgery to free it up again.

Between 5-20% rerupture in 1 year. This morning I spent an hour doing a tenolysis on a tendon that had been succesfully repaired 8 months ago and the guy still won't get full movement. The physios and OTs work hard with splints and CAM therapy etc to get these repairs working again without rupturing; it is a long slog from day one. Extensor tendons (on the back of the hand) are thankfully much simpler but less commonly injured by bushcraft/whittling accidents.

Just what I’ve gleaned over the years, I’m no medical professional......

Your advice about simple cuts is perfectly reasonable. Simple antiseptics are ok for irrigating most wounds, but sterile saline works very well and hurts less. Most wounds are perfectly capable of healing without suturing, just take a long time and leave a bigger scar.

Common pitfalls when someone has just cut themselves with an edged tool:

-panicking
-not applying sufficient or focussed pressure
-not elevating the cut area above heart level (L nipple) as minimum
-checking to see if the bleeding has stopped every few minutes and then disturbing the clot (eg. by wiping or dabbing) -leave it alone!
-removing padding/dressing material when it has soaked through with blood (apply new material over the top of the soaked dressing)
-applying a bandage that acts as a venous tourniquet -increases bleeding by restricting flow of blood out of the limb
-applying a bandage that has no suitable padded dressing to focus pressure on the bleeding area.
-insufficient volume of irrigant to flush out debris/microbes
-use of topical antibiotics
-getting superglue in the wound
-supergluing/suturing/steristripping a wound that would be better left open.
-supergluing/suturing/steristripping dirt into a wound.
-sucking or licking a wound to "clean it".
-using an injured body part inappropriately after wound care (might be difficult to avoid in a true survival situation, granted.)
 

Bimble

Forager
Jul 2, 2008
157
0
Stafford, England
Cheers for the gore diagram doc, I stand corrected.
By muscles I meant big important ones (There’s a joke there somewhere:D ).
I agree with the tendon repair, had my ankle re-stabilised after a career ending rugby injury. It took a long time to heal and I still feel the rivets come the winter. I was told that it would never get back to 50% strength and I’d be well advised to hang up my boots.
Yup, I know it’s woefully inadequate to try and explain in words how to patch yourself up in the field and I made it too simple, as your amendments have shown.
Thanks for your contribution, most posts on this site are the usual rework of old stuff, no offence to anybody, we all had to ask questions to learn anything. It’s nice that we get some practical advice on what to do/not do when things go wrong. You won’t get information like yours in a main stream book, most publishers would be scared of getting sued.
Thanks again
 

Sao

Member
May 21, 2009
13
0
Bedfordshire
I'm currently sat here typing one handed with three stiches in my left palm from doing something very silly.

I recently got myself a Falkniven F1 and was sat at home cutting up small bits of wood for fuel in my ghillie kettle. I made the stupid mistake of holding a small off cut of hardwood in between my left forefinger and thumb and started to push the knife blade in ready to split the wood on a hard surface, as you can probably guess the knife went through a lot easier and quicker than I was expecting and cut into my palm. Luckily I have missed any tendons and just have 3 stiches to show for my stupidity.
 

Asa Samuel

Native
May 6, 2009
1,450
1
St Austell.
I cut my finger in the stupidest of times.

I had just bought a DC4 and was sharpening my knife, then shaved a bit of hair off my arm, then stupidly ran my finger and thumb either side of the blade (blade pointing towards my hand) to get the hair off, ended up slicing into my finger a bit. Nothing a plaster wouldn't sort out though. It was just so bad, cutting my finger right after sharpening :D
 

Forest fella

Full Member
Jul 2, 2008
2,922
214
Gloucestershire
Yeah I have many many times,the most recent was a good one,I was Drilling through a Knife Blade,and the Clamp broke free and the blade flew round and cut my left index finger to the bone.ouch,I put 6 stiches in it.
pic of now healed up cut
44002.jpg
 

PropThePolecat

Tenderfoot
Mar 29, 2009
94
0
Mainland Europe
Ive cut my finger too...I was on a dayhike in the woods, dont know what happened, was chopping firewood and i fumbled with the knife and drew it along the tip of my finger nearly cutting it off!

You can see on the pic how the blood is dripping through the bandaid. It took ages for it to stop. 1 month later and in still hurts when i open a screw-cap bottle or make any other twisting motion on the tip of finger.

http://www.flickr.com/photos/km-m/3551206895/in/photostream/
 

stevesteve

Nomad
Dec 11, 2006
460
0
58
UK
Hi Pulha,

"still hurts when i open a screw-cap bottle"

You'll have to stick to ring-pull drinks for now ;-)

Cheers,
Steve
 

Broch

Life Member
Jan 18, 2009
8,461
8,336
Mid Wales
www.mont-hmg.co.uk
Yeah I have many many times,the most recent was a good one,I was Drilling through a Knife Blade,and the Clamp broke free and the blade flew round and cut my left index finger to the bone.ouch,I put 6 stiches in it.
pic of now healed up cut
44002.jpg

Scared me for a while there - I thought you'd taken two fingers off :)

Broch
 

Goatboy

Full Member
Jan 31, 2005
14,956
18
Scotland
Hey Jamie,

Hope it all heals up and that not too much is lost in the way of feeling and movement. Going by the posts it looks like we're quite a bunch when it comes to accidents and I'm not exempt there either.
Once drilled into my inner thigh with a power drill whilst resting a piece of wood there. Also have two nasty slashes on my hand from when I was a bouncer at Uni and the chap I wouldn't let in came back with a knife. I got it off him, threw it behind me and had a word with him... silly boy.
Once shot myself in the head with a 22 that ricochet from a rock whilst culling rabbits (almost a "live by the sword" moment).
Though I think the one that scared me the most was when I was still a cutter, being in some pretty heavy woodland and getting to a really large curly grained birch in the middle of the ride I was cutting. I was knackered and curly birch is hard going even for a good husqvarna and once it was down I started to snedd it out. One of the little branches got caught in the sprocket jamming the chain. Procedure is to apply the chain brake and switch off the engine. But you know how it is when you're pooped, I grabbed the branch with my left hand and pulled - this rotated the saw and my right hand activated the deadman switch and throttle blipping the saw to life.
I remember looking up the tree at the remains of my now shredded kevlar backed glove with my hand under my arm pit, thinking... " it doesn't hurt yet and I don't want to look." I sat down and pulled out what I thought was going to be a pound of mince - and there wasn't a scratch. Felt a little light headed and looked again, but no, no damage what so-ever. It had just pulled my glove off and had it's wicked way with it. Never been so relieved. Needless to say that was the only time I ever nicked my safety gear - that is quite common, but I was just so carefull that this first time was gonna be my last.
So just remember with an injury like yours they recomend that you don't do any dishes for at least 12 months to allow the nerves to heal :naughty:
Goatboy.
 

stevesteve

Nomad
Dec 11, 2006
460
0
58
UK
Hi Goatboy,

"the remains of my now shredded kevlar backed glove with my hand under my arm pit... no damage what so-ever."

OK, I think there is an object lesson in wearing appropriate safety kit there. Thinking I'll be OK in gardening gloves with a chainsaw" is nearly suicidal.

Cheers,
Steve
 

Goatboy

Full Member
Jan 31, 2005
14,956
18
Scotland
Hi Steve,
I went on to be a safety officer...:lmao: yea I know. And some of the videos and stills you could get to scare the b'jesus out of folk were pretty gruesome. Do a google search!
What do you use your chainsaw for? Most home owners it's "crosscutting" logs for fire wood. This can be one of the most dangerious things due to bad chain maintenance making the chain either too aggressive or having to be forced, kickback due to hitting the bar tip - usually takes you in the shoulder or head:eek: . or cutting your toes of 'cause you're not using a saw bench.
Then there's the folk felling that big tree in the garden with a hobby saw (either no shins left of the put it through the roof of their house, or the tree bounces back and hits you).
Don't get me wrong I'm not down on home owner ship, it's just that it's a lethal tool that few get training in. Bit like giving a kid a gun and saying go play.
The "proffesionals" get it VERY wrong too, look what I did and those guys on that TV program I saw at a mates house about cutters in Canada / America? WOW their H&S was leathal... amazed no-one died on camera.
Buy some gloves, boots, trousers, helmet / ear and eye defenders and go on a course.
Be safe, it's hard to type with no head :Wow:
Cheers
Colin.
 

slasha9

Forager
Nov 28, 2004
183
3
55
Cannock
woodlife.ning.com
Going back a year or two, I splashed out on a shiny new Gransfors Bruks wildlife hatchet, and after it spent a month or two in the shed without a proper outing SWMBO asked how we were going to get rid of an old wooden bed. HOW?... HOW? How do you think woman? with my shiny new axe of course!

Bed goes into back garden, axe comes out of shed, bish bash bosh, job done. Pine bed reduced to match wood in short order, and (coz I know what I am doing with axes, having read not one but TWO books) I made sure that i knelt down as the hatchet was so short that I wouldn't swing at the bed, miss and hit my right knee instead.

Now I am not used to using heavy hand tools (at work the heaviest tool i use is a pen, or a torch if the pen rolls into a dark corner) so I was rather proud of my handiwork even if SWMBO wasn't in the garden to observe my new found prowess but I did notice that my right hand was ON FIRE cause of the hard chopping work (should have paid more attention to this particular little point).

So I stand up to see if there are any decent sized wood chunks left that might benefit from a swift swipe, at this point my right hand does a little spasm thing and the axe drops out of my hand and gently spins to the earth, I looked down with horror and let out a breath of relief as it landed next to my right boot and not on it. PHEW!

What I never saw or even felt was, as it dropped, the tip of the blade carved a 4 inch gash into my right knee (the same one I had just spent all afternoon protecting by kneeling down) straight through my jeans without me feeling the slightest tug or even pain.

Have to say that SWMBO did a bang up job of improvising a bandage from a tea towel, and organising my special taxi ride to A+E ( one of those brightly painted taxis with the flashing lights and REALLY LOUD horns) and didn't laugh at me once, she even kept a straight face when she presented me with a complimetary set of safety knee pads after I got stitched up.

No serious damage got done because (luckily for me!) there was so much adipose tissue that all my juicy nerves, tendons and stuff were protected. When I got home I googled 'adipose' and found out that it's fat, a polite way for the paramedics to tell me that my 'pie-padding' had prevented a serious injury without them hurting my feelings(bless them)

Just thought I would share my little story

P.S. I can personally attest that GB axes are REALLY sharp straight out of the box and don't lose their edge even after an afternoon's solid work (no connection, just a deeply wounded customer etc.):dunno:
 

sandsnakes

Life Member
May 22, 2006
993
31
69
West London
I did something rather spectacular the other day. I knocked an old school victorian amputation scalpel, with a 3" blade, off of the table.... Then out of reflex tried to catch it (yes the word **** did come to mind)!
It slid rather neatly through the web between index finger and thumb. Rather luckily it did not hit a nerve or tendon, I can now vouch for super glue. Why super glue, well I was just about to catch a plane to Dubai, can you begin to imagine what the fair Helen would have said if I had not made the flight?

I now have super glue in my first aid kit.

I must add its healed wonderfully with no scars at all.

Moral of the tale, if you drop something sharp don't try and catch it, get out of the way fast!

Sandsnakes
 

Templar

Forager
Mar 14, 2006
226
1
49
Can Tho, Vietnam (Australian)
Yes!!

I have... looking at my hands... about 5 serious cuts inflicted on myself, mostly from my early learning days with my first knife, all quite deep a couple needing sutures, been VERY lucky though (touch wood) I haven't done any nerve damage...
hope you heal up soon...
 

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