Your most amazing wounds and gore!!!! Anyone care to share? - page 3

by NICU_Nurse

Hey, y'all! Okay, I know this could get a bit scary, so if you're not into this kind of thing, please move on! This has the potential to become VERY GRAPHIC. Disclaimer over. ;>) However, I'm figuring that if this topic could... Read More


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    That leach story reminded me of the HH visit I did on a pt that hadn't changed his dsg in a long while. Expecting the wound to look the worst, I lifted the dsg, and Flies flew out! I was horrified at first, then realized the wound looked great! Those maggots did a great job cleaning up and leaving beautiful granulating tissue! I do miss being a wound care nurse.
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    Forgot about the man with a black penis, totally necrotic. Wouldn't allow surgery and the room reeked!
    DeLanaHarvickWannabe likes this.
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    I have a story of when I was a teenager working at an animal hospital part time. One hot summer, a lady called and asked if we could send someone to her home to remove the remains of her dead St. Bernard as she was unable to dig a hole big enough etc. The hospital told her that we did offer a burial (cremation) service but she would have to arrange transportation herself. Well, we didn't hear from her (for awhile). One day about two weeks later, a man came in and said he had brought a dead dog in for cremation and could we assist him to bring it in. So, me and another naive young girl went to the car with the gurney. Guess who! This dog had been left outside in the sun for two weeks until they brought it to the animal hospital. We tried to slide the dog from the tailgate of the station wagon, (remember those?) to the gurney. The gurney moved and that St. Bernard carcass hit the crowded parking lot and split-full of maggots! We had grown men turning green that day! The been there-done that veteran manager just told us to get the snow shovel and some garbege bags and clean it up!
    DeLanaHarvickWannabe likes this.
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    I had a patient when I was in Nursing school that was a street person. He came into the ER with tons of maggots on his legs from knees to ankles. The surgeon wanted to take him to surgery and amputate his legs. The patient refused surgery, so the ER staff had the pleasure of removing all those maggots and applying silvadene cream to the legs. He was then sent to my floor (I was a Nurse assistant). They left all that silvadene on underneath those gause dressings for 3 days !! Guess who got to assist the nurse in peeling it all off. Man, I cannot describe it!! It smelled and it was old blood mixed with silvadene. He did get better though and walked out of that place about a month later !!!

    Had a patient a long time ago that had some type of problem with his right lung. Can't remebr exactly what, but he had a hole as big as my fist in his right side. I think he kept getting pneumonia or something, so the surgeons had made that hole. His wife would pack it like two times a day. The coolest thing is that you could look in the hole and see his lund expanding.


    I had a patient that got an infection in the right groin post heart cath or stent. His groin had an opening about the size of two fist. We had to pack it several times a day. He went home on antibiotic therapy for 6-8 weeks. (It was a staph infection).


    I have also had my share of wounds with MRSA that smell really bad. One day I came in with a new nurse I was orienting. We went to turn our patient in the bed and I noticed htta he had a decubitus to the sacral area. Well, there was no documentation about it. He had come from a nursing home the day before. It was a very large decubitus. When we turned him, his wound gushe of green, brown and yellow smelly stuff. We cultured it and he had MRSA. Man it was nasty !! He stayed with us a long time. He eventually had visitors in the room that he talked about, but no one saw. He told me he had visitors, but that they would disappear when I came in the door. He died like a week later.

    Finally, the creepiest story I could tell is that of a poor little lady from a nursing home in an outlying arrea that had sooooooo many lice, that you could stand at the doorway and see them crawling about her head. We had that Nursing home investigated ! It was truly gross. Luckily, I was not the nurse who had to treat and wash her scalp !!
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    ok,ok......i love wounds, too !! my husband says i'm sick, but its not that i love gross stuff, i love anatomy and love to see how stuff heals ..but the bugs do gag me. i work home health ( LOVE IT !! can't believe i get paid to do it !! ) and one of my co-workers had a dressing change on a little lady. seems like the wound was full of maggots....my friend started crying, went all to pieces, we all were grossed out too.........anyway, i love wound vacs, too cool.........but the "best" wound i ever had was a 40 yowm, quad r/t mva.......wife did not take care of him, and when we got him he had a decub from his iliac crest to the back of his knee that you could hide a football in. the docs wanted to take his leg off ( only a small amount of tissue was holding it on ) but the wife, who never came to visit, said " NO !! That would be cruel !!" HA! Needless to say, he passed away not long after, i stiill think she should go to jail......( his was the only wound, so far, that the smell made my knees buckle when the dsg came off......) i can hold my breathe pretty good.......i have about decided to go back to school for the ET nurse thing.......just love it !
    DeLanaHarvickWannabe likes this.
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    About, hmm, two years ago, I was assisting an LPN change extensive dressings on a patient. Basically, this guy was dying from cancer from the inside out. We didn't know the exact extent of the cancer because the family did not want any furtherinvestigations, but it was amazing that this guy was still holding on.

    Okay, this is especially stomach turning [warning!]
    Anyway, his skin was just basically failing. It was just full of tears. We were working on his elbow, and I was holding it, while the other nurse changed the dressing. She king of pulled a white stringy thing out from an opening that she was trying to cleanse.
    We both got pale. Um, I think this is a tendon, she said. I agreed. Bad, bad flashback!
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    I have many wound stories. But a couple of the better ones include- opening a ladies' chest, and pedestrian v. auto, and a man with necrotizing fascitis from a spider bite.
    First lady- was about 3 hours post CABG. I come on at 7p, anyhow getting report from dayshift. The lady had already been extubated, she was extubated within an hour of getting to SICU. Well, she was not tolerating it very well, having some resp. problems, though was holding her own on 100% NRM. Anyhow, getting report from dayshift goin over the drips she was on at least 7 drips (Dopa, insulin, inocor, IVF, aprotinin, esmolol, and others), anyhow whle we are in the room, she starts looking bad, so I'm like I'm getting the 8p labs early. She had four chest tubes, the two medistinal tubes just stopped draining anything as I was pulling the labs. Not 5 minutes after lab picked up my blood, this ladies HR begins going down, she had been in SVT around 160 hence the esmolol, well it just keeps going down, of course I shut off the esmolol, we give her atropine, etc, she goes asystole despite this, call the code, the ER doc and team arrive, ER doc is tubing her, I am on the phone with the surgeon explaining what is happening, of course I'm like I think she is bleeding medastinally, and surgeon doesn't disagree, anyhow he says is there someone there who can crack her chest, so I'm like the ER doc is tubing her right now he is the only one, so he gets on the phone with the ER doc, hangs up and says he wants us to crack her chest as she is probably bleeding inside, DUH. So the first thing to go wrong is the cardiac arrest tray is missing, so we give him the chest tray, and we do this really fast, slap on the betadine and cut, he went through her ribs making a thorcatomy incision, a very large one, pulling her ribs apart with his hands, sticking his hand in to feel for stuff, so he needed help from someone since she was my patient, it was me, so I got on sterile gloves, and handed him things, of course he had to point at them, cause I'm no OR nurse. But anyhow we continued, he getting into the chest, while I was squeezing this ladies heart through her ribs, that was a unique feeling. Anyhow, surgeon got there and we got her chest opened all the way, she had huge clots all inside her mediastinum. We coded her for almost 2 hours. We did it all, internal defib, internal compressions. She died. Anyhow now for the wound it was huge, her chest was split from neck to xyphoid, and then down through the left thoracotomy incision that was really large. Anyhow I helped the surgeon wire her chest and watched him close her.
    Second wound- sad pedestrian v. auto, young 22 yo female was out with her friends, got hit and dragged about 200 feet by a drunk driver, he felt something under the car but didn't stop, she was very sick, she had all 4 ext. broken very badly, she had massive internal injuries, she had head injury, she was a sick one. Of course they took her to surgery immediately after the helicopter landed with her, anyhow left her abdomen open with all her swollen intestines, large and small both hanging out, wrapped in this clear sterile dressing that was stapled to the wound edges, plus they had to amputate her legs both of them BKAs. And they left them open, it was definitely an anatomy lesson. This poor girl arrest the night she got to the SICU after the long hours in OR, she just went asystole, we got her back, she was in the hospital for a long time almost 3 months, and she arrested at least 2-3 times every month, the girl did wake up sort of, though she was not able to follow commands, she did nod sometimes to questions, it was very sad, the docs, nurses, soc. worker and family sat down many times, finally, the parents said no more, and she arrested for the last time during dayshift after almost 3 months in the SICU. The drunk driver was tried for murder after she died. What is worse is the driver and family knew one another and the driver knew the girl.
    Third wound- man with necrotizing fascitis from a spider bite. It was another anatomy lesson- all 4 extremities cut along each side due to compartment syndrome, his dressing changes alone took almost 2 hours. And usually 2 people, he was there for a long time too, so he got stable sort of, got trached, off his pressors, still getting bu** load of antibiotics. I changed his dressings many times by myself. It was definitely anatomy 101, his legs were cut from ankle to hip, and it took about 30 kerlix per leg to pack them, pushing them up into his buttocks and lower back. He lived and was transferred out eventually to the floor, but arrested or was a DNR by then and he died.
    Anyhow those are my good wound stories, have many more..But must work on school work now......
    DeLanaHarvickWannabe likes this.
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    TO ALL OF YOU THAT HAVE SUBMITTED YOUR STORIES , THEY ARE VERY GOOD AND GRAPHICAL, I TO HAVE SOME PERSONAL GORIE STORIES TO SHARE BUT NOT AT THIS TIME, AS I AM ONLY A 'CNA/MSP' GOING AFTER MY MEDICAL ASSISTANT'S DIPLOMA, AND CERTIFICATION, AND AFTER THAT AM CONTEMPLATING GET MY RN ON LINE......BUT AFTER SOME OF THESE STORIES I WONDER IF I HAVE SOME OF THE GUTS THAT IT TAKES TO DO SOME OF WHAT IS NEEDED IN THE FIELD , EVEN THOUGH I'VE HAD MY SHARE OF GG AND OPEN TO THE BONE SORES AND DRESSINGS, ALONG WITH CHANGES OF THE SAME....AS A CNA/MSP, HAD I HAD THE MONEY WHEN YOUNGER I WOLD HAVE BEENA BRAIN SURGEN, WHAT A UNIQUE COMPUTER GOD HAS CREATED.....ANY WAY AT SIXTY IN JANUARY2003 I WOULD STILL LIKE TO BE AN ER OR SURGICAL RN.........MY HEART GOES OUT TO ALL OF I HAVE A SPECIAL PLACE IN MY HEART FOR ALL ''CARING NURSES''
    ''GOD WAS THE GREATEST ENGINEER AND SCIENTIST AND STILL IS'' :kiss
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    Once nursed a guy who had a LARGE skin cancer on his r shoulder that was about 20 cms across. Looked like a baby horta ( of Star Trek) sitting on his soulders! Mets everywhere, is it just me or do "cats eyes" freak everyone out? Hated oncology.
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    Originally posted by JonRN
    We once had a s/p CABG guy in the SICU whose sternum became infected requiring removal of his sternum. We had to do wet to drys right on his heart. If he took a deep breath, your fingers would be entrapped until he breathed again. You could actually take his pulse right off of his heart when the dressing was out.

    Pappy

    Pappy, I think you and I have been in the same places or our lives are intertwined some kinda way. I saw a guy like that too. Two guys in fact. The one guy--his chest sucked air when he breathed-like a slurping sound. One of the worst wounds was on a paraplegic who used to shoot up in his hips. Got infected to the bone, so they removed his hip bones. Dressing changes took about an hour. Another was a woman with MRSA in a leg incision. They "debrided" it and wanted wet to dry packing TID. The had removed the entire calf muscle. We were packing Dakins soaked kerlex on top of the bone.
    DeLanaHarvickWannabe likes this.


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