Your most amazing wounds and gore!!!! Anyone care to share? - page 4
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
- 0Sep 21, '02 by JonRNHi Molly.....this was in the SICU at the VA in Indy. We also had a couple of guys with PVD so bad they had to have hip disarticulations both hips. Another challenging dsg. change. I had nightmares about those guys and called them magician's assistants because they looked like David Copperfield had sawed them in half. They finally just rotted away and died. Poor guys. I knew one of them for a long time, back when he had both of his legs and was walking around. He trained a lot of surgeons because they whittled him away about an inch at a time. PVD is every bit as bad as cancer IMHO.
- 0Sep 21, '02 by MK2002You can visit www.rotten.com for the severe trauma photos and other things like many of you described above. Botched suicide, motorcycle injury, etc.--it's all there. But just remember that I warned you in advance. On the other hand, if you approach the experience in a mature way, you might learn something. It could be an enlightening experience to newcomers and the uninitiated.
- 0Sep 21, '02 by Jay-JayI do homecare, and get my fair share of bad wounds. One of the worst was this diabetic who was in a wheelchair. One leg had an AKA, and the other was missing a few toes. His butt was the worst. There was a large open wound about 8" in diameter, and over half the buttock was missing. They would only allow us an hour in there to get him out of the chair onto the bed, and do the dressing. Sometimes he'd have been incontinent of stool, so you had a reall mess to clean up. The dressing went right to the anal verge, so if he pooped, the dressing got it too. We used Acticoat on the infected areas. We knew it was never going to heal because he sat in the wheelchair all day and refused to go to bed for pressure relief. The apartment was not air conditioned, and in hot weather, he would pour cold water over himself and sit in front of the fan. Of course, then he'd be sitting in a puddle of water, which was just great for the wound on his bottom.
He lived with his son, and the son also had diabetes and CA of the prostate. They moved out of our district, and then I saw in the paper that he'd died not long after. His son died about a week later. I still don't know if he committed suicide, or died from hypoglycemia. He was by no means terminally ill from the cancer.
Very sad situation.
- 1Sep 22, '02 by PamelitaEWW wounds...
I remember my first week as a new RN I had to do a dsg. change. I heard the wound was a "comlicated" I said ok... well the little chubby lady was so cute, with her covers up to her ears, it was an abdominal wound. When I lift up the covers AH!!!!!!! All I saw was tegaderm and HER INTESTINES!!!!!!!!!!!!!!!!!!!!!!!!
Her stomach was OPEN, you could see the intestines it was the most horrifying thing. When I did the dsg. I had to kind of put her intestines back in!! thank God she had a VAC Dsg. but JEEZZZ what dsg!!!
- 1Sep 22, '02 by VivaLasViejas, ASN, RN GuideHad a 650# gentleman, brittle diabetic, who was a frequent flyer at our hospital because of CHF, chronic UTI and wounds that wouldn't heal. He lived with his son, hadn't been OOB in years, and he'd have to come in every couple of months to be diuresed (losing as much as 100# in the process) and have one or another of his wounds debrided. It took 3 of us just to hold up his abdomen so his nurse could assess the one he'd developed in the abd. folds over a year before; not surprisingly, this was the hardest to manage. The poor man always smelled abominably, but this particular time the aroma was even worse than usual; he also complained of deep-seated itching in the area, which was driving him crazy because he literally could not reach down to scratch. Upon removing his old dressing (which had been there since his previous stay with us), we found out why: the wound was literally crawling with maggots!!EEEEEEEWWWWWWW!!
We did our best to be professional about the whole thing, but several of us were thisclose to gagging by the time we got him cleaned up. Still makes me want to hurl just thinking about it. BLEECCCHH.Last edit by VivaLasViejas on Sep 22, '02
- 1Sep 22, '02 by bandaidexpertHad an independent old guy in the nursing home I started in. He became ill and I went in to help CNA bath him. Upon removing clothing, find a down to the bone infected wound from knee to ankle. Everything was showing! Copious amounts of pus coming from this puppy. Come to find out, it was a Brown Recluse spider bite that was never found due to his independence in self care. I am amazed this man was alive and didn't go septic sooner. I have nightmares to this day if there is a spider loose in the house.
As a CWS, I do see alot of nasty wounds. Most of the time they are from neglect. I volunteered at Planned Parenthood years ago and a 13 year old girl came in with her mother. Assisting Doc to examine her, find perineum, labia, et al completely scalded, peeling, fiery red. Come to find out, girl had herpes and mom decided to give her a 100% BLEACH bath. OMG. I could go on...
- 0Sep 22, '02 by RNinICUI have seen several wounds with maggots in them The worst was a guy who came in with deep open areas with maggots in both legs. He was a younger man, in his forties, but was extremely dirty, and a noncompliant brittle diabetic. The doc debrided one leg, but did a guillotine amputation of the other. He left it go for several days before he made a flap, and the poor guy had to have bid saline dressing changes. You could see all of the muscles and the end of the bone. It looked like a round steak.
I have seen quite a few decubiti with deep undermining and tunnelling. We have also had a few open heart patients who came down to us with their chest open. They usually have gauze and Ioban on them. One patient with an open chest was having a lot of bleeding, and the surgeon came in to re-explore the chest. She removed the dressing in the unit, and took out huge clots that looked like chunks of liver. We had a lady that developed compartment syndrome after a cardiac cath, and had to have a fasciotomy done. You could see everything, muscles and tendons.
I think the worst was a uterine cancer patient whose tumor had eaten it's way to the outside of her body to her back. She had a huge gaping crater in her sacrum, and a gray mass the size of a soccer ball embedded in the hole. We did wet to dry dressings, and the smell was horrible. I have smelled a lot of gross things in my 18 year career, but I still think the smell of cancer is the worst.
- 1Sep 22, '02 by LoisJeanOh, jeez loueeze--maggots for sure! Especially bad on one old gal in LTC--decerabrate from stroke. No one had checked out her hand. My first night on board and I'm doing room checks and I smell this smell coming from her which I had smelled many times before- the 'rotten flesh' smell- got an aide in there and we manipulated her fingers open and found one nail had imbedded into the flesh while the entire area was crawling with maggots.
I can also recall way back when I was a nursing aide, we received a gal who lived in less than desirable conditions, onto our med/surg unit. She had had a colostomy some years before and had come in because it wasn't draining. In those days, we aides did the patient admissions to the units. Two of us got her into bed and undressed her. We noted that she was filthy dirty. We noted lice. As we prepared her for the 'full treatment' we noticed that there were rags stuck fast to the colostomy stoma. We didn't dare try to pull them off so went and got the RN. She came and wet down the rags, pulled them off and a whole wave of maggots of various sizes came pouring out of the stoma opening. Let me tell you, that was the day I decided to go to nursing school so I could get paid a bit better for doing this work!
This is not a wound story, but I was supervising at a LTC facility on the afternoon shift and we had received a new admission. An elderly gentleman, emaciated and very weak. His only real complaint was that he was always hungry and thirsty it seemed, but he was horribly constipated and he kept throwing up everything he ate. I assigned him to one of the new aides on board who had just moved up from Kentucky. She came to me later to report on her patients and mentioned that this new guy reminded her of her, "Uncle Earl". I asked her why. Uncle Earl, she said, had a tape worm. I called the doc. Next morning the doc ordered up an antiparasitic; our patient decided to expel the thing, (a beef tape worm), on my shift. I tell you, it was the size of Texas and as long as the Erie Canal! Of all the things I have ever seen that is the one thing I do not ever care to ever see again! But, you know what? By the end of two months our old guy was back up to fighting weight and was discharged to foster care.