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

Specialties Wound

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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 keep us entertained for HOURS on a slow night, surely some of you have some stories to share that get your eyes gleamin' as well. ;>P A PICU nurse who was floated to my unit the other day was telling us about a pediatric organ donor they had had recently. She was invited to witness the actual surgery and the 'claiming' of the organs that were being distributed to various recipients. She said that, despite the sadness and overwhelming loss she felt when the patient was declared clinically dead (she'd taken care of that little girl for weeks and had become very attached to her and her family), she could not help but be completely fascinated by witnessing the procedure. She hadn't been in surgery since nursing school, and she said she just could not get over seeing the cavity open and empty like that after the organs had been 'claimed'. This got us started on our favorite gross-out wound and cavity stories, and you know NURSES, who can freak out a burly man in a nanosecond with stories of pus, blood, flesh, and insects!!! We, I admit, were laughing our butts off and enjoying every minute of it, all the while cackling that our husbands would have fled the room fifteen minutes ago in absolute horror. Call it stress relief. So, in continuing with that conversation, I thought I'd see if y'all would like to contribute. I promise you that your stories will be recounted truthfully, down to the stickiest, smelliest detail!!! should we ever get another slow night (which, considering the trend, will be NEVER!!). Here are some of mine... mine come from nursing school, as I am a relatively new grad and have been NICU nursing since graduation. In nursing school, during our MICU rotation, I had a lovely older woman who had undergone a TAH. The surgeon had accidentally nicked her bowel, and after multiple trips to OR to attempt to repair the damage, she had developed a fistula and was leaking fecal matter into her now spacious abdominal cavity. She had this ENORMOUS abd dressing that had to be changed, and being the student-nurse-gopher that I was, it was my job, along with two other nurses in attendance, to change it! I swear, it took almost TWO hours to change this sucker. Her entire abdominal cavity was open, and when I removed the packing, I got to see EVERYTHING. I know, I'm a dork, but it was totally spectacular. This brownish, thick, melted-milkshake fluid was leaking out, and when it touched my gloved hands for the first time, it was so warm it SCARED ME! I actually jerked my hands back because I was startled! When she had been rinsed suffeciently, it was time to repack the wound. I kid you not, my entire hands were inside of her abdomen, and I felt like a surgeon! We just kept packing and packing and packing and I thought, dear God, there's no way she can hold all of this inside her! She was on one of those vacuum-seal doodads, with the sponge? I forget what they're called now... we packed the sponge in and applied this HUUUUUUUUGE op-site. Realize, I was in SCHOOL and was just totally blown away by this! I went home high on endorphins and grinning like a psychopath. Ahhhhhhhhhhh, the gore. Just something about it, you know? :>)

Specializes in LTC, assisted living, med-surg, psych.

Had 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.:eek:

Specializes in MDS Coordinator, CWS.

Had 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...

dawn

Wound Warrior

I 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.

Oh, 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.

Peace,

Lois Jean

I worked in a Neuro trauma ward and we had a man who had a cervical laminectony....we got him up one morning 3days post op and his wound dehisses from the base of his head to his shoulders.....pesudomonis....a bucket load of pus expressed out of it. It took months to heal with the wound vac dressing...you could see all the vertebra and the base of his skull at the worst stage.

A motor bike accident victim....traumatic amputation of the leg from the groin.....and total body gravel rash....contracted MRSA

we had to give him entanox gas to do the dressings, his hip joint was exposed and we were picking gravel out of his back for weeks.

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

Stole my thunder!!! We had two of these at one point. Really cool! We started using Vanco pre CABG and eliminated that nastiness.

These must be fairly common, sorry I stole your thunder. Makes me wanna rush out and get a CABG :)

well lets see, i love pus and drainage. totally get my rocks off for ANY I&D.

became known as the I&D queen in the er.

i actually smell my wound dressings to see if i can smell anything bad.

anyway there is one that actually turned me a bit green.

I don't like eyes. hate irrigating them with the morgan lense. scratch corneas make my eyes hurt....

so both my stories relate to eyes.

first guy. lil old man, with thick GLASS glasses, fell at a department store, one of the lenses broke, he was brought in with bandage over his eye. as the doc and myself removed the bandage, we found NO EYE BALL, but a fairly large piece of glass protruding from the orbit.

the glass had punctured his globe, and all that was there was a mass of white, yellow rubbery material, you could see his iris, and pupil.

he was transfered to the hospital down the street for emergent eyeball removal. bluch.

second story. gsw, well actually murder/suicide.

the ex husband went to the exwifes house. saw her and her boyfriend outside. husband shot both bf and wife. then himself.

bf died at the seen.

trauma rm 2 was the wife, she was filleted open, not the usual cut the chest from xyphoid to under left axilla. they did a sternotomy. got to do cardiac massage on her. pretty cool anatamoy lesson.

husband in trauma rm 3. his face was pretty much blown off and his left eye was just hanging out, attached only by what i could tell may have been his optic nerve.

during chest compressions, you could see the eye go back and forth into the socket. when somebody pushed down, his eye would come out. it would go in (not all the way mind you) when the compression was relaxed.

i had to excuse myself from that room.

sadly to say, neither survived.

had the lady with abdominal pain. she was homeless. spoke no english. smelled. the doc did NOT want to do a pelvic, but wanted a straight cath urine. (all women with abd pain, got pelvics, regardless) anyway went to cath her, AND OMG I ALMOST FELL OUT. the smell, (that is one smell in the nursing profession i never want to witness again!) she had open pustules, pus coming out her urethra and lady parts, not discharge, green/orange pus. she got a pelvic, and tested for ALL the stds, and bought an admission to the floor.

I am getting out of practice. I used to have a cast iron stomach...last night I had to close this thread because I was having trouble eating BBQ chicken while reading it.

Darn it!

Specializes in Trauma and Pediatrics.

OK....traumarns! I just about almost Hurled with that last one Oh my gawd!

Brenda

Originally posted by B_Matt

OK....traumarns! I just about almost Hurled with that last one Oh my gawd!

Brenda

lmao,

sorry :)

Specializes in MS Home Health.

The grossest wound I had to clean out was a direct admit from ER, thank you so much, which had an elderly woman in a condemed home with zero water and cellulitis which had deep sores infested with tons of maggots.....there were even maggots under her armpits.........I had to douse a surgical mask with alcohol to stand the smell......... we used three small bars of soap to clean her up.................shivers still........

renerian

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