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? :>)

I can't claim that my story is the worst of these by any means, but...When I graduated from my OB/GYN NP program, my first job was in a county hospital where we saw LOTS of indigent patients, homeless people, etc. I had a patient who was a new OB patient, 12 weeks pregnant, no complaints, just beginning prenatal care. I had her up in stirrups doing her pap and STD tests, concentrating on looking for signs of STD's when I noticed some movement around her rectum. A WORM crawled out of her rectum! I kid you not, I thought I was going to scream! I slowly grabbed ahold of the worm, pulled it the rest of the way out, and told her that we needed to treat some things... YUK! And I could go on about some nasty Bartholin's gland cysts, but I'll leave the pus to your imagination. Some of the other descriptions of pus in this thread have said all that needs to be said! YUM YUM! :chuckle

OB/GYN NP that is pretty bad. How did you keep from laughing?:chuckle That reminds me of a pt I had in ED, chief complaint, " I've got chicken bones coming out of my butt" He weighed a good 350 lbs, So I went in with the doctor to retract his cheeks. Let me add, this gentleman wasn't overly fond of soap and water. The dr and I get down between his cheeks, and sure 'nuff, he had a big old fish bone that was impaled in an infected hemorrhoid. The dr and I couldn't help it we both started laughing, and so did the pt!!! :roll :roll Our next pt was a man that said a bat bit him on the neck. He was a mortiation. ED, you gotta love it.:D

Specializes in Trauma-Surgical, Case Management, Clinic.
PT with Fournier's gangrene of the member and scrotum. Area was debrided-talk about slice and dice- and we did wet to dry dsgs q shift. Terrible smell, terrible wound, and he would have bladder spasms and urinate into all of this mess even though he had a foley.

I have seen one pt with this. The entire lower abd, inner thighs, and member was covered in integra (fake skin) after being debrided.

http://www.medbc.com/meditline/review/acta/vol_48/num_2/text/vol48n2p43.asp

Specializes in Med/Surg,Cardiac.

I just got sad when I got to the end of this thread.

Specializes in ED/Trauma/Flight Nursing.
I can't claim that my story is the worst of these by any means, but...When I graduated from my OB/GYN NP program, my first job was in a county hospital where we saw LOTS of indigent patients, homeless people, etc. I had a patient who was a new OB patient, 12 weeks pregnant, no complaints, just beginning prenatal care. I had her up in stirrups doing her pap and STD tests, concentrating on looking for signs of STD's when I noticed some movement around her rectum. A WORM crawled out of her rectum! I kid you not, I thought I was going to scream! I slowly grabbed ahold of the worm, pulled it the rest of the way out, and told her that we needed to treat some things... YUK! And I could go on about some nasty Bartholin's gland cysts, but I'll leave the pus to your imagination. Some of the other descriptions of pus in this thread have said all that needs to be said! YUM YUM! :chuckle

Omg...I'm starting an ON/GYN NP program in the spring and if I ever see a worm crawl out anyone, I'm done. Changing careers. LOL

Thanks! I am not so sure about Fornier's gangrene with this guy as the s/s don't seem to match up. I arranged a f/u appt w/ his PMD and I hope that even though he's medicaid, the doc will do this poor guy right. I have a feeling there's something going on inside his testicles like cancer or whatever....and he will probably need to have them removed. He's too non-compliant for lt therapy. Sad stuff.

Thanks! I responded at the end of the thread.

Specializes in LTC.

I was assisting with a full body dressing change for a patient with TENS. lifted her hand so it could be wrapped...

..and her whole hand neatly degloved, ripping at the wrist. I was left holding her hand up by an inside-out glove of skin, attached only around her fingernails.

I was horrified, naturally, as I was only a student at the time. The nurse said not to worry about it- apparently two days prior he was turning a brand new admission to the burn unit, and her hand was so charred it just snapped off in his hands like a cheeto.

Oh, come on, APO525...that's half the reason I went into nursing! YOLO

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