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1. Can you control the bleeding? 2. Has the glass possibly penetrated below the dermis and is there a chance that it will interfere with (or cut) processes below the skin? 3. Are you sure the patient won't be needing sutures (you can't get sutures after 12 hours or so, so you have to decide relatively soon). 4. CAN you remove the glass? (e.g., is it too deep, too powdery, etc.). If the answer is NO to any of these, off to the ER you go. Even a YES to all doesn't make this easy. Unless you have topical or local injectable painkillers, individually picking shards of glass out of a foot takes a long, painful time. While glass may show up well on an X-ray (for instance, Stolichniya uses lead as a part of their glass-making process, so shards from their bottles show up Great on an Xray), you won't know where all the glass is. Note that if the victim needs sutures, you have a 10-12 hour window to put them in. After this time, sutures won't work. So if there's any chance they'll need sutures, go to the ER. === === -- Clean the area as well as you can with sterile water or, better yet, sterile saline. Use a LOT. The idea is to clean without hurting the patient, cutting anything else, or pressing the glass in deeper.
-- Control the bleeding with gentle direct pressure of sterile gauze.
-- Sanitize all metal instruments by holding them in a flame for 20 seconds -- then make sure they cool down. Swab them with alcohol (AWAY from the flame).
-- Scrub the entire, uninjured parts of the foot (up to the ankle) very well -- use warm water and soap. Once clean, don't touch them again. Paint with Betadyne around the wound (we're creating a sterile field).
-- Lay down a sterile cloth to make a good working surface.
-- Light the area super-well. Get a couple of flashlights too for spot illumination. Also get very strong glasses and/or magnifying glasses. Get friends to help. (Remember the flashlights and glasses cannot be sterilized well, so you can't touch them.)
-- Wash your hands super-thoroughly to above the glove level, and then use a disinfectant.
-- Air-dry your hands, then don latex or surgical gloves. Don't touch the sterile parts of the gloves (e.g., only the rims).
-- Sponge blood as necessary with sterile gauze.
-- Use tweezers and needles (sterilized) to find and pull out the glass. Keep the shards off to the side of the sterile field.
-- Go slowly and methodically. Clean the obvious shards first, then carefully go over the entire area that is involved, looking for missed pieces.
-- Ask the patient if they need a rest. If they do, preserve the sterile field.
-- At the end, check once more, sponge any blood, and use a Betadyne, or hydrogen peroxide/Betadyne mixture.
-- Put sterile pads on the wound and then re-bandage. Check that it's not too tight (make sure you can get pedal pulse, toes aren't turning colors, etc.
-- Re-check and re-bandage daily or every two days.
-- Examine if there's a change in condition.
NOTHING NON-STERILE EVER TOUCHES ANYTHING INSIDE THE STERILE FIELD.
What else can I help you with?
What do you do for a deep cut on the bottom of your foot?
how do I treat deep cut under foot
Diamonds cant actually cut glass?
Yes, diamonds can cut glass. Glass can also cut glass.
How do you treat ground glass in lungs?
how to treat ground glass lung
How do you treat ground glass in the lungs?
how to treat ground glass lung
Can diamond or emeralds cut glass?
A diamond will cut glass -- an emerald will not.
Can a emerald cut glass?
No, emeralds are not hard enough to cut glass. Diamonds cut glass and they are the only gemstone with this capability.
Can diamonds cut glass?
Yes, diamonds can cut glass, because diamonds are harder than glass.
What is the difference between cut glass and pressed glass?
cut glass is just that. The pattern is cut into the glass with an abrasive coated metal wheel and polished. pressed glass is when a hot gob of glass is pressed into a patterned mold. These molds are often patterned like cut glass to produce cheap and widely affordable similes of the much more expensive cut glass.
When was The Cut-Glass Bowl created?
The Cut-Glass Bowl was created in 1920.
How can I safely cut tempered glass?
To safely cut tempered glass, you should not attempt to cut it yourself as it is difficult and dangerous. It is best to have a professional glass cutter or a glass company cut it for you using specialized tools and techniques.
How does ER deal with glass in a foot?
If you have glass in your foot you go to the ER and they will take it out and put stiches in
Sentence for shards?
The word shard is used in relation to something broken, such as glass or ceramic. A sentence with the word shards in it could be, there were shards of glass everywhere when the mirror fell to the ground.
