a little twist

[Scott Millington (BCT)]

Granted, but that wasn't the question, the question was what to do if a nimrod bystander (or nimrod first responder or nimrod *your qualification here*) had already applied one.

"Doc ERF" has mentioned that it should be removed, but I would like to point out that if the tq is on tight then there will be a bigger (marginally, prhaps) risk from lactic acidosis than the actual sting.  Open SLOWLY.....OTOH that means that the lactic acid pins & needls / pain will be prolongued - 

Don't forget to drop kick the applier of the tQ...

Scott

-----Original Message-----
From: J GRIMES [mailto:ggh@bentonrea.com]
Sent: 2000-09-26 21:29 PM
To: trauma-list@trauma.org
Subject: Re: a little twist


Tourniquets have no place in this setting. 
LGrimes RN
Washington state
-----Original Message-----
From: ira Hartman <ihartman@inter.net.il>
To: Trauma list <trauma-list@trauma.org>
Date: Tuesday, September 26, 2000 11:39 AM
Subject: a little twist


>We took care of a mundane run with a little twist in it that I would
>like to hear some of the expert opinions.
>
>One of our EMT teams responded to a call concerning a yellow scorpion
>bite on the heel of a 18 yr. old male. Run of the mill to here.
>When we arrived we found the leg of the patient with a tight tourniquet
>above the knee applied app 15 - 20 min. previously by a diligent
>civilian. There was no pulse felt below the constriction and the leg was
>swollen and slightly discolored
>I think that the tourniquet presented the larger problem than the bite.
>I call our dispatcher for medical advise about handling the case, But
>what do you think on the way we should of handled the situation.
>Thanks
>Ira Hartman
>
>
>
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