#docchain

I just heard the news from

https://www.youtube.com/watch?v=tpmgIAof014

Without checking local guidelines, I am really interested in your initial thought / procedures.

This OF COURSE, without judging! I just want to learn.

So here my take:

1) no initial Diclophenac

ad 1) I would have administered locally Lidocain right away, and start cleaning the wound extensively (Povidone-Iodine). I would be afraid to extend bleeding, as Diclophenac is a platelet agglutination inhibitor. Of course, post-care with NSAR. Surely with their fast emergency system, arguably the effect of Diclophenac would just start to take effect when they were done :-D (great job for the total 1.5hours!)

2) no initial antibiotics

ad 2) I thought that fast wound cleaning is the best protection; and she has 'obviously' no risk factors (diabetes etc). Maybe something local?

Let me know what you think. Happy to learn!