Tony Brookes

Tony Brookes
My Old Life

Tuesday, 18 September 2007

Week 3 Day 12, Scrub Day

I attended the Trauma meeting as I have done for the last three weeks , mainly just to see if there had been any new patients that could be possible frame patients. One patient that had been rested over the weekend from a crush injury, was possibly due to be framed tomorrow. I confirmed this, and I will be allowed to attend his theatre.

My main concern was would i still be allowed to scrub today, and the answer is yes. I have never scrubbed before so this was a new practice to contend with. The scrub nurse explained how to wash accordingly and the different ways of donning the robe and gloves. Once I had managed this I walked into theatre, and stood next to the Ilizarov Fellow attending my hospital at this time. The Procedure was explained to me and I watched intensely, during the course of the procedure I was allowed to adjust and place some of the nuts and bolts including the posterior adjuster bars to help this Lady's reconstruction.




I originally thought this was a Club Foot reconstruction, but the lady had suffered Compartment Syndrome, and was rushed to theatre for a fasciotomy.




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During the course of her treatment she was placed in a cast, this was a procedure done over sea's whilst on holiday. once she had arrived back into England she attended casualty and the cast was taken off.

She thought recovery was going well and the stiffness was par for the course, but her swelling had caused her foot movement to fail and eventually she lost it all and the foot remained stuck in one position. Ligaments had to be cut to release the foot, and a frame applied with posterior adjusters. Over extension of the foot by the adjusters will eventually stretch the ligaments and muscle to compensate for a generally well maneuverable foot.

Being allowed to scrub made my whole PBM module worth while, originally I was unsure of my topic, as it has only been recognised in Europe over the last 25-26 years, relativly new. Information is not very available, but it is there if you search in a wider topic area.

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ex soldier The Household Cavalry--The Life Guards 1981-1989