Do YOU have the skills to do this case?
Fig2.jpg
Saturday you are on call. You are the ONLY anesthesia in the hospital.
General surgeon tells you he has a patient who needs an I&D of a right foot ulcer. He would like to do it now and its 8am. Patient ate a full breakfast at 7 am. This is the only thing keeping the patient in the hospital and they would like to d/c him today
Hx: 58 y/o male Wt: 275 Ht: 5'9"
Renal Failure last dialysis thursday
CHF
COPD (mod-severe)
HTN
Rx: all you would expect.
Foot ulcer is deep, runs medial of inside of foot up to big toe. Its about 5 CM in length and deep. Pt states he has pain when its even touched.
Attached pic isnt exactly the same but location is similar with extension medial
What do you do?
Mike
Success in life is the result of good judgment. Good judgment is usually the result of experience. Experience is usually the result of bad judgment.
~Anthony Robbins
All statements made by me are my own opinion and not that of any organization, workplace, association or group I may be apart of.
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