Animal bites
Medgeeks with Andrew Reid
Medgeeks
4.8 • 997 Ratings
🗓️ 27 July 2019
⏱️ 20 minutes
🧾️ Download transcript
Summary
Your next patient is a 7 year old boy, brought in by his parents with a chief complaint that simply says, "bite".
You're walking down the hall, to the patient, all the while wondering what kind of bite we're talking about.
As you near the room, you hear the boy crying hysterically. You enter the room and see the mother trying to console the patient, holding a folded up t-shirt to the right side of his face, and there's blood all over the patient's clothes.
The boys father is angrily pacing around the room on his cell phone.
The mother states they were playing at the park, when a very large dog began growling, and ultimately bit the patient in the face. The dog was wearing a collar, but they didn't see the owner.
When you examine the face, you see a 3 cm hooked shaped laceration over his cheek and gaping wide open, but doesn't extend all the way to the inside of his mouth.
As the clinician, how will you bring resolution to the family? How would you manage this patient?
Todays podcast will be all about animal bites!
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Transcript
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| 0:00.0 | Let's say you're working a shift in the ER and your next patient is a seven-year-old boy who's brought in by his parents with a chief complaint that simply says bite. |
| 0:08.0 | You're walking down the hallway to the patient room and you're wondering, I wonder what kind of bite we're talking about. |
| 0:13.4 | As you get closer to the room you hear that the boy is crying inside hysterically. |
| 0:18.2 | You think to yourself, oh, that kind of bite. |
| 0:21.6 | You enter the room, you see the patient sitting on the bed, |
| 0:23.9 | his mother's trying to console him, |
| 0:25.6 | holding a wadded up t-shirt against the right side of his face |
| 0:28.2 | and there's blood all over the patient's clothes. |
| 0:31.1 | The boy's father's angrily pacing around in the corner of the room on his cell phone. |
| 0:35.0 | The mother explains that the family was playing at the park when a very large dog came up to her son and began growling at him and before long, before the parents could even reach the boy, the dog bit him in the face. |
| 0:46.8 | The parents say the dog was wearing a collar, but they didn't see the owner and they weren't able to capture the dog. |
| 0:52.2 | They come straight from the park to the hospital |
| 0:54.0 | and the boy's father's trying to report it to the police. |
| 0:57.0 | When you examine the boy's face, there's a 3-centimeter hook-shaped laceration |
| 1:00.0 | over his right cheek. |
| 1:02.0 | It's gaping wide open, but does not extend all the way through to the |
| 1:05.5 | inside of his mouth. But this is a significant laceration and it may leave a scar. |
| 1:10.0 | The boy's hysterical, mom is afraid, dad is furious, and you are the one who's supposed to bring peace and resolution to this situation. |
| 1:20.0 | So how do you plan to do that? |
| 1:22.0 | Today on the MedGeeks podcast we're back again for another episode of the |
| 1:44.0 | podcast. Thank you so much for joining us. Later on the Ask Med Geek section, we're going to be answering |
| 1:50.7 | a couple questions. One of them is about postpartum hypertension and a woman who's |
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