I really appreciate the intentional overuse of medical terminology to minimise the boy's fear. Like switching blood to haemorrhage because you knew he'd panic at the word blood. It's the little touches you vary between patients that I enjoy. Like if this was a curious teen you'd explain what was happening step by step with minimal jargon, but that wasn't what this boy needed, so I appreciate that patient centredness while not leaving out information
@rhondaburke2231
7 ай бұрын
Oh bless that baby's sweet heart. So brave. Y'all did an amazing job not only with the procedure but with how well you comforted the patient. ❤
@lmellick
7 ай бұрын
Thank you!
@RutabagaBreathNope
7 ай бұрын
Bless his heart! I remember screaming bloody murder when I was a little kid in the ER. However, years later my little son calmly watched the doctor stitch up his hand. We each have our own way of dealing with this type of situation when we’re young. I hope this little boy got a big hug from his mom or dad afterward. I wanted to hug him myself.😊
@radeloncar2878
7 ай бұрын
Excellently performed procedure! Did you recommended antibiotics afterward?
@lmellick
7 ай бұрын
Yes, only a short course.
@Aw1086
7 ай бұрын
Thanks for the video! Does it matter doing this digital block vs at the MCP?
@lmellick
7 ай бұрын
Not at all. It is just fewer needle sticks to do it this way and why it has become my favorite.
@Aw1086
7 ай бұрын
@@lmellick Thanks!
@bonnieyoung4037
7 ай бұрын
Thanks
@lmellick
7 ай бұрын
You are welcome.
@DanielAbdulla
7 ай бұрын
❤
@masudurrahmanbadhan1422
7 ай бұрын
Which antibiotic u preferred in this case
@lmellick
7 ай бұрын
A cephalosporin may be fine. If MRSA is a concern, doxycycline, clindamycin, or sulfamethoxazole-trimethoprim will work.
@qwwwerrt2847
7 ай бұрын
Почему он не плакал, когда вводили лидокаин в палец?
@lmellick
7 ай бұрын
He did cry, but I didn't think the viewers needed the emotional pain of listening to a child cry and inserted educational comments during that section.
@qwwwerrt2847
7 ай бұрын
@@lmellick, And I thought the spray helped.😀
@lmellick
7 ай бұрын
It definitely does, but the sight of a needle is frightening to the child. I've used the vapocoolant for years and even had it used on me for shoulder injections.@@qwwwerrt2847
@cherylmillard2067
7 ай бұрын
Instead of the parent calmly explaining to the child what and how the procedure step by step will happen, using plain language, they lie and placate the child, this builds anxiety up and until the event, the child knows the parent is lying by saying, "oh it won't hurt, it'll be over before you know it, etc." and the pent-up anxiety does more harm than good.
@lmellick
7 ай бұрын
That wasn't the case here.
@cherylmillard2067
7 ай бұрын
That's really sad because being honest allows the child to prepare themselves for what's about to happen. I remember going to the dentist this was in the 60's, my mom lied to me about getting a shot, etc, well the Dr turned around with this huge syringe (the old school glass and metal ones, HUGE to a 5 y/o) anyway terrified I got out of that chair and ran screaming/crying to door. It was traumatizing. I vowed to never do that to my kid. His first dental appointment was uneventful, he needed a few cavities filled at four, and no tears.
@RutabagaBreathNope
7 ай бұрын
@@lmellickGood for you, Doc, for correcting the OP’s erroneous assumptions.
@ShimrraJamaane
7 ай бұрын
@@cherylmillard2067 he was politely saying that you're wrong, not that you're right. You misjudged the situation. Also, working in the emergency medical field, I can assure you that distracting a child from the procedure is vastly more effective because they cannot rationally process things in such an emotional state. The most effective thing to do is be a calming presence, reassuring them that there is nothing to panic about. The kid is crying because he is anxious that it's all going to hurt, not because of something else. I had a seven year old boy try to keep looking at his arm being splinted. He kept trying to look away from me towards his arm because, and this is a direct quote, "I have to look at it to know when it hurts." Being rational to an uncontrolled irrational state of mind in a child isn't magically going to work.
@linamendt9149
7 ай бұрын
2ml is a huge amount for this small hand
@lmellick
7 ай бұрын
The amount need varies with the finger size, but the goal is enough anesthetic to make the finger tumescent in order to reach both dorsal and ventral digital nerves.
@k.c.8658
7 ай бұрын
No culture?
@lmellick
7 ай бұрын
No, generally not. It isn't cost effective. The vast majority of time it is staph or strep unless it is from thumb sucking.
@charlenebailey61
7 ай бұрын
Poor kid. :( I hate it when children have to go through this.
@lmellick
7 ай бұрын
I know. We did our best to take care of his anxiety, but even then, he was frightened.
@cherylmillard2067
7 ай бұрын
It shows a lack of honesty on the parent's part to adequately prepare the child on what to expect, so they have anxiety from wondering and worry.
@hinachan70
7 ай бұрын
@@cherylmillard2067That's not a "one size fits all" way to do things. We don't know enough about the child's overall temperament to either truth or lie about it. Either way, things were done the best with what they had in this video.
@cherylmillard2067
7 ай бұрын
Children are more resilient than they're given credit. @@hinachan70
@RutabagaBreathNope
7 ай бұрын
@@cherylmillard2067Wow, you seem to know everything. The doctor already told you in your earlier post you were wrong to assume the parent lied.
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