stab mouth

[Dr Ross Hofmeyr]

Hey Sa'ad,

Late addition to this discussion, but I was taught a trick when I did my
dental crash-course before heading south.  There is a locally-available
product by the name of 'Alvogyl' which is both an antiseptic and haemostatic
agent which can be used to pack the bleeding socket or pulp of a fractured
tooth.

It may not have helped for the kind of bleeding you described, but it's a
tool to have in your box.

R.

Dr Ross Hofmeyr
Expedition Leader  & Doctor
South African National Antarctic Expedition

> -----Original Message-----
> From: trauma-list-bounces at trauma.org [mailto:trauma-list-
> bounces at trauma.org] On Behalf Of Sa'ad Lahri
> Sent: 03 May 2008 05:02 PM
> To: trauma-list at trauma.org
> Subject: stab mouth
> 
> 
> Hi
> 
> saw a 25 y old chap last night, stabbed in the mouth. had a large
> dento-alveolar fracture, found him lying on floor in a pool of blood
> 
> my question is regarding haemostasis. i really struggled. tried adrenaline
> soaked swabs, injected local with adrenaline, even did a few chromic
> catgut sutures (all i had)
> 
> eventually had to get max fax involved. did not have chance yet to chat to
> them but any advice would be great. what would you have done differently.
> anybody with prior experience in handling these fractures?
> 
> Sa'ad
> 
> 
> Dr Sa'ad Lahri
> Emergency Medicine Registrar
> UCT/US
> Cape Town
> South Africa
> Tel: +27826642421
> 
> 
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