erdoc00

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Mar 31, 2013
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How many of you are doing this in the ER vs having patients follow up with ophtho so that they can do it?
 

Rendar5

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Nov 12, 2003
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How many of you are doing this in the ER vs having patients follow up with ophtho so that they can do it?
ophtho. never trained with a burr, nor do I have access to one. I feel very comfortable removing the main FB with a needles though.
 
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EM2BE

Elf
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I use the burr to remove the metal as long as the patient is cooperative and it's more superficial. I don't work on the rust ring - I leave that to ophtho.
 

WilcoWorld

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Nov 2, 2004
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FB removal is an emergency procedure, so I'll do it. Rust ring removal can be done the next day in clinic - so I don't do it. I suppose if I worked in Alaska I might learn to do it myself.
 

Chip N Sawbones

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Jan 19, 2011
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What happens if you don't remove the rust ring? I've been dinged with four steel splinters in my eyes. I went to a clinic to get three of them removed and I got the last one out myself, but I don't think the rust ring was removed after any of them.
 
May 31, 2003
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Burr drill is very safe - I was trained to use it and I now train our residents to do so- just play around with it a little and get comfortable
 

emedpa

GlobalDoc
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Burr drill is very safe - I was trained to use it and I now train our residents to do so- just play around with it a little and get comfortable
Agree- practice on a hard boiled egg rolled in dirt or iron shavings.
as far as the rust ring- if it's not too deep I use the burr to remove it. for deeper rust I refer them to ophtho. for FBs not terribly deep I use the eye spud as my first line tool and use the burr for deeper ones.