Suturing techniques and hand tremors

Discussion in 'Medical Students - MD' started by ericdamiansean, Apr 29, 2004.

  1. ericdamiansean

    ericdamiansean High Profiler
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    I'm not sure if this is the right place to post this but heck, I'll give it a shot

    I'm volunteering at this charity clinic, and one of the things that I can't do while I'm there, I'm M2 by the way, is suturing, though the doc tells me that it's not too early for me to learn it and will be heck of a use when I do my electives in Africa because I'll be suturing my arse off almost every day if I were to do an elective there. And he's too busy to teach me and I can't just stand there and watch how he does it because I'm helping out with the other patients

    I would like to know, what are the main knots, and suturing techniques that I should know, and are there any websites that I can learn from. I see this 'suturing video' ad on SDN but heck, I'm not going to pay $100 to buy that, and I think that would be for more complex knots and stitches as well as for those who are interested in surgery

    Another problem I have is fine tremors in my hand..not sure why, anyone else has this prob? Seems that for the time being, while doing a vene puncture or something, the needle can be seen trembling(something which the doc observed)

    Any suggestions to solve this? :luck:
     
  2. Pilot

    Pilot Senior Member
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    Go to an ER affiliated with your school and volunteer to suture. Be up front and let the attending/residents know you don't have experience with suturing so they will show you how to do the most common methods. You should have enough suturing in 2-3 shifts that you will feel comfortable from thereon.

    Good Luck - Pilot
     
  3. madtowngirl

    madtowngirl Senior Member
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    The tremors might be from caffiene, if you are a fan. I dissected embryos under a scope as an undergrad, and if I had caffiene it was really really hard to keep my hands from shaking. I had to give it up while I worked there, which was rough.
     
  4. southerndoc

    southerndoc life is good
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    Check with your school's surgery department. They probably have a handout they can give you.
     
  5. DarksideAllstar

    DarksideAllstar you can pay me in bud
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    Get some anti-cholinergics, maybe you have early onset Parkinson's (sorry- doing Pharm) :eek:
     
  6. phllystyl

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    Go get that zebra, cowboy!
     
  7. hexagram13

    hexagram13 Junior Member
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    It won't help you actually sew, but you can get the free suture board, manual, and practice rope from ethicon. You don't even have to pay for shipping.
    1-800-255-2500
    tony
     
  8. exmike

    exmike NOR * CAL
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    You can practice on a peeled banana (peel it, but dont eat, and sew it back up). It works.

    You can even slice the banana open on one of the edges and sew it back up.
     
  9. BklynWill

    BklynWill EM Attending
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  10. DarksideAllstar

    DarksideAllstar you can pay me in bud
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    I'm all about the zebras. In fact, thats going to be my specialty (Zebrologist). I will have to figure out a good way to filter the patients (without doing a subspecialty, of course), so that I only get zebras, but like my grandfather says, "If you don't try, well, you are just a lazy-ass."
     
  11. DoctorDoom

    DoctorDoom Witch King
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    As for the tremor, try a search for "tremor" and "surgery" here... I know it's been discussed but I don't recall the names of the threads. People take propranolol for essential tremor, but what you are experiencing may not be an essential tremor, it could just be nervousness or inexperience. Ethicon has many resources including a suture and knot tying manual, so check out their website in addition to calling the above listed number.

    If you are doing an elective where you are going to be suturing a lot, that will be the best way to learn.
     
  12. ewing

    ewing Senior Member
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    Absorbable suture material? How long until I remove them? :D
     
  13. ericdamiansean

    ericdamiansean High Profiler
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    hehe..thanks..but I don't have early onset of parkinsons...christ..I'm only 22 this year
     
  14. ericdamiansean

    ericdamiansean High Profiler
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    serious? :cool:
     
  15. flighterdoc

    flighterdoc Rocket Scientist
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    yeah, it works better than an orange. Although an orange works OK to learn
     
  16. DoctorDoom

    DoctorDoom Witch King
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    Or start sewing together pigs' feet.
     
  17. ericdamiansean

    ericdamiansean High Profiler
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    which material, or fruit :D has the best consistency, texture and feel of the human skin?
     
  18. Doc Ivy

    Doc Ivy Miss Understood
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    Chicken.
    Cut it up, then try to suture it back together.... it works, it's how I learned when I had to do surgery on rats.

    ~doc
     
  19. exmike

    exmike NOR * CAL
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    With skin right? A whole chicken or like a breast.
     
  20. ericdamiansean

    ericdamiansean High Profiler
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    I can't find anything on the ethicon website, more info pls?
     
  21. flighterdoc

    flighterdoc Rocket Scientist
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    Fresh pigs feet are pretty good.
     
  22. DrMom

    DrMom Official Mom of SDN
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    They have us use pigs feet. (sorry grouptherapy)
     
  23. Doc Ivy

    Doc Ivy Miss Understood
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    Good question, I did it without skin, try both I guess.
     
  24. DoctorDoom

    DoctorDoom Witch King
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    Pig skin and tissue best approximates human skin and tissue. Chicken is a little loose and friable, but good practice nonetheless.
     
  25. flighterdoc

    flighterdoc Rocket Scientist
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    Sutures? How quaint.


    Derma-bond and staples!!!
     
  26. DoctorDoom

    DoctorDoom Witch King
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    LOL... the guy has got to start old school, crawl, walk, then run.

    Besides, you can't use those for everything!
     
  27. Mr Reddly

    Mr Reddly Snowglobe!
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  28. flighterdoc

    flighterdoc Rocket Scientist
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    Anyone bought it? Is it worth the $90 or whatever? It seemed kind of pricey to me.
     
  29. Machiavelli

    Machiavelli Junior Member
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  30. hexagram13

    hexagram13 Junior Member
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    You don't really need any info. Juat call the number I posted and tell them you are a medical student and want the suture board, knot manual, and practice rope. They will send it to you for free.
    1-800-255-2500

    Here is the PDF of the knot manual if you want.
    http://www.jnjgateway.com/public/USENG/5256ETHICON_Encyclopedia_of_Knots.pdf
    tony
     
  31. ericdamiansean

    ericdamiansean High Profiler
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    thanks :D :smuggrin:
     

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