What is Trauma?
 Trauma is a serious injury or shock to the body. It is caused by a physical force such as violence or an accident. The injury may be complicated by psychiatric, behavioral, and social factors.
It is critical to have an entire team immediately available to provide care to an injured patient 24-hours a day. This teamwork starts at the scene of the injury where a coordinated, statewide pre-hospital medical system rapidly transports the injured patient from the scene to the hospital providing the appropriate level of care according to criteria established in the statewide trauma regulations. Once at the hospital, a complete team of surgeons, emergency physicians and nurses continue the life-saving treatment.
This team approach to care of the injured patient has had a dramatic impact on saving lives.
Minimally Invasive Procedures for Massive Bleeding
Injuries take many forms. The most advanced hospitals can treat injuries with a variety of approaches that involve well-known ones, like surgery, and newer ones where minimally invasive procedures can replace some surgeries.
As a Level 1 Trauma Center, Hartford Hospital has Interventional Radiologists as part of the Trauma Team. They perform procedures such as "embolization" which is a recognized interventional radiology technique that is used to treat trauma patients with massive bleeding.
Click here to see some of the advanced interventional techniques available at Hartford Hospital.
Learn more about trauma, or search below to learn about other health conditions. |
Definition | Reasons for Procedure | Possible Complications | What to Expect | Call Your Doctor
Definition
This is surgery to remove a
toenail
that has curled and grown into the skin, causing pain.
Reasons for ProcedureThe entire nail or the portion of the nail growing into the skin may be removed. It is most often done to: - Relieve pain
- Relieve swelling or infection
- Remove a deformed nail
- Correct abnormal nail growth
Possible ComplicationsIf you are planning to have ingrown toenail removal, your doctor will review a list of possible complications, which may include: - Infection
- Excessive swelling or bleeding
Factors that may increase the risk of complications include: What to Expect- Wear comfortable clothing and loose-fitting shoes.
- Arrange for a ride home.
You will be given local anesthesia. Only the area that is being operated on will be numbed by an injection. A local anesthetic will be used to numb the toe. Using special tools, the doctor will cut the nail down towards the cuticle (bottom of the nail). Then either the whole nail or part of the nail will be pulled off. A chemical may be put on the cuticle to prevent the nail that was removed from growing back. It will likely hurt some when the doctor injects the anesthetic into your toe. During the procedure, you will not feel pain, but you will feel pressure and tugging. After the procedure, you will likely have some pain. Your doctor may give you pain relievers. When you return home, do the following to help ensure a smooth recovery: - Do not put weight on the affected toe.
- If needed, take pain medicine.
- Keep your foot elevated when possible.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- If your doctor says it is okay, soak your toe in warm water for 10-20 minutes. Do this 2-3 times a day for one week.
- Keep a clean, dry dressing over the toe for the first few days.
- Apply the prescribed antibiotic cream or ointment to the area if advised to do so by your doctor.
- Wash your hands before caring for the nail area or changing the dressing.
- Wear cotton socks and loose fitting shoes for about two weeks.
- Do not run or engage in strenuous activities until the toe is healed. You may need to wait two weeks.
-
Be sure to follow your doctor's
instructions
.
-
If your toe is infected, do not touch the antibiotic with your finger. Instead, put a small dab of the cream on a clean dressing. Use that dressing to apply the medicine to your toe.
-
To avoid future ingrown nails:
- Do not wear high heels or shoes that fit poorly.
- Trim your toenails straight across. Do not pick or tear at them.
Complete healing takes about 2-3 weeks. This will not interfere with most activities. If the entire nail was removed, your body will create a hard skin in its place. After the skin has covered the sensitive area, you can resume normal activities. Call Your DoctorAfter arriving home, contact your doctor if any of the following occurs: - Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or discharge from the wound
- Chalky white, blue, or black appearance to skin of toes or foot
In case of an emergency, call for medical help right away.
Ingrown toenails.
American College of Foot and Ankle Surgeons website. Available at:
http://www.foothealthfacts.org/Content.aspx?id=1339&terms=ingrown%20toenails. Updated December 18, 2009. Accessed May 2, 2013.
Ingrown toenails.
American Academy of Family Physicians' FamilyDoctor.org website. Available at:
http://familydoctor.org/familydoctor/en/diseases-conditions/ingrown-toenails.html. Updated December 2010. Accessed May 2, 2013.
Roberts JR, Hedges JR, Custalow C.
Clinical Procedures in Emergency Medicine. 4th ed. Philadelphia, PA: Elsevier Health Sciences. 2004; chap 52.
Last reviewed May 2013 by Michael Woods, MD Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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