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Old 10-23-2007, 16:09   #16
mumbleypeg
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Leeches?Maggots...? Those are some bad blisters. I recommend reevaluating the footwear.

I think some smart wool socks and moleskin, applied before the infections set in would eliminate the need to debride necrotic flesh. If you are using Leeches on your feet things have gone very wrong.

I'm going to have to check the files. I recall leeches being used on a transplant, toe to thumb, but feet.....other than burns.......I will have to check.

I digress:
REI carries tincture of Benzoin.

http://www.rei.com/product/752451
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Old 10-23-2007, 20:10   #17
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Originally Posted by mumbleypeg View Post
Leeches?Maggots...? Those are some bad blisters. I recommend reevaluating the footwear.

I think some smart wool socks and moleskin, applied before the infections set in would eliminate the need to debride necrotic flesh. If you are using Leeches on your feet things have gone very wrong.

I'm going to have to check the files. I recall leeches being used on a transplant, toe to thumb, but feet.....other than burns.......I will have to check.

I digress:
REI carries tincture of Benzoin.

http://www.rei.com/product/752451
lol, I didn't mean to imply using either leeches or maggots on ones feet; simply meant that leeches are still useful; especially in what you mentioned, finger and toe transplants. Simply mentioned the maggots because its another amazing thing that some might find gross.

Sure hope no ones feet are that bad, then again I've seen some pretty bad feet and he though it was normal;
"my feet always looked like that" he says...
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Old 10-23-2007, 21:07   #18
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To temporarily get back on topic, tincture of benzoin (a fluid adhesive) used to be a blister remedy in that one would use a hypodermic needle to drain the fluid from the blister, then inject the now deflated blister with tincture of benzoin in an effort to re-adhere the skin of the blister to the foot to allow one to continue walking on the blister without further injury. To get an idea of how this felt, use some 60 grit sandpaper to take the epidermis off a knuckle on your hand, then submerse it in a cup of alcohol and leave it there for a few minutes or so.

While the "treatment" allowed one to continue on with the mission, it was very painful for a time, the tincture "killed" the new skin cells under the blister, hampering healing, and it arguably increased the chance for infection. Some may still like the procedure, but being the big wimp that I am, I prefer the "drain-moleskin donut-cover-drive on" approach.
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Old 10-24-2007, 02:39   #19
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early morning couldn't sleep post..

Infection is also common in this method; from what I've seen usually from failure to even attempt to clean the site; or from using un-sterile needle or other sharp implement.

If time permits and the blister is not to deep, Removing the blistered skin, and only the blistered skin and allowing the site to be exposed to air over night to dry has worked many a time for me. Depending on how deep the blister was is how tender it will be, usually dries and toughens up over night and then not quite good as new but good to go. I usually cover the whole thing with moleskin, other than a little tenderness no more blister. (this is what has worked for me)

Also I've used Derma bond on blisters where the skin was already broken and raw, trimmed the skin back dried it, clean and applied a thin layer of Derma bond and it was good as new, although it didn't feel very good.

Wonder if Derma bond might work better than Benzoin? Hurt a little less? Anyone tried this?

Have never actually tried the needle and string method, think I'll try that method see how it works on my next good blister..
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Old 10-29-2007, 01:40   #20
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I have also used dermabond in place of bezoin tincture on a open blister. I usually check the depth of the blister, trim the "flap" away, clean, dry and apply. The bezoin hurts like hell but goes away quickly. I have noticed that due to the irritation that callus forms quite quickly in the area and recurring blisters are kept to a minimum. I also use ToB to help moleskin and duct tape to stick to hot spots and or deep blisters where I apply the donut and tape as a combo. As far as the dermabond being better, it does dry faster with less of a "sticky" attitude, it was less painful as well. I typically stick with ToB however, maybe as a motivator to take care of your feet
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Old 02-14-2008, 11:24   #21
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unless I missed it, my only use for ToB was a means to enhance tackiness of tape adhesion to skin, especialy moleskin/moletape application
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Old 02-14-2008, 11:31   #22
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unless I missed it, my only use for ToB was a means to enhance tackiness of tape adhesion to skin, especialy moleskin/moletape application
No, some sadistic medics would actually perform the ritual Razor describes above.

I had it done once. Anyone who gets a second treatment should have their security clearance checked as they must be deviants.

It did get me back on my feet and moving though.

TR
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Old 02-14-2008, 14:05   #23
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How big of a blister was this normally used for?
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Old 02-14-2008, 15:11   #24
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No matter how tough your feet were and how good your boots/socks/powder you still might have a big one.

When you have a blow out you have to patch the tire to get to the house and that is why we shot ToB into the blister. It would hurt like hell but you could then drive on and finish the mission. You some time have to do what you have to do to get the job done.
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Old 02-14-2008, 15:26   #25
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Originally Posted by SF_BHT View Post
No matter how tough your feet were and how good your boots/socks/powder you still might have a big one.

When you have a blow out you have to patch the tire to get to the house and that is why we shot ToB into the blister. It would hurt like hell but you could then drive on and finish the mission. You some time have to do what you have to do to get the job done.
Good analogy.

Fix-a-flat!

TR
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Old 02-14-2008, 15:29   #26
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Good analogy.

Fix-a-flat!

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Old 02-17-2008, 14:55   #27
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Size matters...

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Originally Posted by Rumblyguts View Post
How big of a blister was this normally used for?

Maybe this will give you some idea of what we're talking about. No ToB used here though.

I pulled these out of 'mothballs' from my days running SOPC's aid station.

The brown looking stuff around the blister in onset tx is from the povidone swabs we used to prep the site. Had to excise a good deal of necrotic tissue then perform a debridement. The young guy was a trooper during, as Danny didn't apply any local.

Kirb received an open shoe profile for a couple days, wash with warm soapy water, air dry, light application of anti-biotic cream and telfa bandage for wear of sneakers to di-fac. Healed up quite well.

Mick
Attached Images
File Type: jpg Kirby's feet before tx.jpg (43.7 KB, 159 views)
File Type: jpg Kirby's feet before tx R.jpg (32.6 KB, 126 views)
File Type: jpg Kirby's feet before tx L.jpg (34.3 KB, 112 views)
File Type: jpg Kirby's Feet - Onset tx .jpg (48.4 KB, 124 views)
File Type: jpg Kirby's Feet - After (2).jpg (44.8 KB, 143 views)
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Old 02-18-2008, 20:01   #28
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I first became aware of Benzion as "tuff skin". In highschool football we would paint our feet with Benzoin then stomp around in a powder box before we put on our socks and cleats. This was done to prevent blisters, not treat them. I never had a blister and I can't recall blisters being much of a problem for our team. This was in the early 60's...cleats did not fit all that well and I would have to peel my socks off after practice and games. It did work! Today I would opt for better fitting footwear...there are so many options out there today.

I have used Tincture of Benzoin in my practice to help secure dressings for some of the lines we would place for surgery. Things such as arterial lines...some neck lines and catheters that had to remain in place for a few days. The benzoin was swabbed on then adhesive tape applied as the benzion would begin to tack a bit. It really did work well...rough on the skin when the tape was removed.

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Old 02-18-2008, 20:11   #29
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I had it done once. Anyone who gets a second treatment should have their security clearance checked as they must be deviants.
I resemble that...it was all the rage during the Uwharrie Trek stage of SFQC evolution...it was not necessarily voluntary...I had two blisters during Phase I...one on each foot...and each got the treatment at SFC B's clinic...

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It did get me back on my feet and moving though.
Yeah...it got me moving and convinced me thatI would never have blisters again...and until last month, I haven't had a blister since...and if SFC B is within earshot, I didn't have a blister last month, either...
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Old 02-19-2008, 12:24   #30
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In the day I used the Tincture of Benzoin as a "tuff skin" also, applied it to the usual "hot spots" on my heels as well as moleskin. The moleskin and ToB gave protection until the "tenderfoot" condition went away.
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