Ring removal - Revision history

Rossdonaldson1: /* Overview */

2023-07-12T17:23:11Z

Overview

← Older revision		Revision as of 17:23, 12 July 2023
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	==Overview==		==Overview==
			[[File:Transgender with shaved pubic hair – removal of the frenulum (ribbon on the foreskin) – and concealed worn, inner penis ring made of platinum - Picture 001.jpg\|thumb\|Entrapped penile ring.]]
	*Rings can pose a significant threat to body parts after an injury. When body parts with rings begin to swell, the ring acts as a tourniquet and prevents blood and lymph from returning to circulation.		*Rings can pose a significant threat to body parts after an injury. When body parts with rings begin to swell, the ring acts as a tourniquet and prevents blood and lymph from returning to circulation.
	*With severe swelling, the restriction of the ring can lead to necrosis and amputation of the affected tissues.		*With severe swelling, the restriction of the ring can lead to necrosis and amputation of the affected tissues.

Rossdonaldson1: /* Procedure */

2023-07-12T17:18:20Z

Procedure

← Older revision		Revision as of 17:18, 12 July 2023
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	==Procedure==		==Procedure==
	[[File:Removal of ring from digit.jpg\|thumb\|Image showing string removal setup (Procedure 1). Note that the string loops should optimally be closer together and start closer to the ring itself.]]		[[File:Removal of ring from digit.jpg\|thumb\|Image showing string removal setup (Procedure 1). Note that the string loops should optimally be closer together and start closer to the ring itself.]]
	[[File:Finger ring cutter.jpg\|thumb\|Image showing manual ring cutter with guard placed between the ring and the skin.]]		[[File:Finger ring cutter.jpg\|thumb\|Image showing manual ring cutter with guard correctly placed between the ring and the skin.]]

	===== Lubrication Removal =====		===== Lubrication Removal =====

Rossdonaldson1: /* Procedure */

2023-07-12T17:17:54Z

Procedure

← Older revision		Revision as of 17:17, 12 July 2023
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	==Procedure==		==Procedure==
	[[File:Removal of ring from digit.jpg\|thumb\|Image showing string removal setup (Procedure 1). Note that the string loops should optimally be closer together and start closer to the ring itself.]]		[[File:Removal of ring from digit.jpg\|thumb\|Image showing string removal setup (Procedure 1). Note that the string loops should optimally be closer together and start closer to the ring itself.]]
			[[File:Finger ring cutter.jpg\|thumb\|Image showing manual ring cutter with guard placed between the ring and the skin.]]

	===== Lubrication Removal =====		===== Lubrication Removal =====

Rossdonaldson1 at 16:51, 12 July 2023

2023-07-12T16:51:04Z

← Older revision		Revision as of 16:51, 12 July 2023
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	*Rings can pose a significant threat to body parts after an injury. When body parts with rings begin to swell, the ring acts as a tourniquet and prevents blood and lymph from returning to circulation.		*Rings can pose a significant threat to body parts after an injury. When body parts with rings begin to swell, the ring acts as a tourniquet and prevents blood and lymph from returning to circulation.
	*With severe swelling, the restriction of the ring can lead to necrosis and amputation of the affected tissues.		*With severe swelling, the restriction of the ring can lead to necrosis and amputation of the affected tissues.
			*Typically on fingers, but may occasionally be on other body parts (e.g., penile ring)

	==Indications==		==Indications==
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	*Described Procedure 2:		*Described Procedure 2:
	**Place one or more strings underneath the ring		**Place one or more strings underneath the ring
	***Use as traction to pull and remove ring from ~~finger~~		***Use as traction to pull and remove ring from body-part

	===== Ring Cutter Removal =====		===== Ring Cutter Removal =====
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	*Consider other resources (e.g., from fire EMS or facilities management, depending on local protocols)		*Consider other resources (e.g., from fire EMS or facilities management, depending on local protocols)
	**For example, hydraulic cutting tools or more power (e.g., Dremel with diamond crusted blade)		**For example, hydraulic cutting tools or more power (e.g., Dremel with diamond crusted blade)
	*May need to fashion makeshift guard for between ring and ~~finger~~		*May need to fashion makeshift guard for between ring and body-part
	*If using an automatic rotating blade, stop frequently to check for heat buildup to prevent burns		*If using an automatic rotating blade, stop frequently to check for heat buildup to prevent burns

Rossdonaldson1: /* Contraindications */

2023-07-12T16:48:20Z

Contraindications

← Older revision		Revision as of 16:48, 12 July 2023
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	==Contraindications==		==Contraindications==
	*~~There are no~~ absolute contraindications ~~to removing a ring~~		*No absolute contraindications

	==Equipment Needed==		==Equipment Needed==

Rossdonaldson1: /* Ring Cutter Removal */

2023-07-12T16:47:49Z

Ring Cutter Removal

← Older revision		Revision as of 16:47, 12 July 2023
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	===== Ring Cutter Removal =====		===== Ring Cutter Removal =====
	*Use a manual or electric ring cutter		*Use a manual or electric ring cutter
	**If using an ~~automatic rotating blade~~, stop frequently to check for heat buildup to prevent burns		**If using an electric ring cutter, stop frequently to check for heat buildup to prevent burns
	*Warn patient this is a destructive procedure for the ring		*Warn patient this is a destructive procedure for the ring
	*Place the guard between the ring and the skin		*Place the guard between the ring and the skin

Rossdonaldson1: /* Procedure */

2023-07-12T16:47:20Z

Procedure

← Older revision		Revision as of 16:47, 12 July 2023
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	===== Last Resort Measures =====		===== Last Resort Measures =====
	''Heightened risk for injury to underlying tissues]]		''Heightened risk for injury to underlying tissues
	*This is for rarer cases, where the ring cutter blade is not sufficient to cut through the ring material		*This is for rarer cases, where the ring cutter blade is not sufficient to cut through the ring material
	**For example, high-strength materials such as tungsten and titanium rings		**For example, high-strength materials such as tungsten and titanium rings

Rossdonaldson1: /* Ring Cutter Removal */

2023-07-12T16:44:52Z

Ring Cutter Removal

← Older revision		Revision as of 16:44, 12 July 2023
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	===== Ring Cutter Removal =====		===== Ring Cutter Removal =====
	*Use a manual or electric ring cutter		*Use a manual or electric ring cutter
			**If using an automatic rotating blade, stop frequently to check for heat buildup to prevent burns
	*Warn patient this is a destructive procedure for the ring		*Warn patient this is a destructive procedure for the ring
	*Place the guard between the ring and the skin		*Place the guard between the ring and the skin

Rossdonaldson1: /* Last Resort Measures */

2023-07-12T16:44:40Z

Last Resort Measures

← Older revision		Revision as of 16:44, 12 July 2023
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	===== Last Resort Measures =====		===== Last Resort Measures =====
	~~In rare~~ cases where ~~your~~ ring cutter blade is not sufficient to cut through the ring material, ~~it may be necessary to seek out other resources. This is often the case with~~ high-strength materials such as tungsten and titanium rings. ~~In serious cases~~, ~~reach out to the OR for possible resources. Depending upon~~ local ~~guidelines and~~ protocols, ~~the fire department may be called to use~~ hydraulic cutting tools to ~~help facilitate removal though this carries significant risks~~ to ~~the underlying tissues.~~		''Heightened risk for injury to underlying tissues]]
			*This is for rarer cases, where the ring cutter blade is not sufficient to cut through the ring material
			**For example, high-strength materials such as tungsten and titanium rings
			*Consider other resources (e.g., from fire EMS or facilities management, depending on local protocols)
			**For example, hydraulic cutting tools or more power (e.g., Dremel with diamond crusted blade)
			*May need to fashion makeshift guard for between ring and finger
			*If using an automatic rotating blade, stop frequently to check for heat buildup to prevent burns

	== Complications ==		== Complications ==

Rossdonaldson1: /* Ring Cutter Removal */

2023-07-12T16:35:08Z

Ring Cutter Removal

← Older revision		Revision as of 16:35, 12 July 2023
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	===== Ring Cutter Removal =====		===== Ring Cutter Removal =====
	*Use a manual or electric ring cutter		*Use a manual or electric ring cutter
	**you will remove the ring ~~by cutting in one or two places, damaging the ring.~~		*Warn patient this is a destructive procedure for the ring

	*Place the guard between the ring and the skin		*Place the guard between the ring and the skin
	**Normally supplied with and frequently connected to the cutting device		**Normally supplied with and frequently connected to the cutting device