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Hair Tourniquet

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1. Current Approach to the Evaluation and Management of Hair-Thread Tourniquets. (PubMed)

Current Approach to the Evaluation and Management of Hair-Thread Tourniquets. Hair-thread tourniquet syndrome is a rare, painful condition that occurs when a strand of hair or thread becomes wrapped around toes, fingers, or other appendages. This causes focal edema, which eventually reduces arterial blood flow and can lead to ischemia and necrosis. A thorough physical examination and assessment of risk factors are important. Treatment involves depilatory agents or targeted incision

2019 Pediatric Emergency Care

2. All wrapped up: Hair tourniquet management in the ED

All wrapped up: Hair tourniquet management in the ED All wrapped up: Hair tourniquet management in the ED – PEMBlog Search for: Search for: All wrapped up: Hair tourniquet management in the ED The hair/thread tourniquet syndrome is a clinical phenomenon characterized by hair, thread or similar material tightly wrapping around an appendage such as digits or genitalia, leading to circumferential constriction, edema and eventual ischemia. ! Due to the risk of strangulation and necrosis (...) tissue, the incisional approach is required. Site of incision is selected to avoid underlying neurovascular bundles. O’Gorman and Ratnapalan [2011] published the first case report describing removal of hair tourniquet using depilatory cream as other methods were found to be difficult especially with swollen appendage. Over the counter depilatory creams such as Nair TM are thioglycolate-based, and work by disrupting the chemical bonds of hair keratin. Therefore, this is limited to hair tourniquets

2016 PEM Blog

3. Hair Tourniquet

Hair Tourniquet Hair Tourniquet Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Hair Tourniquet Hair Tourniquet Aka: Hair Tourniquet (...) , Tourniquet syndrome From Related Chapters II. Definition , thread or fiber wrapped tightly around appendage (i.e. finger, toe, penis) III. Pathophysiology Pain results from cutting into skin or constricting flow IV. Epidemiology Typically limited to infants V. Symptoms VI. Signs Proximal ligature (hair, thread, fiber) Erythematous, swollen distal digit or penis VII. Management Cutting ligature Attempt to lift ligature off skin with forceps without teeth (or clamp) Cut ligature with iris scissors

2018 FP Notebook

4. Hair tourniquet syndrome: revisited (PubMed)

Hair tourniquet syndrome: revisited Hair tourniquet syndrome is a rare condition. It is an important emergency condition where urgent attention is needed. In this condition, body appendages are strangulated by hair that acts like a tourniquet. A strand or strands of hair act like a circumferential constriction band and subsequently strangulate the body appendages. Commonly affected sites include fingers, toes or even genitals. Failure to identify and release the acute constriction may result (...) in amputation of affected body part. We report two cases of hair tourniquet syndrome of the thumb and toe that were successfully released without complications.

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2016 Il Giornale di chirurgia

5. Hair-thread tourniquet syndrome in a preterm baby (PubMed)

Hair-thread tourniquet syndrome in a preterm baby Hair-thread tourniquet syndrome is a rare disorder characterized by the encircling of an appendage by a hair or thread. It usually occurs in children under the age of one year. The tourniquet syndrome may occur in different parts of the body, particularly in toes, fingers, penis, clitoris, labia, neck and uvula. It is an emergency condition that induces progressive edema, ischaemia and tissue necrosis and can lead to autoamputation of digits (...) or other strangulated structures. Emergency treatment is careful removal of the constricting fiber. We report a preterm newborn with hair-thread tourniquet syndrome affecting multiple toes born at the 28th gestational week with the aim of preventing potential complications by increasesing awareness of the condition.

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2015 Turkish Archives of Pediatrics/Türk Pediatri Arşivi

6. Hair Tourniquet Syndrome of Labia Minora (PubMed)

Hair Tourniquet Syndrome of Labia Minora 26064812 2015 06 11 2019 02 26 2218-8185 6 2 2015 May-Aug APSP journal of case reports APSP J Case Rep Hair Tourniquet Syndrome of Labia Minora. 22 Panagidis Antonios A Department of Pediatric Surgery, Karamandanion Children's Hospital, Patras, Greece. Sinopidis Xenophon X Department of Pediatric Surgery, University Hospital, Patras, Greece. Alexopoulos Vasileios V Department of Pediatric Surgery, Karamandanion Children's Hospital, Patras, Greece

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2015 APSP journal of case reports

7. Hair-Thread Tourniquet Syndrome of the Hypertrophic Clitoris in a 6-Year-Old Girl. (PubMed)

Hair-Thread Tourniquet Syndrome of the Hypertrophic Clitoris in a 6-Year-Old Girl. Hair-thread tourniquet syndrome is defined as the ischemic strangulation of hair resulting in edema and severe pain and may cause amputation of organs. Strangulation of the external genitalia (clitoris, labia minora) has rarely been described in girls. Here, we present a case of hypertrophic clitoris injury secondary to hair strangulation in a 6-year-old girl.

2015 Pediatric Emergency Care

8. Hair thread tourniquet syndrome in a toe of an 18 mo old girl (PubMed)

Hair thread tourniquet syndrome in a toe of an 18 mo old girl Hair thread tourniquet syndrome is rare and usually affects little children. If the tourniquet is not incised, the affected body part becomes ischemic or even necrotic. An 18 mo old girl was seen in the emergency ward with a painful, red and swollen third toe of the left foot. The toe appeared to be strangulated with a hair, and the diagnosis hair thread tourniquet syndrome was made. After incision of the hair tourniquet the symptoms (...) soon subsided. The diagnosis is easily made if the clinical features are recognized. However, if the tourniquet is not cut through, the affected body part may become ischemic and even necrotic.

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2015 World Journal of Clinical Cases : WJCC

9. A single center retrospective review of hair tourniquet syndrome and a proposed treatment algorithm. (PubMed)

A single center retrospective review of hair tourniquet syndrome and a proposed treatment algorithm. Hair tourniquet syndrome (HTS) is a rare disorder characterized by a hair becoming tightly wound around an appendage. There is little known about the epidemiology, optimal treatment, or indications for surgical intervention in HTS. We hypothesized that HTS could be readily diagnosed and treated in the pediatric emergency department and we sought out factors predictive of surgical intervention.We (...) performed a single center retrospective review of all patients who presented with a hair tourniquet from May 2004 till March 2014.Eighty-one patients were diagnosed with HTS, ranging in age from 2 weeks to 22 years. Of these patients, 69 were located on the toes, 5 on fingers, and 7 on genitalia. The average ages for each location were statistically different (p<0.0001). Ninety-four percent of patients were successfully treated by nonoperative means. Cellulitis was found in two patients. Tissue necrosis

2014 Journal of Pediatric Surgery

10. Hair tourniquet of the circumvallate papillae: a potentially "hairy" situation. (PubMed)

Hair tourniquet of the circumvallate papillae: a potentially "hairy" situation. Oral foreign bodies and hair-thread tourniquets are fairly common findings. The combination of the two, however, is rarer. In this article, we present a case involving a hair-thread tourniquet of a circumvallate papillae (more commonly known as a "taste bud"). We discuss methods for removal of hair-thread tourniquets as well as techniques for examining children for oral foreign bodies.

2013 Pediatric Emergency Care

11. Labial hair tourniquet: unusual complication of an unrepaired genital laceration. (PubMed)

Labial hair tourniquet: unusual complication of an unrepaired genital laceration. Hair tourniquet syndrome has been recognized as a medical entity since the 1600 s. Appendages develop acute ischemia from tightening of hair strands circumferentially wrapped around them. Most commonly affected sites are fingers, toes, and penis, but limited reports have described involvement of the female genitalia. Although hair strangulation involving the labia minora or clitoris has been described (...) , it typically occurs in young children. We present a case of an adolescent girl with a labial appendage hair tourniquet resulting from a previous unrepaired genital laceration. This is one of the oldest patients in whom a genital hair tourniquet has been reported, as well as description of a posttraumatic genital appendage. Genital hair tourniquets are medical emergencies that require prompt diagnosis and treatment to avoid tissue necrosis and possible amputation. Genital trauma in general requires surgical

2013 Pediatric Emergency Care

12. Hair Toe Tourniquet Syndrome in a Four-year-old Boy. (PubMed)

Hair Toe Tourniquet Syndrome in a Four-year-old Boy. Hair toe tourniquet syndrome is a condition in which a hair or thread encircles a digit and results in acute digital ischemia. It usually occurs in children under the age of 1 year. Prompt recognition and surgical removal of the constricting material can save the digit from irreversible tissue necrosis and the loss of digit.We report the first known case of hair toe tourniquet syndrome in a 4-year-old child, who had successful diagnosis (...) and treatment of this condition.We suggest that hair toe tourniquet syndrome should be considered as a cause of acute digital swelling and discoloration in children of all ages.Copyright © 2013 Elsevier Inc. All rights reserved.

2012 Journal of Emergency Medicine

13. Hair Tourniquet

Hair Tourniquet Hair Tourniquet Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Hair Tourniquet Hair Tourniquet Aka: Hair Tourniquet (...) , Tourniquet syndrome From Related Chapters II. Definition , thread or fiber wrapped tightly around appendage (i.e. finger, toe, penis) III. Pathophysiology Pain results from cutting into skin or constricting flow IV. Epidemiology Typically limited to infants V. Symptoms VI. Signs Proximal ligature (hair, thread, fiber) Erythematous, swollen distal digit or penis VII. Management Cutting ligature Attempt to lift ligature off skin with forceps without teeth (or clamp) Cut ligature with iris scissors

2015 FP Notebook

14. Hair tourniquet management. (PubMed)

Hair tourniquet management. Unwind or incise has been the standard of management for removing hair tourniquets. The hair ends are usually difficult to hold and unwind as they break at the ends easily, and using scalpels or needles to get under the hair tourniquet is difficult when the involved appendage is swollen and leads to more trauma to the injured area. This is the first case report that describes the removal of hair tourniquet using a depilatory cream.

2011 Pediatric Emergency Care

15. Toe tourniquet syndrome. (PubMed)

Toe tourniquet syndrome. 1032236 1978 03 21 2018 11 13 0093-0415 125 4 1976 Oct The Western journal of medicine West. J. Med. Toe tourniquet syndrome. 335-6 Mack J W JW Takamoto R M RM Jones F R FR Zick H R HR eng Case Reports Journal Article United States West J Med 0410504 0093-0415 IM Amputation, Traumatic Female Hair Humans Infant Male Syndrome Toes pathology 1976 10 1 1976 10 1 0 1 1976 10 1 0 0 ppublish 1032236 PMC1237331 J Pediatr. 1966 Jul;69(1):137-8 5935759 N Engl J Med. 1965 Oct

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1976 Western Journal of Medicine

16. Progressive hair coil penile tourniquet syndrome: multicenter experience with 25 cases. (PubMed)

Progressive hair coil penile tourniquet syndrome: multicenter experience with 25 cases. Penile hair tourniquet syndrome is an uncommon syndrome characterized by progressive penile strangulation by a hair tie. Complications reported include urethrocutaneous fistula, complete urethral transection, penile gangrene, and penile amputation. Prevention of such major complications depends on awareness of the etiology and presence of a high index of suspicion for early diagnosis.Twenty-five children (...) presenting with different degrees of hair coil penile strangulation syndrome have been operated on in the period from 2000 to 2007 in 2 tertiary care centers in the city of Alexandria. Eighteen boys had complete transection of the urethra at the coronal sulcus. Seven boys had partial transection of the ventral wall of the urethra at the coronal sulcus. Repair of the penis was done in all children in a single stage.The mean age of boys is 3 years and 9 months (2-5 years). The mean follow-up is 20.7 (6-48

2010 Journal of Pediatric Surgery

17. Hair tourniquet syndrome (PubMed)

Hair tourniquet syndrome The hair tourniquet syndrome is a rare disorder. This syndrome has been described as involving the fingers, the toes and even the genitals. We report a case of hair tourniquet syndrome affecting multiple toes of an infant. After the hair fiber was removed there was a fast healing period and no signs of tissue necrosis were seen. The prompt diagnosis and treatment of the condition is vital to attain a good outcome and prevent further harm to the child.

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2010 Annals of Saudi Medicine

18. Surgical site infections: prevention and treatment

] T o find out why the committee made the 2019 recommendations on nasal decolonisation and how they might affect practice, see rationale and impact. Hair remo Hair removal val 1.2.4 Do not use hair removal routinely to reduce the risk of surgical site infection. [2008] [2008] 1.2.5 If hair has to be removed, use electric clippers with a single-use head on the day of surgery. Do not use razors for hair removal, because they increase the risk of surgical site infection. [2008] [2008] P Patient (...) on starting anaesthesia. However, give prophylaxis earlier for operations in which a tourniquet is used. [2008] [2008] 1.2.16 Before giving antibiotic prophylaxis, take into account the timing and pharmacokinetics (for example, the serum half-life) and necessary infusion time of the antibiotic. Give a repeat dose of antibiotic prophylaxis when the operation is longer than the half-life of the antibiotic given. [2008] [2008] 1.2.17 Give antibiotic treatment (in addition to prophylaxis) to patients having

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

19. CRACKCast E174 – Genitourinary and Renal Tract Disorders

phenylephrine q 5 min after 1 hour, urology may consider placement of a surgical shunt. HIGH FLOW / NEUROGENIC Observation Refractory cases need cavernosal artery surger y [2] Describe the management of a paraphimosis. ALWAYS A PROBLEM Proximal foreskin cannot be returned to its anatomic position covering the glans penis, resulting in distal venous congestion. Paraphimosis can be caused by infection, masturbation, trauma, hair or clothing tourniquets, or failure to reduce the foreskin after a medical (...) examination or procedure. Paraphimosis is a urologic emergency with potential for arterial compression, penile necrosis, gangrene, and/or autoamputation. Hair tourniquet can mimic paraphimosis in the circumcised male. Management: Pain control: topically, parenterally, and/or with a local dorsal penile nerve block or ring block or procedural sedation. Firm compression / methods to reduce edema Firm ACE wrap on the penis to encourage venous outflow Parent’s hand holding constant pressure on the penis

2018 CandiEM

20. CRACKCast E087 – Peripheral Arteriovascular Disease

forearm vein anastomosed Longest functional AV fistula Prosthetic bridge fistula “H”-shaped, with a prosthetic conduit connecting vein and artery. 14) How do you access an AV fistula? Ask for help! (read online/call a friend!) If you are the most qualified person to do it: Try to choose a different peripheral venipuncture site if possible! Maintain complete sterility Clean hands Complete sterile attire Good skin prep. Sterile gauze and supplies **NO tourniquet allowed** Access the venous side (...) ●Hair loss over the toes and feet (thick toenails) ●Shiny/scaly skin ●Skeletonized due to atrophy of skin, fat and muscle ●Deep penetrating ulcers ●Ulcer base is gray, yellow, black, with minimal granulation tissue ● Ulcer rim is sharply demarcated , with no signs of cellular proliferation or epithelialization. ●Edema ●Prominent superficial veins ●Stasis dermatitis ●Ulcers with a weeping base and extensive granulation tissue ●Usually distal to the ankle – areas of trauma (toes, heels, metatarsal

2017 CandiEM

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