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VACATION
                                                                              INJURIES

cause I could not have done that to my daughter. Could I have                  SCENARIO FIVE: After meticulously packing for a trip including
“treated” my son from the first two scenarios, no problem. Would it          the vacation medical and injury pack an adult male packs his routine
have helped the jellyfish stings? Not one bit. Can medications from          medications in his suitcase and flies to one location as his suitcase
lessons one and two be helpful? Absolutely.                                  chooses another location. The suitcase is found and reunited with the
                                                                             adult male 2 days later. Fortunately, none of the medications were
  SCENARIO FOUR: Adult male sailing across the Gulf of Mexico                critical on a daily basis.
with other medical students and sustains a laceration to the calf after
a slip and fall on the wet deck. Fight off, repel, refuse all interventions    LESSON FIVE: Your routine medications and your emergency
ranging from applying a tourniquet, to amputation, to pouring alco-          pack should always be carry-ons.
hol on the wound to clean it — to just manning up and trying not to
bleed everywhere. Ultimately the wound was cleaned with soap and               SCENARIO LAST: Four year old falls down and skins her knee
water, antibiotic ointment was applied and a clean compressive dress-        on the streets of New Orleans. Father and child are clearly upset, she
ing applied.                                                                 does not want to move or walk or do anything except cry. Quick ex-
                                                                             amination by helpful bystander with “magic bandaid” cures the child
  LESSON FOUR: Stay away from first, second and third year med-              and results in a free dinner at the Father’s new cajun restaurant.
ical students if you are ever injured or sick. Carry some antibiotic oint-
ment, a small tube or a few individual packets to apply to burns and           LESSON LAST: Always carry a bandaid or two. They are small,
wounds. A 2-3 inch ace wrap is an incredibly versatile tool. It can be       flat and easily stow in your wallet or purse for long periods of time.
used to a form a snug dressing. It can also be handy to hold ice onto        They are much more useful than other things that can spend prolonged
an extremity, or support an injured limb, or attach something rigid          times in a young man’s wallet (see scenario one and two). I promise
to form a splint. Most lacerations can be closed with a dressing that        you will be surprised how often you can save the moment with a
holds the two skin edges in close approximation. It may not heal as          bandaid and how it will enhance your reputation as a physician.
quickly or with as little scarring as stitches but it usually does the job.
                                                                               So go make some memories.

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