Uploaded November 2025 | Updated September 2026, 2 weeks ago
In Episode 6 of Season 3 of Surgery in Boots, we explore two trauma-linked surgical cases that highlight the real consequences of delayed care and vascular injury.
⸻
🧷 Case 1: Finishing Nail Embedded in the Hand
A construction injury leads to a metal finishing nail embedded deep in the palm. We walk through:
• Clinical evaluation and imaging
• Removal technique with minimal tissue disruption
• Infection control and tendon preservation
• Patient counseling for home-based hand trauma
⸻
🖐 Case 2: Mummified Fingertips After IV Catheter Complication
In a more complex follow-up case, we revisit a patient whose ICU course resulted in vascular compromise. You’ll see:
• How septic emboli and vasopressors can lead to digital necrosis
• Surgical evaluation of ischemic fingertips
• Amputation decision-making and functional preservation
• Patient-centered planning in the context of prior critical illness
⸻
🎓 Educational Takeaways:
• Removal of deeply embedded foreign bodies in delicate anatomy
• Identifying ischemic vs. necrotic tissue in the upper extremity
• Balancing surgical intervention with quality-of-life outcomes
• Post-op planning for trauma and vascular patients
This is a must-watch for surgical trainees, ER/ICU providers, and med students seeking real-world procedural cases that go beyond textbook simplicity.
⸻
⏱ Chapters:
0:00 – Introduction
0:40 – Finishing Nail Case Overview & Removal
9:30 – Mummified Finger Evaluation
21:15 – Surgical Plan & Functional Discussion
33:48 – Wrap-up & Teaching Pearls
⸻
#ForeignBodyRemoval #HandSurgery #TraumaSurgery #SurgicalEducation #MummifiedFingertips #Ischemia #ICUComplications #SurgeryInBoots #MedicalTraining #RealSurgery #ORCases #ScrubIn #MinorSurgery #MedStudentLife #ClinicalSkills #EmergencySurgery
In Episode 6 of Season 3 of Surgery in Boots, we explore two trauma-linked surgical cases that highlight the real consequences of delayed care and vascular injury.
⸻
🧷 Case 1: Finishing Nail Embedded in the Hand
A construction injury leads to a metal finishing nail embedded deep in the palm. We walk through:
• Clinical evaluation and imaging
• Removal technique with minimal tissue disruption
• Infection control and tendon preservation
• Patient counseling for home-based hand trauma
⸻
🖐 Case 2: Mummified Fingertips After IV Catheter Complication
In a more complex follow-up case, we revisit a patient whose ICU course resulted in vascular compromise. You’ll see:
• How septic emboli and vasopressors can lead to digital necrosis
• Surgical evaluation of ischemic fingertips
• Amputation decision-making and functional preservation
• Patient-centered planning in the context of prior critical illness
⸻
🎓 Educational Takeaways:
• Removal of deeply embedded foreign bodies in delicate anatomy
• Identifying ischemic vs. necrotic tissue in the upper extremity
• Balancing surgical intervention with quality-of-life outcomes
• Post-op planning for trauma and vascular patients
This is a must-watch for surgical trainees, ER/ICU providers, and med students seeking real-world procedural cases that go beyond textbook simplicity.
⸻
⏱ Chapters:
0:00 – Introduction
0:40 – Finishing Nail Case Overview & Removal
9:30 – Mummified Finger Evaluation
21:15 – Surgical Plan & Functional Discussion
33:48 – Wrap-up & Teaching Pearls
⸻
#ForeignBodyRemoval #HandSurgery #TraumaSurgery #SurgicalEducation #MummifiedFingertips #Ischemia #ICUComplications #SurgeryInBoots #MedicalTraining #RealSurgery #ORCases #ScrubIn #MinorSurgery #MedStudentLife #ClinicalSkills #EmergencySurgery
