When you step on a piece of glass or splinter, many believe that you need to have it removed in a hospital OR. Dr. Pearl has developed a technique that can help remove foreign bodies that are less than 1 cm deep. It involves the use of guided ultrasound.
This weekend I was called into the office for an emergency foreign body case. The patient had stepped on glass that was embedded about 1/2 cm deep. I injected the area with 2cc lidocaine and the internal pressure of the fluid and the force of the sonogram head pushed out the glass fragment. At this point, all I had to do was extract the glass with forceps and flush it out. She was scheduled for surgery on Monday.
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