Unwrap the strap/string from the proximal end; As the strap or string is unwound the ring is pulled over the swollen tissue; V. Technique: Titanium Ring Removal using vice grip. A diamond blade will make the job much easier and quicker. Foreign body removal. This can be scary, painful, and potentially very damaging to your finger and hand. You can get a ring cutter from a jewelry store, fire department, or emergency room. In cases of injured fingers, seek medical help immediately. This case demonstrates the successful removal of a constricting metal ring from the penis of a 14-year-old male with a diamond blade equipped orthopedic oscillating saw while under ketamine anesthesia in the emergency department. 1 Ring constriction is a relatively common presentation, which can result in necrosis of the affected digit if not relieved. Try cutting it off A specialty tool called a ring cutter can cut the ring without damaging your finger. Supplies---curved hemostat, approximately 12" umbilical tape Take hemostat and place one end of the umbilical tape under the ring and pull approximately 1-½ " of the tape from under the ring and leave that part of the tape hanging above ring. The hardness of tungsten rings requires special removal procedures in an emergency situation. Author: Newell, Kristine Created Date: Hence rapid removal of the ring is warrant either by cutting the ring or using ring-preservation methods. In the emergency room, the elastic strap from a nonrebreather mask works well. “Ring finger construction is an emergency. Check out this nifty trick on ring removal by Dr. Simon Carley (Centre For Evidence Based Emergency Care at Manchester Metropolitan University) of St.Emlyns fame.. The patient also notes that he slightly deformed his wedding ring during the fight and he has since been unable to remove it. Ujuzi: Ring removal: A critical emergency procedure (Practical Pearl/Perle Pratique) Amit Chandra a,*, Tendai Muchedzi b a Department of Emergency Medicine, University of Botswana School of Medicine, Gaborone, Botswana b Accident & Emergency Department, Princess Marina Hospital, Gaborone, Botswana Received 28 January 2012; accepted 23 April 2012 *If all else fails, cut the ring off with a ring cutter found in jewelry stores, fire departments and emergency rooms. Little heat is generated, but removal may require several minutes. There are a few techniques available that may make it possible to remove the ring without damaging or destroying it. A 41-year-old male presents with left-hand pain after an altercation. Reddit user konvictkarl recently shared these photos to show the tool used at the hospital he works at. Boe C, Kakar S. A Modified String Technique for Atraumatic Ring Removal. This will fracture the ring. It should be your go-to method if you find the patient’s ring is made of a material that cannot be cut. We report a case of unusually difficult removal of a ring of hardened metal composition using a dental volvere. In fact, wrap over the ring itself as well. Trick of the Trade. In fact, it might actually be easier to remove and therefore safer because it can easily be shattered with vice grip pliers. Our Ring Rescue compression device is the world’s first professional non-destructive ring removal device that is currently being used by healthcare , fire , EMS , jewelry and funeral services professionals worldwide. Trick of the Trade: Removing a Tungsten Ring. Use a standard hand crank ring cutter. Sometimes in severe swelling with hardened ring metal may limit the use of routine ring cutter. Soft Metals Gold—Silver—Platinum—Copper—Aluminum—Brass. Diamond tipped dental drills may be used to cut through rings made of virtually any material [7]. Here are tips on how to remove some popular types of rings. In an emergency situation where there might be a medical necessity to remove the band (such as hand or finger injury) titanium rings can be cut off with manual or power ring cutters. Cut the ring off your finger with a ring cutter. With the end that was under the ring, begin to unwrap the thread or floss with the ring sliding over the knuckle as you go. It’s best to let a professional cut the ring off your finger so that you don’t injure yourself. Keep in mind that the ring will be damaged if you cut through it. The need to remove a ring is not uncommon in the Emergency Department. Emergency Ring Removal Protocol: G23. It is a more time consuming manner of removing a ring; I find it a worthwhile try if the patient tells you their ring holds significant sentimental value. With the other end, begin tightly wrapping the string around the finger. Remove the ring. However, ring constriction is fairly common and titanium rings remain difficult to remove in a timely manner to prevent tissue necrosis, they wrote. Creative emergency physicians exist worldwide. If you want to learn more about tungsten rings, read our guide here. ... FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency … Makers of ring-removal gadget aim to slide into global market Ring Rescue, a device that was once a Dalhousie University project, was instantly sold out when the company launched in August. 1 Pass an end of fine string or dental floss under the ring. Patients may present with an initial primary complaint that they can no longer remove a ring or that a ring has become painful. We believe the unusual circumstances of this case are likely to be repeated on some readers’ clinical practice, and that this instrument is an appropriate option to consider in such cases.