Stab Wound In Palm Of Hand

In the second picture above, we see the perfect setup for a stab injury to the palm, and, quite possibly, a tendon. When you experience a wound on part of your body, it goes through specific wound healing stages. Felicity cried, her voice coming out in a shocked, horrified yelp when she glanced down at the palm of the hand she'd had braced against Oliver's chest and found it coated in red. Since the top layer of skin is not alive, it can't heal itself. In a suicide, while there may be additional cuts across the. An unimpressive skin wound may hide a remarkable amount of damage to deep structures. If a small cut or puncture wound occurs in a finger, especially near a joint on the palm side, the canal that the flexor tendon runs through can get infected. This wound is a cut, split or gash in the skin. Apply ice and elevate hand to reduce swelling. Multiple and at sites not accessible to the victim. This helps prevent infection. But the most important thing here is to ensure that the wound heals well, without an infection. 419 is a "header" nonspecific and non-billable code code, consider using a code with a higher level of specificity for a diagnosis of laceration without foreign body of unspecified hand. Stab wound of right hand ICD-10-CM S61. Incised wound is inflicted with a sharp-edged instrument such as a knife or razor. As even small wounds can become infected, noticing an odor coming from the wound site or if we smell a bad smell from a wound should be attended to. In fact, many hand surgeons are reluctant to immediately repair even a complete extensor tendon laceration in a contused, potentially contaminated wound. Use a clean rag if. You wiped the last remnants of blood from the wound and leaned back to admire your work. 5 x 1cm communicating with thoracic cavity. A puncture wound is a deep wound that occurs due to something sharp and pointed, such as a nail. Most lacerations are the result of the skin hitting an object, or an object hitting the skin with force. The fatal wound was a stab wound to the chest, which punctured a lung. Son murders mom in bloody Fullerton stabbing: Victim’s 75-year-old boyfriend wounded Arriving officers found the woman suffering from a stab wound to her abdomen outside of an apartment. Damian is silent for a while. By Katrina and typically presents as a stab wound to the palm or a deep cut along the fingers. the stab , in length, is very small. FOXTROT OSCAR X-RAY stares up at the ceiling, mouth agape, and then claps her hands over her chest. His bathrobe is open just enough to see the LARGE STAB WOUND in the middle of his chest, and more blood over the body and bathrobe. One was a nick, probably a hesitation wound. Apply ice and elevate hand to reduce swelling. Sharp force defence wounds (source: Nikolas Medien Hande). He said: "On the palm of her right hand, there were two superficial wounds, which may be regarded as defensive. It indicates a fatal wound that was caused by a knife of a similar weapon. These can often cause severe stiffness, even destruction and rupture of the tendon. Stepping on a nail can cause a painful wound on the bottom of your foot. Stop the bleeding. Her wounds. Numerous stab wounds were noted about his body with most of them on his left side. There are five potential deep spaces within the hand:. Wear shoes to minimize the risk of a puncture wound from a nail or glass, especially if the affected person has diabetes or loss of sensation in the feet for any reason. Two weeks ago, I walked into a yucca plant and it stabbed me by my ankle. (iv) The wound tract of a stab wound therefore does not necessarily represent the position of the body at the time of the stabbing. It is also called a laceration. The first minor infection came from a stab wound. 1 A stab wound from a sharp object usually causes a small opening at the skin but may also go very deep. He said: "On the palm of her right hand, there were two superficial wounds, which may be regarded as defensive. a stab wound, which is deeper than it is long, an incised wound is longer than it is deep. Dupuytren's contracture is a condition that affects the connective tissue beneath the skin in the palm of the hand. Prompt medical care should be sought if streaking redness from a wound is noticed. Stab wound 'b' injured the left side of the ribcage and pierced the left lung numerous times (at least 20 penetrating injuries), in addition to piercing the diaphragm, the liver, and the front. Antibiotics may be given if the wound is deep or there was dirt or debris in the wound. It was painful. Helena Island man drives himself to the hospital with a stab wound By Joan McDonough. Luckily, I did not charge myself with assault. With respect to defensive wounds the only three wounds that might be considered defensive wounds were a 0. Use F11 button to read novel in full-screen(PC only). Open wound of hand except finger(s) alone, without mention of complication Short description: Open wound of hand. I accidentally slipped and hit the end of a cotter key. we gave her 2 tylenols for pain ( but i know it wouldnt do much). 432A - other international versions of ICD-10 S61. Isolated injury to the motor branch in the palm has been reported, with resultant loss of intrinsic motor function only [16 x [16] Zaworski, R. The palm comprises the underside of the human hand. Dr Curtis said Ms Billing had suffered 12 penetrating wounds and 10 incise wounds. New York advises athletes to place the bar directly in the crease of the hand where the palm meets the fingers. The candle holder broke and I actually stabbed myself in my own hand. In May 2018, Senior Magistrate Rickie Burnett sentenced double amputee Andrew Myers, 54, to four years in jail for a knife attack on his wife, Monique Myers, which left her with a 10-centimetre deep, three-centimetre wide stab wound to his her upper chest at their Buccament Bay home. Mitchell, 38, was taken to a hospital, where he died of a stab wound to the chest. Mild abrasions, also known as grazes or scrapes , do not scar or bleed, but deep abrasions may lead to the formation of scar tissue. we stopped blood from coming out by applying this type of spice. A cut may be deep, smooth, or jagged. [/quote] No, you would not bleed to death. cmx1 cms muscle deep spindle shaped both angles acute. These may affect the thumb area (thenar space), the palm (deep palmar space) or even the web area between the bases of fingers (collar-button or web space abscess). Wound Care Question - Stitches removed, wound re-opened I just got my stitches removed by the practice nurse but I guess it was too early. Most puncture wounds do not become infected, but if redness, swelling or bleeding persists, see your doctor. his shirt and pants were drenched in blood. Isolated injury to the motor branch in the palm has been reported, with resultant loss of intrinsic motor function only [16 x [16] Zaworski, R. 5 cm (12002). Dr Curtis said Ms Billing had suffered 12 penetrating wounds and 10 incise wounds. The Kevlar and stainless steel will reduce a bad slash to something a Bandaid can fix. A last resort would be the use of the palm of your own hand. To treat a puncture wound, start by washing your hands to reduce the risk of infection. Never Rip Your Hands at CrossFit. There were two stab wounds to the back of Bobby Kent’s neck. Closed stab wound on palm, closed but swelling? Its in the middle of my left hand, maybe an inch and of a half down from the middle finger. Modalities: are the very important modifying influences and circumstances which aggravate (make worse), or ameliorate (make better) the person and their symptoms. Wound Exploration-Trauma (eg, Penetrating Gunshot, Stab Wound) Procedures on the Musculoskeletal System CPT Code range 20100- 20103 The Current Procedural Terminology (CPT) code range for General Surgical Procedures on the Musculoskeletal System 20100-20103 is a medical code set maintained by the American Medical Association. Look toward a couple weeks for the overall pain to subside and longer for the numbness. 5 cm (12002). The San Luis Obispo County Sheriff’s Office is investigating his death as. A 33-year-old woman sustained a cut to her stomach. There were three superficial stab wounds in the area of Bobby Kent’s right shoulder. -Superficial cut to the base of the right index finger. One was a nick, probably a hesitation wound. Never Rip Your Hands at CrossFit. The wound margins are wavy and dark brown. Deep Space Infections of the Hand. The man with the stab wound was treated and released from a Wichita hospital, police said. This helps prevent infection. Stop the bleeding. The exact time frame under which such delayed repair results in an outcome similar to that of immediate repair is not well defined and depends on the clinical scenario. It may be left open allowing the continuation of drainage, loculations may be broken up using a surgical clamp, and/or the wound may be packed with gauze. Because he was instrumental in setting up Kent, 20, for murder and delivered a stab wound to Kent's neck that started the homicidal frenzy, Broward Circuit Judge Charles Greene chose to go well. A cut may be deep, smooth, or jagged. House Guests Charged In Miami Beach Mansion Attack - Miami Beach, FL - A Miami Beach homeowner was stabbed three times in the 5100 block of Pine Tree Drive. What do you do? Basics for Treating All Cuts, Scrapes, Gashes and Stab Wounds: 1. m with a stab wound, according to a news release. When swelling of a palm-thorn puncture wound occurs, arthrocentesis may be necessary to rule out bacterial or fungal infection. Extensor tendon lacerations of the hand and fingers are most commonly the result of direct laceration, crush injury, avulsion, burns, bites, or deep abrasions. in the first-degree murder case against Francisco Marquez, charged with stabbing a co-worker to death in Key West in February 2012. Paul paulthomasmd. Open wound of hand except finger(s) alone, without mention of complication Short description: Open wound of hand. As such, combine the two wounds (12 cm + 15 cm = 27 cm) to report 12036 Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 20. It goes in like a nail. A stab wound to the neck and a small one to the side, right on my hip bone. If you don't have a sterile dressing, use a hand, tea towel or t-shirt to slow down the bleeding. Metacarpal bones lie in palm of the hand and phalanges lies in thumb and fingers. 8 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 879. , penetrating gunshot, stab wound), 20100-20103, includes surgical exploration and enlargement of the wound, extension of dissection (to determine penetration), debridement. How to put on a dressing. Her wounds. Number of wounds and their location: A murder usually involves multiple stab wounds to the side, back or stomach. 1 A stab wound from a sharp object usually causes a small opening at the skin but may also go very deep. Sikirica said that he also found “defensive wounds” on both the tops and palms of Clark’s hands that appeared to have been caused by attempts to fend off a sharp object. Treatment Options. Without going into detailed definitions in respect of the differences between lacera› tions and incisions, in my experience, full thickness wounds to the hands are more commonly incised wounds, which are the result of contact with a sharp bladed object or implement. Apply direct pressure. This wound was two inches wide at the opening and. the fingers and/or palm of each hand. 2,054 stabbing stock video clips in 4K and HD for creative projects. The knife entered the posterior thorax along the midsagittal (median) plane and entered the posterior aspect (posterior body cavity). One was a nick, probably a hesitation wound. I know I might be a little paranoid here but I heard that small hand and finger injurys could become very bad. Most injuries result from knives slipping in an individual's hand resulting in laceration to digital nerves and flexor or extensor tendons. Glossary compiled by Ashley Bennink, a doctoral candidate in the Departamento de Filología Española at the Universidad de Oviedo, España. As the palm is constantly being stretched, it will keep opening the wound. Ryan Groh, 21, of New York, was arrested Thursday night and. Examine the wound again. Phoenix palm trees with their poisonous stabbing frond spikes are taking a heavy toll on Kiwis. we stopped blood from coming out by applying this type of spice. It hit with a bang, and Victor felt pain and then numbness in his hand, and on the stab wound, he felt an extraordinary heat flowing into his body. Stab Wound: it is a birthmark on the body that is curved to some extent. Hand Wound Blood. It was a deep wound which penetrated the skin as far as the surface of the muscle, together with other injuries. Examination indicates a lesion of the anterior interosseous nerve. The cut is small, but it feels like it went deep (knife basically slipped and stabbed my hand). Which of the following muscles is paralyzed? A. Broken glass. The pathophysiology of soft tissue injuries of the hand is diverse. Causes of puncture wounds. The pathologist told the court he found a 12cm deep stab wound on the left-hand side of the youth's chest. Deep cuts to the palm of the hand and the palm side of fingers. It is l/2 inch long, oblique, and l inch from the anterior midline. Once clicked a settings popup will appear. The bruise on Alma's palm indicates that she was using the weapon. A 19-year-old woman sustained stab wounds to her arm and arm pit, which required surgery. The nerve and surrounding tissue were injured and will take some time to heal. – Flimzy Mar 7 '14. The Signs and Stages of Wound Healing. Rigor mortis was evident in an extreme. regions contained several defense wounds from placing her hand in front of her face with the palm forward, in order to protect herself. Band Aid First Aids. Officers from Tuggerah Lakes Police District attended and located a teenage boy with a single stab wound and a man aged in his early 50s with a single stab wound. A 19-year-old woman sustained stab wounds to her arm and arm pit, which required surgery. Treatment: The wound is left open to allow drainage in case of infection. Apply an antibiotic cream. A puncture wound, such as from stepping on a nail, doesn't usually cause much bleeding. HE STABBED HIS HAND WITH A PENCIL! (puncture wound) | Dr. But these wounds are often deep and can be dangerous because of the risk of infection. It indicates a fatal wound that was caused by a knife of a similar weapon. Splint immobilization and. 5 cm chip of skull, underlying dura and into the brain with resultant bleeding (#26) b. A last resort would be the use of the palm of your own hand. There are five potential deep spaces within the hand:. No wound is ever closed if it is suspected to be infected. Don't put your hand inside the pumpkin near the carving blade – that could lead to an accidental stab wound to the hand. CAPTION (SHROUD)Since Daredevil brought the Hand to New York. Damian is silent for a while. Treatment Options. in the first-degree murder case against Francisco Marquez, charged with stabbing a co-worker to death in Key West in February 2012. The abrasion should be cleaned and any debris removed. we stopped blood from coming out by applying this type of spice. By: Deputies located the female victim injured from a stab wound to the hand. 5 cm x 2 cm, 1. Stop the bleeding. He had cuts to his lower chest and the back of his. incise wounds on her body, including to the right lateral lower neck, the right upper chest, and to the left palm. Includes injuries required in 12 patient scenarios Over 30 wound la. Even if it's a small artery, you can temporarily stop the bleeding by squeezing proximal (closest to the heart) to the wound. A 19-year-old woman sustained stab wounds to her arm and arm pit, which required surgery. Sharp force defence wounds (source: Nikolas Medien Hande). If it’s a cut finger, squeeze the wound with your other hand. A doctor should always examine a deep puncture wound. You wiped the last remnants of blood from the wound and leaned back to admire your work. It is less severe than a laceration , and bleeding, if present, is minimal. Look inside a large cut to see if a nerve, artery, or tendon is cut. Among the typical sequels of a stab injury are lesions of the nerves of the fingers as well as of the flexor and extensor tendons, quite apart from the general danger of an infection. in the first-degree murder case against Francisco Marquez, charged with stabbing a co-worker to death in Key West in February 2012. 432A may differ. The Buddha answered him, “ The Holy One who will keep the world in·the future will be like this: in the palm of his hands and in the flat of his feet will be the design of a disk, in his side will be a stab wound; and his forehead will have many marks like scars. Her panties were torn and cut in the crotch area and rolled up underneath her breasts. The Raiders offensive line has not yet been stable due to injuries and Richie Incognito's early season suspension, but the group has played so well that it hasn't been an issue for Derek Carr and. DEFENCE WOUNDS Wound received by victim during attack to save himself by raising hand and grasping weapon SITES- Usually on palm, ulnar border of forearm, back of hands TYPE OF WOUND Depend on the weapon used varies Contusion, Abrasion, Laceration, Incised, Stab It indicate homicide CONDITIONS FOR THE ABSENCE OFDEFENSE WOUND Attack at victim is. Helena Island man drives himself to the hospital with a stab wound By Joan McDonough. If you injure the FDS tendon, you may still be able to bend the finger, but not completely, and bending the finger will be painful. Depth of the wound is approximately 12 cm from the skin surface D. Bobby Kent's right abdomen was slashed open. I've cut myself before, but this one was a little different. Modalities: are the very important modifying influences and circumstances which aggravate (make worse), or ameliorate (make better) the person and their symptoms. we gave her 2 tylenols for pain ( but i know it wouldnt do much). Deep puncture wounds to the chest should be immediately sealed by hand or with a dressing that does not allow air to flow. In some cases the stab wound, where the centurion pierced the dead Jesus's side, also appear, and sometimes cuts around the scalp and forehead, corresponding with the crown of thorns. Kennewick fight leaves teen boy with multiple stab wounds. While I was firmly twisting, the screwdriver slipped and smashed itself deep into the palm of my left hand. Five Reasons Why Elliott Smith’s Death Is Probably Not A Suicide. A few months after the injury the wounds have healed up nicely but the side of my thumb is numb. Stop any bleeding before applying a dressing to the wound. Brian Williams used an unknown object to stab a man in the stomach area, officials said. Luckily, I did not charge myself with assault. 432A - other international versions of ICD-10 S61. Modalities: are the very important modifying influences and circumstances which aggravate (make worse), or ameliorate (make better) the person and their symptoms. Bullet Wound This represents a birthmark that was inflicted by a single bullet in a past life. I still wear the glove, though, as it protects me against a momentary inattention. The lower velocity exit hit is the size of a dime or nickle at worst. Stab wound to palm of hand. A stab wound is when the knife is thrust into and pulled out of the body. Treatment Options. If the brachial artery were ligated at its origin, which of the following arteries would supply blood to the profunda brachii artery?. This website’s primary purpose is for promotion of the music we love. But these wounds are often deep and can be dangerous because of the risk of infection. A 33-year-old woman sustained a cut to her stomach. This is best accomplished by applying direct and constant pressure to the wound using a wadded sterile compress, cloth, or — if need be — direct hand-to-wound contact (that’s why you “gloved up”). It hit with a bang, and Victor felt pain and then numbness in his hand, and on the stab wound, he felt an extraordinary heat flowing into his body. of being a penetrating incised wound or stab wound from a single edged weapon. Due to the severity of injury the patient had severe blood loss, approximately 1. Stab Dagger Palm Hand. The other stab wound was located in the back of Bobby Kent's head, scalp deep. Generally, it is not appropriate to use it to close a wound that is deep and reaches far into the body. 432A became effective on October 1, 2019. A man was taken to the hospital after suffering a chest injury "consistent with a stab wound" Saturday Real-time updates and all local stories you want right in the palm of your hand. The complex repair is the most extensive procedure and should be first listed. Zhisheng, had four wounds on his shoulder and one wound on his palm. Next he addressed the leg wound. 6 cm wound on the palm of her right hand, a 0. Among the typical sequels of a stab injury are lesions of the nerves of the fingers as well as of the flexor and extensor tendons, quite apart from the general danger of an infection. Wound Exploration-Trauma (eg, Penetrating Gunshot, Stab Wound) Procedures on the Musculoskeletal System CPT Code range 20100- 20103 The Current Procedural Terminology (CPT) code range for General Surgical Procedures on the Musculoskeletal System 20100-20103 is a medical code set maintained by the American Medical Association. Whereas injuries of the extensor tendons do not place great demands on the skill of the surgeon, injuries of the tendons and nerves in the flexor region are the domain of the hand surgeon. Hand wounds older than 6-8 hours should not be closed primarily because of an increased likelihood of infections. If the wound has been contaminated with dirt a tetanus shot may be needed if it has been more than 10 years since your last shot or if your last tetanus shot was more than 5 years ago. A stab wound is when the knife is thrust into and pulled out of the body. glass wounds. The other was an incised wound, commonly called a cut. The knife is passed into the uterus, and hooked into appropriate skin, which is cut by pulling backwards. However, if the hand was wounded from between the two middle fingers down to the wrist, closing the hand would have the effect of opening the wound, and so the victim should. Next he addressed the leg wound. [Middle English, from Old English, from Old Norse. “Not bad if I do say so. Full-thickness lacerations of the eyelid, lip, or ear. A cut is a break or opening in the skin. Depth of the wound is approximately 12 cm from the skin surface D. 5 arrested. com/juliarsalvia My Website/Blog♡: htt. Puncture wounds to the feet are a particular concern. Bullet Wound This represents a birthmark that was inflicted by a single bullet in a past life. Most injuries result from knives slipping in an individual's hand resulting in laceration to digital nerves and flexor or extensor tendons. Defence cut wounds on the palm surface of the hand, indicate victim’s attempt to grasp the knife. The AC-15 is one of THE best guns in that price range to get on a slightly cosltlier note, I really want to get one of their M16A4 clones for $900 that thing is BEAST. Broken glass. Below are instructions for putting different types of dressing on a wound. Apply antibiotic ointment and a sterile bandage. In summary, this is a stab/incised wound of the left palm which causes no damage of underlying vital structures. Some of the clothing was thrown over the northeast corner of a fence outside the 4125 Calhoun Drive home Tapley shared with his grandmother and her boyfriend, Malone said. The woman told Marion County sheriff’s deputies that 21-year-old Taylor Ryan Whittington was arguing with her outside the residence after her. To treat a puncture wound, start by washing your hands to reduce the risk of infection. It is a reminder of having been stabbed this way in a past life. “Mom, what is this place?” Tianci was shocked. Numerous stab wounds were noted about his body with most of them on his left side. I've cut myself before, but this one was a little different. Damian is silent for a while. Examine the wound again. Puncture wounds may also be caused by objects such as scissors and knives. The knife entered the posterior thorax along the midsagittal (median) plane and entered the posterior aspect (posterior body cavity). A 19-year-old woman sustained a cut to her elbow. Teen 'with multiple stab wounds' among two killed in Charlotte over the weekend Real-time updates and all local stories you want right in the palm of your hand. Incised stab wound on left palm, anterior aspect between thumb and index finger 2. A puncture wound, such as from stepping on a nail, doesn't usually cause much bleeding. Dr Curtis said that Mrs Billing had suffered 12 penetrating wounds in total and 10 incise wounds. Opinion for Puccio v. Treatment with antibiotics is critical if such an infection is present. One such stab wound entered the thenar fold right at the base of the thumb and pursued a course exiting at the exact spot as is depicted on the Turin Shroud. This helps prevent infection. A puncture wound is usually narrower and deeper than a cut or scrape. “Not bad if I do say so. Two stab wounds on right forearm. I was obviously concussed, a bit of a banged up ear and some sore teeth from being hit with the brick. Her hands - Answered by a verified Health Professional We use cookies to give you the best possible experience on our website. This, she explained, was to prevent me from bending the finger and re-opening the wound. Even if it's a small artery, you can temporarily stop the bleeding by squeezing proximal (closest to the heart) to the wound. The wound morphology indicated a single edged knife. Still according to the autopsy report, if stab wound #1 ‘entered the chest cavity through the 5th intercostal space’, stab wound #2 ‘perforated the left edge of the sternum’. An autopsy revealed Dirks suffered a fatal 11-centimetre stab wound to his heart, along with other stab wounds to his forearm, palm and wrist. But if he was standing behind Jesus, or was left-handed, then the right side would make sense. Tendon Sheath Infection (“Infectious Tenosynovitis”) Tendons that bend the fingers run from wrist, through the palm, up the palm side of the fingers, and to the fingertips. Subscribe for 12 FREE. Animals were hunted and killed and some people were executed in the arena. Incisions caused by a knife or a sharp object need to be thoroughly cleaned and the edges trimmed. "Let your training. Doctor answers on Symptoms, Diagnosis, Treatment, and More: Dr. Injuries to the hand and wrist are very common, especially among young active adults. (3) A stab injury on the right hand on the palm over the fingers 1/2" in deep. Define palm knife. Road Wound. The pathologist told the court he found a 12cm deep stab wound on the left-hand side of the youth's chest. The resident is taught to tie the splenic side of each of these divided vessels with 2-0 silk and a two-handed technique, advancing the index finger of the right hand along the suture toward the spleen and the knot at the depths of the wound rather than pulling upward on the tie and risking a splenic capsular tear. A 19-year-old woman sustained a cut to her elbow. for topic: Puncture Wound In Hand. 1 A stab wound from a sharp object usually causes a small opening at the skin but may also go very deep. For lacerations closed by sutures, remove stitches after 3-5 days for wounds on the head, 10-14 days for wounds over joints, and 7-10 days for wounds at other sites. An unimpressive skin wound may hide a remarkable amount of damage to deep structures. •Was stabbed in the neck while working at regional hospital as greeter. The stabbing however it could result in loss of movement and sensation in. One stab wound was in the muscle tissue of the left buttock. Learn how to treat palm pain. A knife fight. Depending on the severity and anatomic location, more traumatic stab wounds require long term, advanced wound care. The victim was approached by a gang of two men and a woman around midnight while waiting at a bus stop. Flexor pollicis longus and brevis B. Irregular and ragged cuts result from the hand held in a gripping position causing the palm skin to become loose and folded They may be duplicated by the thrust and withdrawal of the weapon. A stab wound to the neck and a small one to the side, right on my hip bone. What are blood vessels? Blood vessels are the tubes that take blood under high pressure from the heart to the body (arteries) and return blood under low pressure back to the heart via the lungs (veins). English: stab wound n Stichwunde f. Deep puncture wounds to the chest should be immediately sealed by hand or with a dressing that does not allow air to flow. In his injured hand, he still carried the knife he'd been holding when Nightwing and Robin had crashed in, and he held it high as he charged. The incidence of infection following a puncture wound is uncertain, as many individuals do not present to medical care following such injuries. The boy’s mom tried to stab the dog with a knife to save him, but the child died at the hospital. This is a picture of a pheonix palm that Mat felled a while ago at Randwick Racecourse. The physical facts of the wounds indicate that Donald Howard may have been killed by gunshot wound first and that Brenda Lou was then attacked and threatened with a knife. A horizontal mattress suture can also be used to achieve wound eversion in areas of high skin tension ( figure 6 ). Bobby Kent's right abdomen was slashed open. I know they're not reliable, but one conclusion is he was nailed in the hands, but also tied by the wrists, which would have supported his weight. The wound morphology indicated a single edged knife. If you like what you’re hearing go out and buy the albums, go to shows, buy merch, and just support the bands. It extends only into subcutaneous tissue for approximately l/2 inch. Paul paulthomasmd.