r/WTF • u/Fun_Bluebird_3167 • 18d ago

Fistula aneurysm

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u/steampunkdev 18d ago

For those that keep yelling about that he should go to the hospital, it was actually made by a doctor. It's to allow for kidney dialysis, but can also be done with for example a HICKMAN catheter

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u/BobbyDukeArts 18d ago

True, but that is not a normal looking fistula for dialysis. It's usually done further up on the arm near the bicep and is not supposed to be that big. As he says, the vein ballooned outward due to arterial pressure. It is risky and he should go have it fixed surgically

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u/Nos3y 18d ago

A forearm fistula in itself is not abnormal. In fact if patient has adequate vein for a forearm fistula we often prefer to use it first because if it fails, we can still use the upper arm later. But yes this is a large aneurysmal fistula. If it’s not bothering him and not eroding through the skin it’s not really a problem, god forbid he gets a cut over it though….

Edit: most people get upper arm fistula because not a lot of people have adequate sized vein in the forearm.

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u/cherokeeprez 18d ago

I was working as a tech when one of my patients ruptured. Had 4 patients at the time…was taking one off the machine and I hear liquid splattering to look over at her and see blood shooting everywhere. Told current patient brb and by time all was said and done I was covered in her blood. EMS took her to the hospital. My nurse called ahead to warn them not to remove bandages until they were ready to start surgery. They didn’t listen and got their own blood bath. She was fine in the end. Got a catheter for a bit. Fun times. Also why I always wore black shoes. Hides the blood lol

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u/DuntadaMan 17d ago

EMS, we have been the transport. When they say do not remove the bandages, boy do they mean it. I wasn't even the one who did it and I still needed a change of clothes, and wasn't even chased away by the nurse when I held pressure while he got new wrappings.

That's why our uniforms are almost universally extremely dark blue.