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Ring/constricting Band Removal

Ring/constricting Band Removal is a topic covered in the 5-Minute Emergency Consult.

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Basics

Description

  • Primary constricting band: A band tightened around an appendage causes swelling and pain (e.g., a hair knotted around a toddler's toe).
  • Secondary constricting band: Injury or disease process that causes swelling and edema as a result of tightness against the band (e.g., impacted ring with an underlying fracture of the finger)
  • Untreated, the constricting band may become embedded and interrupt skin integrity.
  • Tourniquet syndrome occurs when anything causes a constriction and there is distal tissue effect.

Pediatric Considerations
In the preverbal child, a constricting band may be a manifestation of child abuse or neglect. It should also be considered as a cause of inconsolable crying.


Geriatric Considerations
The cognitively impaired nursing home resident or Alzheimer patient may be unable to give an indication of injury or pain.

Etiology

Tourniquet syndrome may result from allergic, dermatologic, iatrogenic, endocrinologic, infectious, malignant, metabolic, physiologic, or traumatic conditions, or it may be related to pregnancy.

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Citation

Rosen, Peter, et al., editors. "Ring/constricting Band Removal." 5-Minute Emergency Consult, 5th ed., Lippincott Williams & Wilkins, 2016. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307674/all/Ring_constricting_Band_Removal.
Ring/constricting Band Removal. In: Rosen P, Shayne P, Barkin AZ, et al, eds. 5-Minute Emergency Consult. 5th ed. Lippincott Williams & Wilkins; 2016. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307674/all/Ring_constricting_Band_Removal. Accessed April 25, 2019.
Ring/constricting Band Removal. (2016). In Rosen, P., Shayne, P., Barkin, A. Z., Wolfe, R. E., Hayden, S. R., Barkin, R. M., & Schaider, J. J. (Eds.), 5-Minute Emergency Consult. Available from https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307674/all/Ring_constricting_Band_Removal
Ring/constricting Band Removal [Internet]. In: Rosen P, Shayne P, Barkin AZ, Wolfe RE, Hayden SR, Barkin RM, Schaider JJ, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. [cited 2019 April 25]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307674/all/Ring_constricting_Band_Removal.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Ring/constricting Band Removal ID - 307674 ED - Rosen,Peter, ED - Shayne,Philip, ED - Barkin,Adam Z, ED - Wolfe,Richard E, ED - Hayden,Stephen R, ED - Barkin,Roger M, ED - Schaider,Jeffrey J, BT - 5-Minute Emergency Consult UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307674/all/Ring_constricting_Band_Removal PB - Lippincott Williams & Wilkins ET - 5 DB - Emergency Central DP - Unbound Medicine ER -