Lance Armstrong Self-Splinting
Last week Lance Armstrong fell in a bike race crash and broke his right collar bone. Earlier I sent a video link to @wildmed by Twitter (http://www.rtve.es/mediateca/videos/20090323/armstrong-cae-abandona-castilla-leon/455839.shtml) that shows how he is self-splinting his injury while waiting for medical help. All signs point to unstable.
This photo shows the surgical site 3 days later. This is interesting for wilderness medicine students because it shows management of a high risk wound 3 days post incision. The area has obviously been cleaned. Steri strips and sutures are holding the wound edges together. The whole package is being covered by a clear view site to protect it from dirt and debris. When the wound is not being inspected it is splinted.