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Pressure Injuries - Medical Animation

 

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Pressure Injuries - Medical Animation
MEDICAL ANIMATION TRANSCRIPT: A pressure injury or ulcer is a wound caused by constant pressure on your skin. It may also be called a pressure sore, pressure ulcer, bed sore, or decubitus ulcer. Pressure injuries occur most frequently in areas where your bones are close to the skin, including your heels, ankles, hips, tailbone, or elbows. In order to understand how pressure injuries happen, it's important to know about the layers of the skin. Your skin is made up of three main layers. The top layer, called the epidermis, is a thin layer that protects your body from the environment. The thicker middle layer is called the dermis. Its main functions are to supply the epidermis with nutrients, help regulate your body temperature, and provide strength and elasticity to your skin. The innermost layer is called the hypodermis or subcutaneous layer. This layer stores fat, which cushions the muscles and bones beneath it. In a pressure injury, constant pressure on the skin over a long period of time can compress the blood vessels that supply the layers with the oxygen and nutrients they need to survive. If there's not enough blood flow, your skin tissue begins to die, and a pressure injury forms. If you have a pressure injury, your health-care provider will classify it based on what can be known about the depth of tissue damage. This is called staging. In a Stage I pressure injury, the skin is intact, red, and inflamed. The redness is non-blanchable. This means it doesn't become pale if you press on it. A Stage II pressure injury appears as a blister or an open sore. There's partial thickness loss of the epidermis and dermis. The area surrounding the sore may be red and irritated. A Stage III pressure injury is a crater-like full thickness loss of skin. It extends down to the fat tissue of the hypodermis. Stage IV is the most severe. A Stage IV pressure injury is a full thickness loss of tissue. It extends through all three layers of skin and into the underlying muscle or bone. An unstageable pressure injury is a full thickness loss of tissue. It's called unstageable because the injury is covered by dead tissue, making it hard to tell how deep it is. And a suspected deep tissue injury appears as a maroon or purple area of the skin. It may contain a blister filled with blood. It looks like this because of damaged soft tissue underneath your skin. To prevent infection in your pressure injury, your doctor will clean your wound using water and a mild soap or saline solution. If your wound is severe, your doctor will debride or surgically remove the dead tissue from the pressure injury. To protect your wound and keep it from drying out while it heals, your doctor may cover it with a specialized bandage. To find out more about pressure injuries, talk to your health-care provider.

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What attorneys say about MLA and The Doe Report:
"For us, the defining feature of effective demonstrative evidence is whether, by itself, the piece will tell the story of the case. Medical legal Art provides our firm with illustrations and animations that are clear and persuasive. Their exhibits tell the story in a way that allows the jury to understand a very complex subject, very quickly."

James D. Horwitz
Koskoff, Koskoff & Bieder, P.C.
Bridgeport, CT

"Medical illustrations are essential during trial for any medical malpractice case. The people at MLA have the uncanny ability of creating medical illustrations that simplify the most complex of medical concepts and human anatomy to a lay audience. The exhibits of MLA allow experts to easily describe complex concepts and human anatomy in a manner that could not be done otherwise.

In addition, their custom illustrations show in great detail the extent of injuries suffered and the devastating effects they have had on the client's anatomy. These custom illustration can show, side by side, the body before and after a catastrophic injury. The effect of this juxtaposition is unmatched by any testimony that can be adduced at the time of trial.

Even jurors after trial have commented on the ease with which they grasp medical concepts and anatomy once the MLA exhibits were introduced and used by my experts. Even judges who have "seen it all" are thoroughly impressed by the detail and sophistication of the illustrations.

I would not want to try a case without them."

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McHUGH & LAMBROU, LLP
New York, NY

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Robert F. Linton, Jr.
Linton & Hirshman
Cleveland, OH

"A few words about The Doe Report: recently in a brachial plexus injury case, we used an image from The Doe Report to demonstrate the injury. We downloaded the PDF file image, and were amazed at the quality. The hard copies that you sent were even more clear. As well, we could not have been happier when you customized the image and reversed the injury from the left shoulder to the right shoulder, which is where our client's injury was.

The speed and cost-effectiveness of the product made it the perfect tool for our purposes. We will use The Doe Report again in future cases."

Andrew Needle
Needle Gallagher & Ellenberg, P.A.
Miami, FL













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