The Mar-Med Tourni-Cot and Uni-Cot are very simple devices, which require little education. But one question that I hear on occasion is,
“Will applying the device aggravate the wound?”
Most clinicians say that while this question should be answered on a case by case basis, Tourni-Cot / Uni-Cot application probably won’t aggravate the injury. If the digit is really mangled or has large flaps, I’m told you may not want to disturb the wound. But experienced Tourni-Cot users have reported that there is no harm in applying the Tourni-Cot or Uni-Cot in most cases. Applying a Tourni-Cot to a tip amputation for example may look painful, but it’s not causing any additional damage… Blocking the digit with a local anesthetic will help alleviate any pain.
One experienced clinician offered me a tip for how to minimize impact of Tourni-Cot / Uni-Cot application to a severely wounded digit. I’m summarizing that tip in these 3 simple, visual steps.
1. Patient comes in with badly injured digit.
2. Apply a finger cot or glove finger to the digit to keep it intact.
3. Apply the Tourni-Cot or Uni-Cot to the digit over the finger cot.
Thanks for your interest in our devices! Hopefully this information helps with your next tough digit case.