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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

Should I go to A&E or am I being silly?

160 replies

Dumdeedahdumdeedo · 02/05/2022 11:23

I went out on Friday and was attacked in the toilets by a random woman. There was no argument, no build up, she literally just launched herself at me and attacked me

The police came and she was arrested but during the attack she bit me on my knee

She broke the skin on my knee and I have a giant bruise there too. I've woken up today and I'm struggling to bend my knee, it really hurts, all down the back of my knee hurts when I try to bend it.

It doesn't look infected, there's the cut and the bruise but it isn't hot to touch.

I don't k ow if I'm being dramatic or not, I'm starting to worry maybe there's an infection inside my knee that I cannot see.

Would i be dramatic to go to A&E over this or do you think it just hurts to bend because she bit my actual knee cap so there's bound to be some pain?

I'm a single mum I have a 5 year old and 7 year old I don't really want to drag them to A&E but at the same time I'm starting to worry about my knee

I don't know what to do

OP posts:
pooktline · 02/05/2022 15:34

This reply has been deleted

Message deleted by MNHQ. Here's a link to our Talk Guidelines.

You are hilarious. I would recommend you think before you post though...

dottiedodah · 02/05/2022 15:37

How frightful! I am sorry this happened to you .She sounds deranged .Please get it seen to .There will be bacteria and you probably need Antibiotics .Hope you feel well soon .

Brieandcamembert · 02/05/2022 15:41

You need a GP not A&E. A&E is for anything life threatening or needing immediate and significant repair.

youvegottenminuteslynn · 02/05/2022 15:42

BoreOfWhabylon · 02/05/2022 15:30

OK, I'm retired now but was an A&E nurse and, latterly, a triage consultant for more than 30 years.
For the non-clinicians on the thread:
. As others have already said, human bites are particularly prone to infection and any human bite that breaks the skin is usually treated prophylactically with antibiotics, to try to prevent infection developing.
. In addition, any injury near a joint is taken very seriously because if infection develops and spreads to within the joint, it can be very difficult to treat.
. The types of bacteria found in the mouth, and hence in a bite injury, thrive in deep dark places with low oxygen (like inside joints!) and usually require specific antibiotic treatment, often by injection, IV infusion or even directly into the joint space.
. The longer the time between sustaining the injury and seeking treatment, the more like it is that infection will take hold. (OP sustained the injury on Friday).
. There is also increased risk of sepsis, as others have already said.

This is why the clinicians on the thread are saying OP needs specialist assessment and treatment and A&E is the best place to access this.

Have a read of rhis @toptail222 and stop giving out dangerous advice - hopefully you aren't in a public facing role at the A&E you apparently work in.

youvegottenminuteslynn · 02/05/2022 15:42

Brieandcamembert · 02/05/2022 15:41

You need a GP not A&E. A&E is for anything life threatening or needing immediate and significant repair.

This does need immediate care. Please read the posts from medical professionals on the thread who have confirmed this.

Abraxan · 02/05/2022 15:45

toptail222 · 02/05/2022 14:35

Again, it would be frowned upon. GP, or minor injuries yes of course but most definitely not A&E main unit.
Why people think it's appropriate to attend A&E for such things amazes me.

Your advise is incorrect and goes against what the NHS's own website recommends. It also goes against the advise given to the OP from the 111 nhs advice line.

Hopefully you are not medical staff as you appear to not know the appropriate advice for such an incident.

angieloumc · 02/05/2022 15:47

Brieandcamembert · 02/05/2022 15:41

You need a GP not A&E. A&E is for anything life threatening or needing immediate and significant repair.

It does need immediate treatment, it's a human bite that's broken the skin.

Abraxan · 02/05/2022 15:48

Brieandcamembert · 02/05/2022 15:41

You need a GP not A&E. A&E is for anything life threatening or needing immediate and significant repair.

A human bite where the skin is broken DOES need urgent treatment.

dexterslockedintheshedagain · 02/05/2022 15:55

Toptail22 has been suspended from their work, according to a recent thread of theirs.
Wonder why? Giving out shitty advice, perhaps?

Benjispruce4 · 02/05/2022 15:56

OP I was bitten in the knee by a dog whilst out jogging. I wen to A&E but felt silly. A paramedic was outside so I asked him before going in and he said absolutely go in. I did and after a while was given a tetanus jab.

SpringLobelia · 02/05/2022 16:05

Nocutenamesleft · 02/05/2022 14:26

I wouldn’t go to a and e.

but I would ring my GP and get an urgent appointment

Gosh. You can't be in my part of the UK then. Our Gps shut up in the first lockdown and have not been seen since. The Advanced Nurse Practitioners have been working face to face throughout, but when I took my Ds1 for his asthma review 2 weeks ago and asked our ANP if the GPs were coming back any time soon she muttered angrily that it an in-joke within the practice that it was easier for a patient to get into prison than it was to see a GP. (And yes it was probably unprofessional for her to say so, and no I do not blame her because I happen to know that she was meant to retire at then end of 2020 and did not due to volume of work).

tkwal · 02/05/2022 16:05

A human bite can transmit as many bacteria as any domestic pet or wild animal. You should go to get checked out as even if it's not infected she could have gnawed on one of the little tendons

Scooby5kids · 02/05/2022 16:07

OMG how awful OP, sounds horrendously traumatic. I wonder if she was high on drugs or something. I hope you feel a lot better soon. If you start to feel anxiety about it later on down the line please get referral for counselling. It's really important after a traumatic event to get help yo process it as soon as possible so it doesn't leave you with any lasting mental trauma x

Mariposista · 02/05/2022 16:10

What a horrible experience. Definitely get some medical treatment, either from you GP or minor injuries unit if you can before A&E, but by all means go there if necessary.

LagunaBubbles · 02/05/2022 16:14

Brieandcamembert
You need a GP not A&E. A&E is for anything life threatening or needing immediate and significant repair

God another Internet "expert". I actually despair at stupid posts like this, so ignorant and so scary anyone would actually listen to this rubbish.

PortalooSunset · 02/05/2022 16:20

@Brieandcamembert do you want to call 111 and tell them their advice is wrong then? It was them who told op to go to A&E.
Glad you're going to get checked out op. What a shocker of a way to end your night out!

fairylightsandwaxmelts · 02/05/2022 16:27

toptail222 · 02/05/2022 14:35

Again, it would be frowned upon. GP, or minor injuries yes of course but most definitely not A&E main unit.
Why people think it's appropriate to attend A&E for such things amazes me.

It's perfectly appropriate 🙄

Bites from dogs, cats and humans are highly likely to get infected and they can turn very nasty, very quickly. All such bites should be cleaned out immediately and dressed as appropriate, with the patient being given antibiotics (plus a tetanus where necessary).

Most areas have no minor injuries and you wouldn't be able to get a GP appointment for that either - they'd send you straight to the hospital to be checked.

I'm canine/animal first-aid trained and our course told us to send ALL bites which break the skin to hospital to be treated ASAP.

User3568975431146 · 02/05/2022 16:33

hashbrownsandwich · 02/05/2022 13:43

Absolutely A&E. I'm a healthcare professional and quite often despair at how patients present trivial things at A&E, but on this occasion you ABSOLUTELY should go. There's not only infection to consider but tetanus, hepatitis etc.

I also hope the woman who attacked you gets the book thrown at her!

Tetanus and hepatitis? Really?? Think you should read up on transmission routes and risks 🤨

Queenofthestress · 02/05/2022 16:33

So it's a human bite that's definitely showing signs of infection? Yes you go to bloody A&E
Any gp practioner would tell them the exact same thing purely because that is what the NICE guidelines for treatment of human bites breaking the skin are. She needs a full blood workup, antibiotics and a wound flush. Ffs. Absolute morons some people are.

Queenofthestress · 02/05/2022 16:35

User3568975431146 · 02/05/2022 16:33

Tetanus and hepatitis? Really?? Think you should read up on transmission routes and risks 🤨

Transmission route for hep B is ANY bodily fluid...

TurquoiseSwirl · 02/05/2022 16:37

Glad you’re going to A&E. Human bites need seeing especially across a joint.
It don’t take your kids there! You’ll be there hours and if you need treatment/admitting what are you going to do? Try a friend/neighbour or anyone. Even another school mum if they phoned me and said I’m stuck and was attacked and need A&E I would watch her kids if I had never before, please ask someone.

TurquoiseSwirl · 02/05/2022 16:39

Brieandcamembert · 02/05/2022 15:41

You need a GP not A&E. A&E is for anything life threatening or needing immediate and significant repair.

You know GPS can’t do urgent bloods, washout a wound in theatre and give IV antibiotics if needed?

Muchtoomuchtodo · 02/05/2022 16:47

Hope you’re ok OP.
This thread is the perfect example of why asking the advice of strangers on the internet on health matters isn’t a good idea.

Lougle · 02/05/2022 16:55

A&E is the perfect place for this. They can assess your wound, flush it out, give you antibiotics and arrange follow up if needed. The fact that you have pain behind your knee and reduced movement would worry me.

hashbrownsandwich · 02/05/2022 16:56

@User3568975431146 I have read up and am actually trained in this area, so I forgive you for naivety.

www.nice.org.uk/guidance/ng184/chapter/Recommendations#assessment

Human bites which puncture the skin, as OP has said happened, as per photo, unless the police and OP have identified the exact risks of the person who carried out the bite (which lets face it, they won't, so we have to err on the side of caution and go worse case, which is the person doing the biting has hepatitis etc) then she should deffo seek immediate medical
Treatment as 72 hours on a bank holiday weekend isn't a stroll into a Gp surgery.

Should I go to A&E or am I being silly?