A 35-year-old patient went to the emergency room independently with an injury to one finger on his left hand. According to the patient, the injury was caused by a spontaneous explosion of a pyrotechnic product. Help provided: tetanus toxoid 1 ml. Subcutaneous, once, 16:30 hours, one day Indications for use: /, start date: 05/23/2026 (one day); Tetanus antitoxin 0.8 dose. Intramuscular, once, 17:00, one day Indications for use: wounds, start date: 05/23/2026 (one day); Tetanus antitoxin 0.1 dose. Intradermal, once, 16:40 hours, one day, start date: 05/23/2026 (one day); Tetanus antitoxin 0.1 dose. Subcutaneous, once, 16:50 hours, one day, start date: 05/23/2026 (one day); Ceftriaxone 1 gram. Intramuscular, once, 09:47 hours, one day, start date: 05/24/2026 (one day); Surgical interventions (operations), including information on anesthesia: A16.03.022.003 operations: PSO of the wound, open reduction of the nail phalanx dislocation of the first finger of the left hand. Fixation of the nail phalanx of one finger with a knitting needle. 05/24/2026 Start: 05/24/2026 10:35 End: 05/24/2026 11:09 Result of the surgery: improved condition upon discharge, work capacity, certificate of incapacity for work:*.
Local status, local. Local condition: the dressing is clean and dry. Capillary reaction on the fingers is 1-2 seconds. There are no acute neurocirculatory disturbances in the hand. The ability to work is temporarily lost. There is no need for a certificate of incapacity for work. Recommendations: the patient does not need additional treatment in a hospital setting; He is released for further treatment under the supervision of a traumatologist at his place of residence. Traumatologist observation for m/f, appearance 01/15/2026 (have the passport, policy, extract with you). Bandages with antiseptics (chlorhexidine), water-soluble ointments (Lebomcol/Lebozin) for two weeks from the day of surgery until the epithelium is complete. The stitches are removed 14 days after surgery.