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11 Need-To-Know Answers About Lasers

Q&A: Laser Management of Scars

TASA ID: 11869

Things to consider: 

  • Test spots should be performed prior to a full treatment. 
  • Choice of setting: Understand that the pulse rate can be manipulated.
  • Patient selection is based on medical history, including medication and the site of the skin.
  • Patients using medication may produce more sensitivity to the laser-you may want to refrain from using medications 72 hours prior to and after the procedure. 
  • Some skin types may blister, if so, the frequency will need to be reduced.
  • Suntanned patients should not be treated until the skin is lighter to avoid blistering, hypo-pigmentation and delayed efficacy. 
  • A patient on aspirin or iron may bruise more easily. Test a small area first. 
  • Apply cold compresses after the treatment to decrease discomfort and edema.
  • Minimal discomfort relieved by cold compress or cool gel pack. Patient may have edema, erythema and a tight sensation with minimal discomfort. 
  • Topical anesthetics may be used on lesions.

Negligence vs Gross Negligence

TASA ID: 4009

Joining a health/exercise center these days often includes signing some form of hold harmless agreement which absolves the center from acts of negligence.  If a member is injured and sues, then plaintiff has to show that the club had committed gross negligence. I recently worked as a plaintiff’s expert on such a case.  A health club member was injured when he attempted to mount an elliptical exercise machine which had been located too close to another. He was struck and injured by the moving part of the adjoining machine. 

Bullet Behavior

TASA ID: 8673

Ricochet Characteristics: 

Smaller, faster moving bullets tend to fragment upon impact rather than ricochet so they would have a lower or more acute critical angle than larger, slower moving bullets.  With this in mind, a .45 ACP moving at approximately 800 fps is an ideal cartridge to use when conducting experiments with ricochets.  Investigators in the field typically would not have the requisite information available to estimate a critical angle when a ricochet marking is discovered at a crime scene so field testing with a similar cartridge and the same or similar substrate would be a benefit to the CSI’s analysis when calculating the approximate critical angle is necessary.

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