> > I'm intrigued, what do you clean your contaminated wounds with then?
> > Adrian Fogarty
From: "Andrew G Hobart"
Wrong! Plain water will not remove contamination. If you've got a dirty
wound, you'll need something with "detergent" properties to remove that
dirt. After all, you don't wash your hands with just plain water, do you?
And a surgeon doesn't prep the abdomen with plain water either! This debate
has got nothing to do with bactericidal properties of the various solutions
or theoretical notions of fibroblast inhibition, it's about removal of
contaminants. The more traditional call it wound toilet and this sometimes
requires surgical debridement. This idea of using saline to clean dirty
wounds is nonsensical and has no logical basis. It's a nurse driven idea
that smacks of "post-modernism", and I liken it to my Hampstead patients who
I don't believe in masks or sterile gloves in the ED environment (apart from
invading sterile areas, when one needs more than water to prep) and I rarely
use prophylactic antibiotics. But I believe in thorough wound toilet, and
using the latter I've found that virtually any wound can be closed
primarily, no matter how contaminated or how late the presentation. I now
rarely leave wounds to heal by second intention and I haven't used DPS for