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Hawkeye Kid said:my parents held me under a stream of peroxide countless times and i turned out ok. well, my cuts healed, at least.
Oh man, does that crap ever burn!KentW said:At least your parents didn't slather your wounds with Merthiolate like mine did. 🙄
Interesting question. I've seen ortho irrigate open fractures with SNS mixed with betadine many times. Maybe the surg lit is different than ours.swaamedic said:ya know, i was in the ED planning on sewing up a guys frontal head lac, complex multilayer which was cleaned w/ sterial H2O when along comes the 4rth year surgical resident who dumps a crap load of betadine directly into the wound........i didn't say anything but i didn't feel that this was necessary since the wound was already cleaned w/ sterile water. I have no idea what the surgical literature says about this, any thoughts on the matter???????????????????
docB said:Interesting question. I've seen ortho irrigate open fractures with SNS mixed with betadine many times. Maybe the surg lit is different than ours.
socuteMD said:I think I read somewhere on this board that betadine should not be used to irrigate as it causes some sort of problems. (sorry, I can't make specific and evidence based statements at 2:35 AM).
In any case, the chief of EM at my school told us that it's more volume than anything else when cleaning the wound. If you can get it over a sink, do so. If you can't get it over a sink, use saline generously.
GeneralVeers said:Betadyne can be used to clean the skin around the wound, but should not be put directly into the wound itself. The current research suggests that this inhibits wound healing.
HIANMI said:This is a little off-subject, but still on. I had listened to a podiatrist tell his patients after ingrown toenail removal to put betadyne drops in the area of skin where the nail was removed. Is this considered an open wound or cleaning the surface? (All I know is that if you put hydrogen peroxide on those toes when the 'wound' is fresh, it starts throbbing really bad. 😱 )
docB said:Interesting question. I've seen ortho irrigate open fractures with SNS mixed with betadine many times. Maybe the surg lit is different than ours.
swaamedic said:along comes the 4rth year surgical resident who dumps a crap load of betadine directly into the wound.
Perish the thought!mikecwru said:Are you accusing a surgeon of reading a journal article?
mike
Pose said:One related question I have, however, is for cleaning terribly-dirty abrasions. You know the kind where someone has fallen, scraped a hefty portion of skin from say, a forearm, and then rolled in a puddle of mud 2 days prior to coming in for a headache. The latest instructions we techs were given was to scrub the area with the surgical scrub brushes -- the two sided sponge soaked in a betadine-ish substance.
What would this be a case for?