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Wound Repair Pt 6 – Gnarly Wounds

Brian Lin, MD, Jonathan Kantor, MD, and Zack Shinar, MD
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No me gusta!

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EM:RAP 2017 August Summary 718 KB - PDF

The final stop in our wound care series!

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Mike M. -

Thanks for delving into this important topic!

There seems to be a presumption that some type of chemical solution (chlorhex, betadine, etc) is necessary for wound cleansing. As far as I know there is no data to support this, and one can certainly imagine ways that these cyto-toxic agents could cause harm. What the available data does support is irrigation with tap water (PMID: 18254034 , PMID: 23325896). I'm a fan of keeping things simple. More is not always better, and I think it's premature to promote the use of these agents as part of routine wound care by concluding that "chlorhexidine is better than betadine."

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Challenging Foleys, Conversations, and Intubations Full episode audio for MD edition 245:15 min - 342 MB - M4AEM:RAP 2017 August Aussie Edition Australian 16:18 min - 22 MB - MP3EM:RAP 2017 August German Edition Deutsche 69:31 min - 96 MB - MP3EM:RAP 2017 August French Edition Français 41:16 min - 57 MB - MP3EM:RAP 2017 August Spanish Edition Español 153:43 min - 211 MB - MP3EM:RAP 2017 August Board Review Answers 234 KB - PDFEM:RAP 2017 August Board Review Questions 180 KB - PDFEM:RAP 2017 August MP3 315 MB - ZIPEM:RAP 2017 August Spanish Summary 1 MB - PDFEM:RAP 2017 August Summary 718 KB - PDF

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