Challenging Foleys, Conversations, and IntubationsFull episode audio for MD edition245:15 min - 342 MB - M4AEM:RAP 2017 August Aussie EditionAustralian16:18 min - 22 MB - MP3EM:RAP 2017 August German EditionDeutsche69:31 min - 96 MB - MP3EM:RAP 2017 August French EditionFrançais41:16 min - 57 MB - MP3EM:RAP 2017 August Spanish EditionEspañol153:43 min - 211 MB - MP3EM:RAP 2017 August Board Review Answers234 KB - PDFEM:RAP 2017 August Board Review Questions180 KB - PDFEM:RAP 2017 August MP3315 MB - ZIPEM:RAP 2017 August Spanish Summary1 MB - PDFEM:RAP 2017 August Summary718 KB - PDF
Mike M. - August 15, 2017 11:27 PM
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."