Dear Friends (not directed to freeballer in particular, his post was just next),

The issue of closing wounds in the field has been discussed numerous times on the forum and would suggest that the consensus of these previous posts recommends not closing wounds in the field with any method (sutures, staples, steri-strips, super glue, safety pins, etc.). Yes, there could be rare cases where prolonged time and/or distance from medical care may require innovated ways of skin closure for purposes of travel. However, skin closure in the field significantly increases the chances of infection and/or tissue necrosis (tissue death) making the procedure generally not only unnecessary but also dangerous.

Most of the time bleeding control can be accomplished with direct pressure, elevation, occasionally the need for a pressure point and rarely (if ever) a tourniquet. Wound care should primarily involve irrigation with sterile water or saline and if excessively contaminated, perhaps with a mild provodine-iodine solution. Coverage with a sterile or clean dressing and followed with a snug but not too tight bandage will most likely suffice in 95+% of the time.

In no way I am trying to intimidate or flame anyone and I believe this forum is the place to ask these questions and receive responsible answers from a wide variety individuals with helpful backgrounds and knowledge. However, I would suggest if you are asking questions regarding the use of these techniques, it is unlikely you have the training or background to do so safely. I feel that an ongoing discussion is of benefit to all, so still pose the questions.

Pete


Edited by paramedicpete (09/27/06 08:38 PM)