#87269 - 03/04/07 01:31 AM
Re: GLUE THOSE BODY PARTS!!! ??? FOR BILLYM
[Re: Seeker890]
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Addict
Registered: 12/01/05
Posts: 616
Loc: Oakland, California
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The question you need to really ask is whether or not to close the wound at all. If you are willing to use iodine in a wound because it is dirty then you should not close the wound to begin with.
Hell my Dad used to dump hydorgen peroxide in my wounds; don't mean it is the right thing to do these days.
The best replacement is benzalkonium chloride.
Edited by billym (03/04/07 04:24 AM)
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#87272 - 03/04/07 01:40 AM
Re: GLUE THOSE BODY PARTS!!! ??? FOR BILLYM
[Re: billym]
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Geezer
Registered: 09/30/01
Posts: 5695
Loc: Former AFB in CA, recouping fr...
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"...dump hydorgen peroxide in my wounds..."
I do that on myself from time to time, usually with a dirty abrasion. Looks really cool when it starts foaming and bubbling...
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#87281 - 03/04/07 04:27 AM
Re: GLUE THOSE BODY PARTS!!! ??? FOR BILLYM
[Re: billym]
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Geezer
Registered: 09/30/01
Posts: 5695
Loc: Former AFB in CA, recouping fr...
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Yeah, it looks like it is eating your flesh like acid. So cool...
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#87285 - 03/04/07 05:22 AM
Re: GLUE THOSE BODY PARTS!!! ??? FOR BILLYM
[Re: billym]
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Addict
Registered: 06/08/05
Posts: 503
Loc: Quebec City, Canada
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The best replacement is benzalkonium chloride.
+1 on this. Easily available in small tearable packets. Iodine causes damage to tissue, and so does alcohol. Alcohol is used to disinfect instruments, and iodine is used to disinfect uninjured skin.
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----- "The only easy day was yesterday."
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#87295 - 03/04/07 07:42 AM
Re: GLUE THOSE BODY PARTS!!! ??? FOR BILLYM
[Re: SARbound]
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Newbie
Registered: 03/13/03
Posts: 35
Loc: Connecticut
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Even BZK isn't really good for cleaning a wound. The best treatment is copious irrigation (after you've picked out all of the obvious debris) - potable water works fine. Some wilderness medical types advocate adding a little povidone-iodine to the water to make a "weak tea" colored solution. I've used the diluted betadine in the ED (before I was aware of some the studies against it), and the wounds turned out ok (they were all irrigated w/ plain sterile saline prior to closure, however).
Closing a wound in the woods w/ either sutures or glue, is generally a bad idea - the risk of infection is typically greater with a closed, contaminated wound, than just having an open wound.
The medical grade superglue (Dermabond)is n-octylcyanoacrylate, and for other than superficial, small, very clean-edged wounds under little tension, doesn't tend to work as great as you would think.
All of the little swabs/towelettes/etc... are meant to be used on relatively intact skin - fine for a small abrasion, but not for deeper wounds.
And although many of us (including myself) have used such things successfully in the past, this is, more often than not, an example of our body healing not because of something we've done, but in spite of it. The body is very resilient, and even the biggest wounds can heal with proper hygiene & time. I've sent patients home w/ wounds big enough to put your hand in, and they've healed just fine, however, prematurely closed wounds can and have led to systemic sepsis.
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#87313 - 03/04/07 04:41 PM
Re: GLUE THOSE BODY PARTS!!! ??? FOR BILLYM
[Re: Flotsam]
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Addict
Registered: 12/01/05
Posts: 616
Loc: Oakland, California
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Even BZK isn't really good for cleaning a wound. The best treatment is copious irrigation (after you've picked out all of the obvious debris) - potable water works fine. Some wilderness medical types advocate adding a little povidone-iodine to the water to make a "weak tea" colored solution. I've used the diluted betadine in the ED (before I was aware of some the studies against it), and the wounds turned out ok (they were all irrigated w/ plain sterile saline prior to closure, however).
Closing a wound in the woods w/ either sutures or glue, is generally a bad idea - the risk of infection is typically greater with a closed, contaminated wound, than just having an open wound.
The medical grade superglue (Dermabond)is n-octylcyanoacrylate, and for other than superficial, small, very clean-edged wounds under little tension, doesn't tend to work as great as you would think.
All of the little swabs/towelettes/etc... are meant to be used on relatively intact skin - fine for a small abrasion, but not for deeper wounds.
And although many of us (including myself) have used such things successfully in the past, this is, more often than not, an example of our body healing not because of something we've done, but in spite of it. The body is very resilient, and even the biggest wounds can heal with proper hygiene & time. I've sent patients home w/ wounds big enough to put your hand in, and they've healed just fine, however, prematurely closed wounds can and have led to systemic sepsis. Thanks Flotsam for the expert advice. Bill
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