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Wound infection is a real concern....hence, clean all wounds. Any increased redness, tenderness, drainage, seek medical attention for likely wound infection. Most times a retained foreign body is the culprit.
Peroxide KILLS fibroblasts, the cells that make you heal...as does straight betadine.
Field injuries are especially 'dirty' and if occur around a farm or pond, MUST use a penicillin type med either pill or IV...this is another area that IED/vests with bolts, rivets, nails, BBs, etc get coated in feces or pond scum and cause delayed death by infection. We carry PCN like meds and some for PCN allergic patients for these types of injuries in the locations mentioned.
***When in doubt, leave the wound open.........just cover, use antibiotic ointment, we can always re-excise and close later, safely.
ss
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'Revel in action, translate perceptions into instant judgements, and these into actions that are irrevocable, monumentous and dreadful - all this with lightning speed, in conditions of great stress and in an environment of high tension:what is expected of "us" is the impossible, yet we deliver just that.
(adapted from: Sherwin B. Nuland, MD, surgeon and author: The Wisdom of the Body, 1997 )
Education is the anti-ignorance we all need to better treat our patients. ss, 2008.
The blade is so sharp that the incision is perfect. They don't realize they've been cut until they're out of the fight: A Surgeon Warrior. I use a knife to defend life and to save it. ss (aka traumadoc)
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