ERDoc Posted October 24, 2008 Posted October 24, 2008 The deal with time is an issue of infection. The amount of time varies from one region of the body to another. The amount of time also varies from one doctor to another. This is just another one of those things that has little evidence to back it up. I believe the little literature there is says that there is no real time issue. The head and face are very vascular and have minimal cahnce of developing an infection. You can spit in a wound and will likely not develop an infection (IRB wouldn't approve my proposal though so we may never know). As previously stated, dermabond is just a strong as sutures as long as it is applied properly. It has the same infection rate but better costmetic results. The only issue with its strength is that in the first 24 hours it is a little weaker. There is a lot of research going on right now. There have been many studies that discredit many of the things that we have done in the past. Using sterile vs clean gloves have the same infection rates. Using sterile water vs tap water also have the same rates of infection.
Dustdevil Posted October 25, 2008 Posted October 25, 2008 Using sterile water vs tap water also have the same rates of infection. When this school of thought started coming about, I was a little surprised. I wasn't expecting a huge difference, but I was expecting some difference. In RT school, we cultured hospital tap water, and the results would make you throw up in your mouth just a little. That's how they drove home the point that we should be utilising sterile water to replenish humidifiers with, and not tap water. Of course, in the respiratory patient population, we are dealing with less resistant patients than in the average young adult lac population too. It making no real difference in wound irrigation obviously isn't so much a vindication of tap water as it is an affirmation of the efficiency of the integumentary system.
Plooger Posted October 25, 2008 Posted October 25, 2008 To be honest with yah, i believe Paramedic Specialist's should be able to put in sutures, it'd create less waiting time in the hospitals
Ridryder 911 Posted October 25, 2008 Posted October 25, 2008 To be honest with yah, i believe Paramedic Specialist's should be able to put in sutures, it'd create less waiting time in the hospitals What exactly is a "Paramedic Specialist"? ...
Dustdevil Posted October 25, 2008 Posted October 25, 2008 What exactly is a "Paramedic Specialist"? ... Obviously, he doesn't know either. N00b, I would recommend you sit back and get the lay of the land here -- as well as a little professional education -- before you start telling people how EMS ought to be run. Just a friendly bit of advice. Until you have "Paramedic Specialist" education yourself, you really aren't qualified to intelligently discuss their capabilities and responsibilities.
ERDoc Posted October 25, 2008 Posted October 25, 2008 To be honest with yah, i believe Paramedic Specialist's should be able to put in sutures, it'd create less waiting time in the hospitals With what limits? Are you going to update tetanus and give abx also? I think this is another conversation that would go back to the amount of education of a "paramedic specialist." Welcome to the chatroom.
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