Simple and quite helpful cut treatment
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Elen Sentier
Bushcrafter (boy, I've got a lot to say!)
If you use antibiotics check the person is not allergic to penecillin first !!! I am, so I know
The only people likely to prescribe me that will hopefully be qualified enough to ask me, and I am too, as well as the synthetic replacement Keflex.
Elen Sentier
Bushcrafter (boy, I've got a lot to say!)
Arrggghhh! that's a bugger. I was thinking about the bit on the vid that advises about 'em. I react to things with preservatives in them too, including eye drops
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Like a lot of online guides a few good things and a few not so good. Mostly very helpful
Elevation has been removed from PHTLS these days, unless you are still being taught that I wouldn't bother, the delay in doing it and the hampering it causes to more effective treatments outweighs any marginal advantages.
Superglue ie. methy-2-cyanoacrylate or ethyl-2-cyanoacrylate are NOT FDA approved or by any drug agency.
The Dermabond they talk about along with Dema flex Floraseal etc are, but they are all 2-octyl cyanoacrylate. It's not to do with ease of removal it's to do with damage to flesh and not inhibiting the growth of bacteria. There are also lot's of times you shouldn't use them and they include dirty or possibly infected wounds so, for most outdoor scenarios, not one to consider and since the title of the guide is treat deep wounds and another contra indication is of course deep wounds ....
They mention antibiotic ointment and oral antibiotics. The former are overused in some parts of the world but do have their uses in high risk situations animal bites, tears puncture wounds etc. They are things like Neosporin and typically contain a mix of bacitracin, neomycin and polymyxin. Quite a few people are allergic to bacitracin but they may not know it; so patient history is not always helpful, extreme allergies causing anaphylaxis are thankfully much rarer. Oral antibiotics are a prophylactic treatment in some scenarios, but not by the target audience of this guide, this is usually Moxifloxacin Hydrochloride, this is relatively rare to have an allergic reaction and it is used amongst groups of people who will almost certainly have that allergy highlighted; but it should be born in mind if you find yourself being treated by them.
Thanks to the Op for posting it.
Elevation has been removed from PHTLS these days, unless you are still being taught that I wouldn't bother, the delay in doing it and the hampering it causes to more effective treatments outweighs any marginal advantages.
Superglue ie. methy-2-cyanoacrylate or ethyl-2-cyanoacrylate are NOT FDA approved or by any drug agency.
The Dermabond they talk about along with Dema flex Floraseal etc are, but they are all 2-octyl cyanoacrylate. It's not to do with ease of removal it's to do with damage to flesh and not inhibiting the growth of bacteria. There are also lot's of times you shouldn't use them and they include dirty or possibly infected wounds so, for most outdoor scenarios, not one to consider and since the title of the guide is treat deep wounds and another contra indication is of course deep wounds ....
They mention antibiotic ointment and oral antibiotics. The former are overused in some parts of the world but do have their uses in high risk situations animal bites, tears puncture wounds etc. They are things like Neosporin and typically contain a mix of bacitracin, neomycin and polymyxin. Quite a few people are allergic to bacitracin but they may not know it; so patient history is not always helpful, extreme allergies causing anaphylaxis are thankfully much rarer. Oral antibiotics are a prophylactic treatment in some scenarios, but not by the target audience of this guide, this is usually Moxifloxacin Hydrochloride, this is relatively rare to have an allergic reaction and it is used amongst groups of people who will almost certainly have that allergy highlighted; but it should be born in mind if you find yourself being treated by them.
Thanks to the Op for posting it.
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Elen Sentier
Bushcrafter (boy, I've got a lot to say!)
That was helpful, ta Graveworm. Having just suffered an outdoors deep wound in the leg I was very interested in what the excellent paramedic did, what he told me to do and what he said I'd done right before he arrived
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