Some people swear by a spoon full ingested per day.
Not sure I buy that since that is how poison control used to suggest for people induce vomiting back in the 80s.
Decon. Decon
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Some people swear by a spoon full ingested per day.
Not sure I buy that since that is how poison control used to suggest for people induce vomiting back in the 80s.
NYMedic828
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:lol::lol::lol:
mycrofft
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Oh, yeah. H2O2 has a definite boomerang effect. 30 ml mixed with canned cat food can make any garbage eating dog bring it back for analysis. Had a pt take his peroxide at pill call and before we could tell him it was for oral rinse (resolving exudative tonsilar tissue) he chugged it, his eyes widened, then ....
firetender
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From the EMS graveyard
The last thing I should do here is post something as stupid as this, but from about 1973 to 1985 or so, during my career as a medic, the ONLY thing that was adhered to religiously was hand-washing after each call and change of highly contaminated clothing.
Other than the obvious -- like mouth-to-mouth on a premie whose mother likely had syphyllus (discovered later) -- worries about contamination were almost non-existent except with those medics who today would probably have to use disposable full-body condoms with every call!
Remember, we were exposed to Hepatitis and most of the other things you face today. And then came AIDS and our AWARENESS and SENSITIVITY to the issue changed.
(I finished out my career around the same time it was becoming mandatory to use gloves, and I'm happy I left then. A tactile experience of the patient was key to my way of doing business.)
Now, this consciousness of contamination permeates a lot of your experience as medics today with almost as much passion as you see in talk of guns! It feels like an added burden; the worrying part. Educate yourself, sure, and do what you can, but relax!
Considering the almost unheard of transmission of maladies through my career through routine patient contact, I have to say "What, Me Worry?"
What I wonder is, statistically, how has the transmission of disease from patient to caregiver to caregiver's intimates increased (or decreased since we have so much to combat it with, like FebreezeTM.) between then and now?
The last thing I should do here is post something as stupid as this, but from about 1973 to 1985 or so, during my career as a medic, the ONLY thing that was adhered to religiously was hand-washing after each call and change of highly contaminated clothing.
Other than the obvious -- like mouth-to-mouth on a premie whose mother likely had syphyllus (discovered later) -- worries about contamination were almost non-existent except with those medics who today would probably have to use disposable full-body condoms with every call!
Remember, we were exposed to Hepatitis and most of the other things you face today. And then came AIDS and our AWARENESS and SENSITIVITY to the issue changed.
(I finished out my career around the same time it was becoming mandatory to use gloves, and I'm happy I left then. A tactile experience of the patient was key to my way of doing business.)
Now, this consciousness of contamination permeates a lot of your experience as medics today with almost as much passion as you see in talk of guns! It feels like an added burden; the worrying part. Educate yourself, sure, and do what you can, but relax!
Considering the almost unheard of transmission of maladies through my career through routine patient contact, I have to say "What, Me Worry?"
What I wonder is, statistically, how has the transmission of disease from patient to caregiver to caregiver's intimates increased (or decreased since we have so much to combat it with, like FebreezeTM.) between then and now?
H2O2 has been declining in popularity in the hospitals, including the ER, for many years now. It is an irritant and is frowned upon now by surgeons for some wound cleaning.
Some of the advice given on these forums should be checked with your medical director and the infection control liason before doing something which could be harmful to you or your patients.
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7 if my count is correct.
1 I stopped frequenting about 2 years after I got out of highschool. (which had nothing to do with anything even remotely to do with EMS.
2 medical related forums which got very boring because it became socially unacceptable for anyone but the most senior members to post there.
3 EMS forums, 2 I left because they were overrun with what I describe as protocol monkies because they can't have a discussion outside of protocol.
and I play diabloIII and occasionally post to that forum.
BUt most of my "high level" discussions are directly between other researchers and myself, so there is really no need or want to talk about it on a forum. Facebook is also my prefered method of communication.
But stragely enough, I know people from all over the world. With people making demands on me from 3 continents. (I am working to get it up to all of them, but the person I knew in Antarctica went home.)
8 forums.
In the interest of full disclosure,
I also frequented a Harry Potter Book club forum for about 2 months.
I'd like to think I made some intelligent statements about identifying specific characters as being modeled on other popular characters from classical literature, which is one of my nonmedical interests.
In the interest of full disclosure,
I also frequented a Harry Potter Book club forum for about 2 months.
I'd like to think I made some intelligent statements about identifying specific characters as being modeled on other popular characters from classical literature, which is one of my nonmedical interests.
PVC
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You might want to consider radiation instead of a spray.
mycrofft
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Absolutely. However, two observations:
1. Surgeons and most doctors have no idea what works for dressing change, they delegate it to nurses. They order things like telfa dressings (wound healing becomes maceration), or normal saline wet-to-dry dressings (the gauze is allowed to dry out, meaning you strip away everything that has adhered to it). I have seen a MD's order for a telfa wet to dry (??), and so many MD orders for "bandaid and triple antibiotic ointment" which degraded into messes that I could scroan. So, the MD in my experience hardly has a good idea what truly happens when peroxide is used professionally. It is a good cleaner for hard surfaces, but not bacteriostatic.
2. Peroxide is a cleaning agent and has to be used with disgression. I have never, in over twenty years, seen irritations etc caused primarily by peroxide unless it was abused, such as a peroxide wet dressing, or an overlong soak in the traditional "teryaki sauce" for finger wounds (NS with 1/3 again of peroxide and enough Betadine to turn it dark red). A peroxide soaked ambulance litter might be a bad thing, I wouldn't want to lie on it.
I have seen maceration reactions to chlorhexidine gluconate ("Hibiclens") where it is not rinsed off properly like under wedding rings or wristwatches.
Oh, a good cot spray? Lysol. But again, clean off the substrate/goop before you spray.
PS: NIH document showing peroxide to be effective against staph and strep.
http://www.ncbi.nlm.nih.gov/pubmed/16899706
Where do you find these people?
I get pissed at wound care nurses for not knowing simple things about wound care, like what early onset cellulitis from strep looks like before it becomes grossly inflammed.
That is not specific inflammation.
Because strep species will break down hemidesmosomes you see closed blisters similar to partial thickness burns.
Or the remnants from when the pt purposefully or accidentally "pops" them.
You see it days before the redness and and local temperature change.
mycrofft
Still crazy but elsewhere
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You caught me on this before, V. !
My daughter came down with an indurated cellulitis starting with focal ulcers and her MD's note was "change dressings as needed". Period.
We rotated tx between QOD H2O2 then betadine, and QOD H2O2 then Hibiclens, GENTLE cleanings followed each time by triple antibiotic and gauze dressings. Once she got compliant, and on day 1 of oral ABX, the lesions started to retreat...after draining copious green-yellow purulent goop (or "substrate"). No irritation; however, the dead tissue sloughed promptly in concentric collars around the ulcers.
ANYWAY, disinfection/cleaning has to be done carefully and thoughtfully to be effective and avoid creating secondary problems.
My daughter came down with an indurated cellulitis starting with focal ulcers and her MD's note was "change dressings as needed". Period.
We rotated tx between QOD H2O2 then betadine, and QOD H2O2 then Hibiclens, GENTLE cleanings followed each time by triple antibiotic and gauze dressings. Once she got compliant, and on day 1 of oral ABX, the lesions started to retreat...after draining copious green-yellow purulent goop (or "substrate"). No irritation; however, the dead tissue sloughed promptly in concentric collars around the ulcers.
ANYWAY, disinfection/cleaning has to be done carefully and thoughtfully to be effective and avoid creating secondary problems.
But it is not you that I get angry with or have to educate after the patient needlessly suffers.