Back to Search
Start Over
Pressures of Wilderness Improvised Wound Irrigation Techniques: How Do They Compare?
- Source :
- Wilderness & Environmental Medicine (Elsevier Science); Dec2016, Vol. 27 Issue 4, p476-481, 6p
- Publication Year :
- 2016
-
Abstract
- <bold>Objective: </bold>Compare the pressures measured by improvised irrigation techniques to a commercial device and to prior reports.<bold>Methods: </bold>Devices tested included a commercial 500-mL compressible plastic bottle with splash guard, a 10-mL syringe, a 10-mL syringe with a 14-ga angiocatheter (with needle removed), a 50-mL Sawyer syringe, a plastic bag punctured with a 14-ga needle, a plastic bottle with cap punctured by a 14-ga needle, a plastic bottle with sports top, and a bladder-style hydration system. Each device was leveled on a support, manually compressed, and aimed toward a piece of glass. A high-speed camera placed behind the glass recorded the height of the stream upon impact at its highest and lowest point. Measurements were recorded 5 times for each device. Pressures in pounds per square inch (psi) were calculated.<bold>Results: </bold>The syringe and angiocatheter pressures measured the highest pressures (16-49 psi). The 50-mL syringe (7-11 psi), 14-ga punctured water bottle (7-25 psi), and water bottle with sports top (3-7 psi) all measured at or above the commercial device (4-5 psi). Only the bladder-style hydration system (1-2 psi) and plastic bag with 14-ga needle puncture (2-3 psi) did not reach pressures generated by the commercial device.<bold>Conclusions: </bold>Pressures are consistent with those previously reported. All systems using compressible water bottles and all syringe-based systems provided pressures at or exceeding a commercial wound irrigation device. A 14-ga punctured plastic bag and bladder-style hydration pack failed to generate similar irrigation pressures. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 10806032
- Volume :
- 27
- Issue :
- 4
- Database :
- Supplemental Index
- Journal :
- Wilderness & Environmental Medicine (Elsevier Science)
- Publication Type :
- Academic Journal
- Accession number :
- 119812339
- Full Text :
- https://doi.org/10.1016/j.wem.2016.09.002