Podcast 719: Normal Saline vs. Tap Water for Wound Irrigation

Emergency Medical Minute

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2+ y ago 3:23

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Contributor: Ricky Dhaliwal, MD

Educational Pearls:

Multiple RCTs and a Cochrane Review found there is no difference in wound infection rates when irrigating with tap water
Pressure of the water and how extensively the wound is irrigated were the most important factors affecting infection rates
Quantity and type of water were independently not as important

References

Fernandez R, Griffiths R. Water for wound cleansing. Cochrane Database Syst Rev. 2012;(2):CD003861. Published 2012 Feb 15. doi:10.1002/14651858.CD003861.pub3

Lewis K, Pay JL. Wound Irrigation. [Updated 2021 Jun 4]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK538522/

Summarized by John Spartz, MS4 | Edited by Erik Verzemnieks, MD

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