Interesting medical article with a few lessons for amateurs

[DenverGP]

http://www.emdocs.net/wounds-and-lacerations-in-the-ed-management-pearls-and-pitfalls-for-emergency-physicians/

A few interesting summary items:



Wound irrigation with potable tap water is just as effective as saline irrigation. My main first aid kit has a bottle of saline, but nice to know that clean bottled water would work just as well. This one seems like good knowledge for any first aid treatments.
Antibiotics for higher risk patients (diabetes, poor circulation, HIV/AIDS, immunocompromised), with wounds in higher risk areas (axilla, perineum, hands, feet), and high-risk wounds (human bites anywhere, mammalian bites to hand). Good info for first aid in prepping/shtf situations. Good reason to keep a supply of basic antibiotics in prepping supplies.
Local infiltration of ketamine may be just as efficacious as other topical anesthetics.
If transferring a digit for reimplantation, do not place digit directly on ice! Wrap amputated digit in moist gauze and place in a plastic bag which then goes on ice.

[Irving]

I wonder why mammal bites to places other than hands aren't as bad.

[DenverGP]

And a follow-up to the point about antibiotics. Found this PDF document that has a very helpful summary at the end with typical antibiotic uses:
https://cardiologiamedicinaumsa.files.wordpress.com/2018/02/antibiotics-2018.pdf

Pretty easy to get the ones in bold without prescription:

Community acquired pneumonia: Doxycycline or Azithromycin or Clarithromycin (
Ear infection: Amoxicillin or Cefuroxime or Cefpodoxime or Azithromycin
Urinary tract infection: Ciprofloxacin or Levofloxacin
Skin/soft tissue wound infections: Cefazolin or Nafcillin or Cephalexin or Dicloxacillin, possibly with Doxycycline
Intra-abdominal infections: Cefazolin or Ceftriaxone or Levofloxacin or Ciprofloxacin -Plus- Metronidazole

[def90]

Hmmm, I don?t think anyone here has access to Ketamine, at least legal access anyway.

[TEAMRICO]

Robatussin and Windex.....let that Tussin work it’s way into the bone.






Not real medical advice.
For entertainment purposes only.

[Great-Kazoo]

And a follow-up to the point about antibiotics. Found this PDF document that has a very helpful summary at the end with typical antibiotic uses:
https://cardiologiamedicinaumsa.files.wordpress.com/2018/02/antibiotics-2018.pdf

Pretty easy to get the ones in bold without prescription:

Community acquired pneumonia: Doxycycline or Azithromycin or Clarithromycin (
Ear infection: Amoxicillin or Cefuroxime or Cefpodoxime or Azithromycin
Urinary tract infection: Ciprofloxacin or Levofloxacin
Skin/soft tissue wound infections: Cefazolin or Nafcillin or Cephalexin or Dicloxacillin, possibly with Doxycycline
Intra-abdominal infections: Cefazolin or Ceftriaxone or Levofloxacin or Ciprofloxacin -Plus- Metronidazole


Unfortunately there are those of us allergic to 1 if not more of the listed items. You're not getting a Z pack w/out a script.

[00tec]

Unfortunately there are those of us allergic to 1 if not more of the listed items. You're not getting a Z pack w/out a script.


Same shit?

https://www.countrysidepet.com/products/bird-zithro-azithromycin-250mg-tablets-12-tablets

[CS1983]

Same shit?

https://www.countrysidepet.com/products/bird-zithro-azithromycin-250mg-tablets-12-tablets

Wash it down with the raw milk ya bought for your "dog". :D

[spqrzilla]

Prescription? Ah ....

https://www.thomaslabs.com/category/fish-antibiotics

[Fentonite]

Same. Actually that bottle is equivalent to 2 Z-packs (take 2 tabs day 1, 1 tab day 2-5).

[Aloha_Shooter]

I wonder why mammal bites to places other than hands aren't as bad.

I would assume the hands are classed as a high risk area because we use them so much and they are at the extreme positions of the body that they have a much higher risk of secondary infection.

[Irving]

Makes enough sense to me.