Podcast #114: Pseudo Axioms – Sterile Saline vs. Tap Water

water from the tapRun Time: 2 minutes

Author: Dylan Luyten M.D.

Educational Pearls:

  • Axiom: a universally accepted truth.
  • Pseudo Axiom: Something that is held to be a truth, but is just handed down, and not questioned or scrutinized.
  • The use of sterile saline to irrigate wounds has been aggressively studied and definitively demonstrated to be unnecessary.
  • Studies have shown that tap water is at least as good or better at wound infection vs. sterile saline.
  • It is estimated that if the patient’s hand is run under tap  water for 5 minutes as opposed to a liter of saline w/ splash guard and syringe the cost savings in the United States wound be $66 million.

Link to Podcast: http://medicalminute.madewithopinion.com/pseudo-axiom-tap-water-vs-sterile-saline/

References: http://bmjopen.bmj.com/content/3/1/e001504.full

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