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Doctor insights on: Acticoat Wound Dressing

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Dr. Scott Bolhack
802 doctors shared insights

Wounds (Definition)

Wound = injury to tissue. May include ...Read more


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How effective is honey as a wound dressing compared to conventional dressings?

How effective is honey as a wound dressing compared to conventional dressings?

Dressings: As dr bolhack explained, fortunately we now have many choices of dressings for the wounds. People used to order wet to dry dressing!?. But that time is far gone. Honey (called medihoney) which is quite pricey too but it has its own place for some wounds. ...Read more

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Wet dressing over stitches or regular dry bandaid; which is better?

Wet dressing over stitches or regular dry bandaid; which is better?

Ointment: Apply some ointment (does not necessarily need to be antibiotic ointment) and cover. You don't want it to actually be wet with water. ...Read more

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What's hydrocolloid dressing, such as duoderm?

What's hydrocolloid dressing, such as duoderm?

Breathable dressing : Direct from the web: a hydrocolloid dressing (trade names include duoderm, granuflex, and 3m tegaderm hydrocolloid) is an opaque dressing. A hydrocolloid dressing is biodegradeable, non breathable and adheres to the skin so no separate taping is needed. ...Read more

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Cut fingertip with mandolin. Covered the wound with gauze. Twelve hours later, a piece of gauze stuck fast to wound. What danger in leaving gauze?

Cut fingertip with mandolin. Covered the wound with gauze. Twelve hours later, a piece of gauze stuck fast to wound. What danger in leaving gauze?

Soak and remove: Soak and remove it, or it may get trapped in the wound as the skin heals and cause ongoing irritation. If you cannot remove it easily, go to an UC or your doc and they can apply numbing agents and remove it. IF you have not had a tetanus booster in the last 10 years, get one within 72 hours of cutting yourself. ...Read more

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Will using santyl ointment and xeroform dressing together slow down the healing process on a venous stasis ulcer

Will using santyl ointment and xeroform dressing together slow down the healing process on a venous stasis ulcer

Wound care products: Your clinicians have chosen two of 4000+ products to treat your wound. Collagenase is in an ointment base and is an enzyme deb riding agent that is being used in your wound. The xeroform dressing is adherent and helps promote moist healing. Discuss these products with your clinician to learn more on why they were chosen. ...Read more

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Leg cellulitis.......used bacitracin ointment on gauze pads and wrapped in ace bandage for 3 days with little improvement Starting taking 300 mg cib?

Leg cellulitis.......used bacitracin ointment on gauze pads and wrapped in ace bandage for 3 days with little improvement   Starting taking 300 mg cib?

What is "cib"?: How do you know you have cellulitis? Most diagnoses of leg cellulitis are not correct. Stasis dermatitis is much more common. This is a sad but common error. If you have cellulitis, or any other cause for red & swollen leg, bacitracin is useless. In fact it frequently causes allergic reactions which make it worse. See a dermatologist. ...Read more

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Can I apply antiseptic spray to a stitched surgical wound?

Can I apply antiseptic spray to a stitched surgical wound?

If you want: There is no need in a clean uninfected wound , but if it is an infected wound then your doctor will tell you how to manage , simple antiseptic is not enough may need additional intervention like drainage, debridement and appropriate antibiotics etc. Speak to your doctor ...Read more

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Wound vac placed on ankle. Does it work?

Wound vac placed on ankle. Does it work?

Yes, Wound VACs work: Wound vacs are a type of closed dressing with the advantage of suctioning away excess fluid from the wound&allowing it to heal quicker as well making the wound smaller due to the negative pressure that is applied.They can also be a temporising measure to allow later skin graft placement or flap reconstruction.The latter is needed for durable coverage or exposed bone, tendons etc after injuries. ...Read more

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Wound from mole excision is infected. Given Keflex. Best to let wound dry out or keep covered with an antibiotic ointment?

Wound from mole excision is infected. Given Keflex.  Best to let wound dry out or keep covered with an antibiotic ointment?

Either OK: Go with what your health care provider says. They have been most closely associated with your condition. ...Read more

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Best antibiotic for wound from rusty nail?

Best antibiotic for wound from rusty nail?

It depends: It depends on the size and depth of the wound. For minor superficial abrasions you may not need any. Some may require an oral antibiotic. For deeper wounds involving the bone you may need IV antibiotics. ...Read more

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Post surgical wound care, frequency of dressing change?

Post surgical wound care, frequency of dressing change?

Depends: The frequency of wound care depends on the type of surgery, location of wound, size of wound, type of closure, and other information. You should consult your surgeon for their specific instruction . Causes of concern for a wound infection include fevers, pain and redness of area that is worsening, and pus or odor from incision area. ...Read more

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Can triple action heal vaginal wound?

Healing: Your body will actually heal the wound. Triple antibiotic will help the healing process and help prevent infection. Vaginal wounds heal well as there is such a good blood supply. If this is just a small tear then this would be fine. If there is a large wound it should be evaluated by your physician. ...Read more

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Skin biopsy chin wound, while washing accidentally removed some scab? (very thin/moist) didnt tear/bleed. put on bandaid + aquaphore. effect on healin

Skin biopsy chin wound, while washing accidentally removed some scab? (very thin/moist) didnt tear/bleed. put on bandaid + aquaphore. effect on healin

Take is easy: Knocking of a scab is not going to affect the healing or your health. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. ...Read more

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How effective is honey as a wound dressing compared to conventional dressings?

Dressings: As dr bolhack explained, fortunately we now have many choices of dressings for the wounds. People used to order wet to dry dressing!?. But that time is far gone. Honey (called medihoney) which is quite pricey too but it has its own place for some wounds. ...Read more

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Which changing wound dressing need sterile condition and which need clear condition ? Completely answer help me a lot . With tnx

Basics of Wound Care: For surgeries, burns, and other "acute" wounds that have no contamination or people with compromised immune systems, sterile dressing changes are the way to go. For wounds that have been exposed to outside contaminants, or have not healed in a "normal" time/fashion, ("chronic wounds"), arguably, sterile really does not exist as air, dust, etc are not sterile. ...Read more

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What can I do to itch under a wound dressing?

What can I do to itch under a wound dressing?

Treat the cause: As wounds heal, the inflammation may cause increased sensation which can be interpreted as pain, numbness and itching. Scratching the wound can cause more damage to it so this is not a good idea. Use of an anti-itch medicine such as benadry, Atarax (hydroxyzine) or something stronger is probably the best idea though use of a topical anti-itch on adjacent skin will help. Avoid steroids. ...Read more

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Im a medical student and should change wound dressing and need know how change all kind off dreesing specificly would you please send me ppt or book?

Im a medical student and should change wound dressing  and need know how change all kind off dreesing specificly would you please send me ppt or book?

Unanswerable: This is a request and question that is very much out of bounds for the purpose of this simple application. I would believe that you will learn these techniques in medical school. There are many resources for the information you are requesting, this is just not one of them. ...Read more

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Mum 64 using compression for vascular ulcer. Ulcer tends to bleed as wound dressing is removed as it gets stuck to the ulcer due to compression. Help!

Mum 64 using compression for vascular ulcer. Ulcer tends to bleed as wound dressing is removed as it gets stuck to the ulcer due to compression. Help!

Wet to dry: I often teach my patients that they should cover the ulcer with a saline soaked bandage or gauze and then a dry gauze...A concept known as 'wet to dry' so that the dry gauze does not further damage the skin when it is changed. ...Read more

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Is it better to cover wounds with bandages or expose the wounds to air for the best healing?

Is it better to cover wounds with bandages or expose the wounds to air for the best healing?

Wound healing: In the wound care world, we do not like air exposure. One of the foundations is moist healing of a wound using the best product that you can. 'best' depends on where the wound is located and what type of drainage in coming from the wound. Your local wound center should be able to assist you with the correct product. ...Read more

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Best treatment for severe road rash? Everything is sticking to the wound when we try to change bandages. Even with Neosporin. MIL says saran wrap?

Best treatment for severe road rash? Everything is sticking to the wound when  we try to change bandages.  Even with Neosporin.  MIL says saran wrap?

Tetanus shot: Did you get a tetanus booster dose? If not, please do.
You may soak the bandage in Vaseline before applying to the raw area. If the wound has scabbed over, you may leave is uncovered. ...Read more

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I have vasulitis and have very painful ulcers on my legs how do I change the bandages correctly on my wounds ?

I have vasulitis and have very painful ulcers on my legs how do I change the bandages correctly on my wounds ?

Many different ways: How your wound is cared for depends on many factors: infection, amount of dead tissue etc. Generally wounds that "weep" a lot should be changed more frequently and have a "hydrophllic" or absorbent dressing to avoid a lot of fluid accumulating. Gauze ressings may stick to wounds this can be reduced by wetting the gauze and "soaking: the dressing off with sterile water. ...Read more

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Does smoking marijuana affect wound healing after 1 month of fistulotomy surgury wounds are still being packed and still have to wear bandages?

Does smoking marijuana affect wound healing after 1 month of fistulotomy surgury wounds are still being packed and still have to wear  bandages?

D/w your surgeon: Marijuana itself has very little effect on wound healing or recovery after surgery. Smoking, however, decreases lung function and can interfere with wound healing. Most experts suggest cessation of smoking for at least four weeks before surgery. Marijuana is illegal and may lead to dependency, mood changes and psychosis. Will not recommend to use Marijuana post surgery. ...Read more

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My dad suffers from leg lymphedema with open wounds. My mom unwrapped his bandages, found maggots. They should contact his md immediately, correct?

Yes!: Yes, you should contact the doctor. Yet, know that most infestations with maggots are not a problem, and might even be helpful by cleaning out the wound. Still, wild type maggots are not "clean" and should be removed. The real reason for contacting the doctor is because what attracted the maggots in the first place is likely an infection or wound. The doctor should check it out and treat it. ...Read more

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I was running and wore a pair of cotton yoga pants that had a hole in the thigh area. After running for 40 minutes, it rubbed my leg raw. The sore is uncomfortable on the inner thigh. How to care for the wound? I have skin allergies with bandages.

Antibiotic ointment: You may get antibiotic ointment like Neosporin, available over the counter and apply to the raw area. It is okay to leave it uncovered, or you may cover it, after applying the ointment, with sterile gauze and secure it with hypoallergenic tape. Keep up the exercise. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk prodFor good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex, if you have sex. ...Read more

Dr. Erik Maus Dr. Maus
3 doctors agreed:
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How to change open wound dressings?

Dr. Erik Maus Dr. Maus
3 doctors agreed:
How to change open wound dressings?

Clean dressing chang: Wound dressings have to be changed in a clean environment (hands washed with soap and water or disinfectant) If the dressing got stuck to the wound, using sterile water or saline solution can aid in minimizing pain. Once the dressing has been removed the wound has to be cleaned and dressed again. The dressing should be chosen based on the amount of drainage: Absorptive vs moisture donating. ...Read more

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I need some tips on dressing my minor open wound?

See beow: If no infection then clean with warm soapy water, apply topical antiseptic, wit gauze over the area and fix with a large bandaid or compression wrap. ...Read more

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Is it necessary to change a wound vac dressing every two days?

Wound vacs: Wounds that have a wound vacuum device on them for healing need to be followed using the manufacturers guidelines. As the number of wound vacuum devices increase on the market place, the answer to your question may differ. For the most commonly used devices, changing them at least three times per week is suggested. ...Read more

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What are the primary dressings and secondary dressings in wound care?

What are the primary dressings and secondary dressings in wound care?

Dressings: Primary is what is on the wound directly; secondary is what is on top of the primary dressing. ...Read more

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What can I use as makeshift dressing for a wound?

What can I use as makeshift dressing for a wound?

Honey & hand towel: After washing open wound, important to keep wound moist-not crusty/scabbed and keep it covered to reduce secondary infection. Regular table honey has been used for millenia as a wound dressing. Apply it liberally and cover are with hand towel or paper towel. If there is a lot of drainage use feminie pad or baby diaper. If these product aren't available any clean dry cloth will protect wound. ...Read more

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