Controversial issues in clinical management of the simple wound

Acute wound management: revisiting the approach to assessment, irrigation, and closure considerations

“…Studies by Berk, Chisholm, and Lammers have provided a framework for a well-defined closure period [7–9]. In general, 6-10 h is an appropriate time period for extremity laceration repair, with 10-12 h for the more vascular face and scalp.…”

Quality and productive efficiency in simple laceration treatment

“…Before interpreting these results, we must take into account several limitations of this study. The characteristics of the patients and the practices considered to be of clinical interest from preceding studies were exhaustively evaluated to improve the internal validity of the study (Shwartz 1989; Harken 1991; Berk et al . 1992; Hollander & Singer 1999; Hollander et al .…”

“…There were four possible explanations why Institutions B and C were more likely to use greater resources than Institution A. The first was that in Institution A there was a practice manual supported by literature with guidance on how to manage traumatic lacerations (Berk et al . 1992; Singer et al .…”

Wound Cleansing and Irrigation

“…11 It has no inherent negative effect on wound healing. When diluted to a 1% concentration or lower, it can be applied safely to wounds, and it retains its bactericidal activity.…”