previous page: 6/6

4Débridement and irrigation

After removing visible dirt and necrotic tissue, irrigation with several liters of fluid...

Irrigation

After removing visible dirt and necrotic tissue, irrigation with several liters of fluid is a key component of the decontamination of the injury zone. If available, a balanced salt solution is routinely used. In more austere environments, any water that is “clean enough to drink” is acceptable. Controversies exist regarding the optimal volume and delivery methods. We recommend large volumes, with low pressure to avoid additional tissue injury. Gravity flow, with large-bore cystoscopy tubing, is a well accepted method.