In the movie "Shooter," after Swagger buys the sugar, brackish, and hypodermics . . .?
THE USE OF SUGAR TO ENHANCE WOUND HEALING
A sugar and polyethylene glycol smooth mixture is introduced which has speckled antimicrobial activity and is available surrounded by thick and water down forms. The paste be used to treat 20 patients with chronically infected abdominal and perineal wounds that have failed to respond to conventional forms of treatment. Complete health-giving was achieve in 19 patients. The mash was especially effectual in the treatment of life-size abscess cavities next to small external openings. It be inexpensive, and easy and painless to apply.
The use of antibiotics by the PHCP contained by the field have the inherent dangers of indecent dosing and allergic reactions. The associated happenings of preparing the N/antibiotic infusion and monitoring the N drip rates can be difficult during patient transport. Given these drawbacks, the use of granulated sugar for the treatment of infected wounds offer a practical, proven approach for wound care. The use of granulated sugar for treatment of infected wounds is recommended by some as a treatment of first choice. Sugar have been call a nonspecific universal antimicrobial agent. 8 Based on its safekeeping, ease of use, and availability, sugar psychotherapy for the treatment of infected wounds is very applicable to the wishes of the PHCP.
Sugar and honey were used to treat the wounds of combatants thousands of years ago. Battlefield wounds within ancient Egypt were treated beside a mixture of honey and lard overflowing daily into the wound and covered beside muslin. Modern sugar therapy uses a combination of granulated sugar (sucrose) and povidone-iodine (PI) solution to enhance wound remedial.
As with any traumatic wound, the wound is first irrigated and debrided. Hemostasis is obtain prior to the application of the sugar (PI) dressing since sugar can promote bleeding in a fresh wound. A lurk of 24 to 48 hours before the application of sugar is not unusual. During this hindrance, a simple PI dressing is applied to the wound. Once bleeding is under control, open wounds are treated by pouring granulated sugar into the wound, making sure to fill adjectives cavities. The wound is consequently covered with a gauze sponge soaked contained by povidone-iodine solution.
Superficial wounds are dressed with PI-soaked gauze sponges coated next to approximately 0.65 cm thickness of sugar. In a few hours, the granulated sugar is dissolved into a "syrup" by body fluid drawn into the wound site. Since the effect of granulated sugar upon germs is based upon osmotic shock and debt of water to be precise necessary for bacterial growth and reproduction, this diluted syrup have little antibacterial capacity and may aid fairly than inhibit bacterial growth.
So to continually inhibit bacterial growth, the wound is cleaned with hose down and repacked at least one to four times each day (or as soon as the granular sugar becomes diluted) next to more solute (sugar) to "reconcentrate" the aqueous solution in the environment of the microbes.
A variety of bag reports provide amazing data supporting the use of sugar surrounded by treating infected wounds. Dr. Leon Herszage treated 120 cases of infected wounds and other superficial lesions beside ordinary granulated sugar purchased within a supermarket. The sugar was not mixed near any anti-septic, and no antibiotics were used concurrently. Of these 120 cases, near was a 99.2 percent cure rate, near a time of cure varying between 9 days to 17 weeks. Odor and secretions from the wound usually diminished inside 24 hours and disappeared in 72 to 96 hours from start of treatment.
Sugardyne is a commercially available sugar/povidone-iodine com- pound. Its proven antimicrobial properties make it in particular useful for infected wounds encounter in the pasture. (Sugardyne donated by Dr. RichardA. Knutson; distributed by Sugardyne Pharmaceuticals, INC.,Greenville, MS 38701.)
Like Dr. Herszage, Dr. Richard A. Knutson has have very successful results from the use of sugar contained by wounds. One of Dr. Knutson's most unique cases is recount as follows.
A 93-year-old man was treated at Delta Medical Center for a fracture of his right hip. Concurrently, he received treatment for an prehistoric injury to his left leg, sustained 43 years closer in 1936, when a tree have fallen on the leg while he be chopping wood. He had sustained an embark on fracture of the tibia and soft tissue loss to the leg anteriorly. Although the fracture had heal, bone remained exposed, surrounded by a chronic draining ulcer 20 cm x 8 cm overall. The long-suffering was competent to recall the assorted treatments used in attempts to make well the ulcer-iodoform, scarlet red, zinc oxide, nitrofurazone, sulfa, and a long list of antibiotics-all to no avail. He said that he have outlived six of the surgeons who had advise amputation. He was started on sugar/pI dressings, and next changed to treatment with sugar/PI compound as an inpatient. After hip surgery, the sore healed completely contained by 13 weeks. The ulcer malfunction filled completely, and skin graft was superfluous.
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