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Wound care management: proper protocol differs from athletic trainers' perceptions.

M S Goldenberg1

  • 1Michael S. Goldenberg is Head Athletic Trainer at Lawrenceville School, Lawrenceville, NJ 08648.

Journal of Athletic Training
|January 1, 1996
PubMed
Summary
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Athletic trainers commonly use outdated wound care methods like povidone-iodine and gauze, which can delay healing. Adopting evidence-based practices such as saline irrigation and occlusive dressings promotes optimal athletic wound recovery.

Area of Science:

  • Sports Medicine
  • Wound Care Management
  • Athletic Training

Background:

  • Current wound care research is advancing, necessitating updates in athletic training protocols.
  • Athletic trainers' practices may not always align with the latest evidence-based wound healing strategies.

Purpose of the Study:

  • To survey athletic trainers' current wound care practices.
  • To compare these practices with existing scientific literature on optimal wound healing.

Main Methods:

  • A survey was distributed to 501 athletic trainers, including undergraduate program directors.
  • Response rate was 58%, with 78% of respondents from curricular schools.

Main Results:

  • Common debridement/cleansing methods included wet-to-dry, irrigation, and soaks.

Related Experiment Videos

  • Povidone-iodine and hydrogen peroxide were popular cleansing agents, while gauze was the most frequent dressing.
  • Evidence suggests saline irrigation and occlusive dressings promote faster, safer healing.
  • Conclusions:

    • Commonly used agents like povidone-iodine and hydrogen peroxide can impede healing.
    • Occlusive dressings offer benefits over gauze, including lower infection rates and faster healing.
    • Athletic trainers should reassess and update their wound care protocols to align with current research for improved athlete outcomes.