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nitpicker

(7,153 posts)
Tue Jun 26, 2018, 05:09 AM Jun 2018

Why petroleum jelly may not be the best thing to heal cuts

https://www.bbc.com/news/health-44600618

Why petroleum jelly may not be the best thing to heal cuts

13 minutes

The label says petroleum jelly can help protect minor cuts, scrapes and burns. But new research suggests immediately slathering an open wound with this ointment might be a bad idea. Scientists have studied how the skin creates its own "natural plaster" to help heal these injuries. Oil-based substances, such as petroleum jelly, appear to disrupt this important process, and might increase the risk of wound infection, they say in the Journal of Clinical Investigation.

The American Academy of Dermatology recommends petroleum jelly for keeping a wound moist and to help prevent it from drying out and forming a scab, because they take longer to heal. This will also help prevent a scar from getting too large, deep or itchy. As long as the wound is cleaned daily, it is not necessary to use anti-bacterial ointments, says the AAD.

Some NHS hospitals recommend it to patients with surgical wounds that have already started to heal, and it forms part of the first aid kit in some contact sports, including rugby union where it is used by the England team.

However, Prof Robert Ariens and colleagues at the University of Leeds say their observations with human and animal tissue suggest this may not be the best immediate approach to wound management. They found that a microscopic protein film forms rapidly over a wound as part of the natural clotting process. Medical imaging reveals the film - made up of a substance called fibrin - has tiny pores that let air reach the wound but are too small to allow bacteria and some viruses to pass through.

Prof Ariens said: "We did laboratory and animal studies which showed this film could be a barrier against microbial infection for at least 12 hours, and this gives the immune system time to get white blood cells to the wound to counteract any infection."

Adding petroleum jelly perforated the protective film.
(snip)
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Throck

(2,520 posts)
3. Hydrogen peroxide in a puncture wound could put gas bubble into airstream.
Tue Jun 26, 2018, 06:17 AM
Jun 2018

Air embolism, learned in a Red Cross first aid course recently. Iodine effective but bad if allergic, thyroid problems.

Not allergic to iodine here so I use it on dirty cuts.

Neosporin otherwise.


Stop biting your cat.

Heddi

(18,312 posts)
7. RN here - hydrogen peroxide is bad for wounds, it degrades tissue
Thu Jun 28, 2018, 11:44 AM
Jun 2018

whoever told you it could give you an air embolism is....well...really shouldn't be telling anyone that because it's unproven science. Looking it up online, studies are small, unproven, and using highly concentrated hospital-grade H2O2 (meaning, not what you're buying at Rite-Aid)

That being said, you shouldn't use Hydrogen Peroxide on wounds not because of an air embolism but because it's horrible for tissue, it degrades tissue and makes wounds worse and hinders tissue granulation -- new tissue growth. When I worked in the ER I had a doctor threaten to report me to the board if I *ever* used H2O2 on any patient with wounds while he was on staff. I did my research and he was right.

Use soap, use water, but don't use hydrogen peroxide on open wounds/tissues. Not for the air embolism (unproven science, at least for what you'll get over the counter) but because it does nothin to make your wounds cleaner, to heal faster and will actually make them heal slower and make them heal slower.

Throck

(2,520 posts)
8. Actually this was from an RN Red Cross instructor
Thu Jun 28, 2018, 03:20 PM
Jun 2018

The gas bubble would be from O2 not an air embolism.

Heddi

(18,312 posts)
9. um....an air embolism *is* a gas bubble
Thu Jun 28, 2018, 06:34 PM
Jun 2018

at any rate, I'm just telling you that the RN is not really giving you correct information.

The risk of a "gas bubble" or "air embolism" from hydrogen peroxide on a wound, that you're using household-grade H2O2 on is remote. Or you have a wound that is so large that you should be in a hospital setting.

S/he was scare mongering and poorly borne research that has not been replicated in the clinical setting.

You are far more likely to suffer a wound that does not heal properly from using hydrogen peroxide than you are to have a "gas bubble" or air embolism(gas bubble) from using hydrogen peroxide. It destroys tissue, not helps it, and should not be used on wounds.

left-of-center2012

(34,195 posts)
5. A lot of antibacterial ointments use petroleum jelly as a base
Tue Jun 26, 2018, 08:45 AM
Jun 2018

However, it keeps the cuts moist.

I have read it's better to have the cuts dry out, so I have had success with hydrogen peroxide.

Throck

(2,520 posts)
6. Don't ya love the opposite schools of thought?
Tue Jun 26, 2018, 09:36 AM
Jun 2018

I still use it on brush burns and shallow cuts when they're dirty. Never had a secondary infection. Didn't use it on the wound when I put an ax into my ankle years ago.

wishstar

(5,273 posts)
10. I apply petroleum jelly only during my colonoscopy preps
Sun Jul 1, 2018, 06:59 PM
Jul 2018

to prevent chafing. I do use iodine for cuts, but never antibacterial ointments such as Neosporin ever since I realized Neosporin causes me to have an allergic rash and difficulty healing wounds.

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