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Saline water neat wounds finer than soap and water

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Researchers, including one of Indian-origin says, although using soap and water has remained the standard practice of wound cleaning before surgery, this method is actually less effective than just using saline water.
The findings could lead to significant cost savings, especially in developing countries where open fractures are particularly common.

“There has been a lot of controversy about the best way to clean the dirt and debris from serious wounds with bone breaks,” said principal investigator Mohit Bhandari, professor at McMaster University in Canada.

“All wounds need to be cleaned out — a process known as debridement — but evidence shows that cleaning wounds with soap was not better than just water, which was unexpected,” Bhandari noted.

As part of the study, 2,400 people with open arm or leg fractures had their wounds cleaned with either soap and water, or a saline water solution, and one of three different levels of water pressure.

Patients were monitored to see who would need to have an additional operation within 12 months because of infection or problems with wound healing.

The researchers found that very low water pressure was an acceptable, low-cost alternative for washing out open fractures, and that the reoperation rate was higher in the group that used soap.

“These findings may have important implications for the care of patients with open fractures worldwide since developing countries deal with a disproportionate number of cases,” one of the study’s co-authors Edward Harvey from McGill University noted.

“Most of the time we were using soap and water with a high pressure delivery system to clean the wound, but now we don’t, and that makes the best practice much cheaper.”

The study involved patients across 41 sites in the US, Canada, Australia, Norway and India.

The majority of patients were men in their 40s with a lower extremity fracture, and the most common reason for the injury was a motor vehicle accident.

wefornews bureau

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Tesla plans to supply FDA-approved ventilators free of cost

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Tesla CEO Elon Musk

San Francisco, April 1 : Tesla CEO Elon Musk has announced that he and his companies have access to additional FDA-approved ventilators that can be shipped free of cost to hospitals within regions where the electric car maker delivers.

“We have extra FDA-approved ventilators. Will ship to hospitals worldwide within Tesla delivery regions. Device and shipping cost are free. Only requirement is that the vents are needed immediately for patients, not stored in a warehouse. Please or @Tesla know,” Musk tweeted on Tuesday.

The need for additional ventilators has taken center stage in the ongoing fight against the spread of coronavirus and the ventilator has become a critical first line of defense for patients infected by the virus.

Musk had offered 1,255 ventilators for free to help fight COVID-19 pandemic.

He has also donated 50,000 N95 surgical masks and various protective items to a hospital in the US.

Additionally, Musk said that the company’s Gigafactory facility in New York will soon reopen to begin producing ventilators that are in short supply due to the spread of the COVID-19 pandemic.

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Russian doctor who met Putin last week diagnosed with coronavirus

The Kremlin said that Putin was being regularly tested for coronavirus and that “everything is okay,” the RIA news agency reported.

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Russian Doctor with Putin

MOSCOW : A doctor who gave Russian President Vladimir Putin a tour of Moscow’s main coronavirus hospital last week said on Tuesday he had himself been diagnosed with the virus.

Putin visited the Kommunarka hospital last Tuesday where he chatted to the doctor, Denis Protsenko. Neither man was wearing protective equipment during their conversation, TV footage from the visit showed.

Protsenko, writing on Facebook said: “Yes, I have tested positive for coronavirus, but I feel pretty good. I’ve isolated myself in my office. I think the immunity I’ve developed this month is doing its job.”

The Kremlin said that Putin was being regularly tested for coronavirus and that “everything is okay,” the RIA news agency reported.

It has previously said that Putin is being protected from viruses and other illnesses “around the clock”.

Putin donned a hazmat suit and a respirator during his visit to the hospital last week when dropping in on patients. But he did not have his protective gear on during a meeting with Protsenko, with whom he was photographed shaking hands.

The Kremlin reported a coronavirus case in Putin’s administration on Friday, but said the person in question had not come into contact with the president and that all measures were being taken to prevent the virus from spreading further.

Russian lawmakers on Tuesday granted the government powers to declare a national emergency over the coronavirus, and approved penalties for violations of lockdown rules including, in extreme cases, jail terms of up to seven years.

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Death toll from COVID-19 passes 40,000 worldwide

New York Governor Andrew Cuomo, in a press conference on Tuesday, said that the state will hit the peak of its COVID-19 spread in seven to 21 days.

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Washington, April 1 : The death toll from COVID-19 has passed 40,000 worldwide, according to the tally from Johns Hopkins University’s Center for Systems Science and Engineering (CSSE).

As of 2.30 p.m. Eastern Time (1830 GMT), nations and regions have reported a total of 40,708 deaths from COVID-19, along with more than 826,000 confirmed cases, while more than 174,000 people have recovered from the disease, an interactive map maintained by the CSSE showed on Tuesday, reported Xinhua news agency.

The United States has the most cases in the world, which have exceeded 170,000, while Italy, the second nation with more than 100,000 cases, has seen the most deaths, now standing at 12,428, according to the update.

In the United States, New York state, the epicentre of the nation’s outbreak, has reported both the most cases and the most deaths, which have respectively topped 75,000 and 1,550.

New York Governor Andrew Cuomo, in a press conference on Tuesday, said that the state will hit the peak of its COVID-19 spread in seven to 21 days.

“This does me no good,” Cuomo said. “The range is too broad.”

In addition, the governor said states are bidding against each other to obtain ventilators, devices that can deliver breaths of oxygenated air to patients who are unable to breathe sufficiently on their own, saying that “it’s like being on Ebay.”

Anthony Fauci, a key member the White House’s COVID-19 task force, said on Tuesday that they are examining whether to recommend more widespread usage of face masks to mitigate the spread of virus.

“You don’t want to take masks away from the health care providers who are in a real and present danger of getting infected,” Fauci told CNN’s Jim Sciutto on “Newsroom.”

“But when we get in a situation where we have enough masks, I believe there will be some very serious consideration about more broadening this recommendation of using masks,” the nation’s top infectious disease expert said. “We’re not there yet, but I think we’re close to coming to some determination.”

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