Keywords
secondary dressing
wound healing
waterproof
army
polyurethane
wound
How to Cite
Abstract
Aim: The wound is the consequence of an acute skin aggression either limited or spreading, sometimes iatrogenic, which may be worsened by a delay in care in peculiar circumstances. The aim of this study is to present the benefits and give potential indications of a waterproof dressing. This dressing guarantees the protection during the healing process and increases the patient’s compliance to the treatment of his wounds, even in difficult situations.
Methods: We used various dressings or means (primary adherent dressings, polyurethane film, cling film) to protect wounds in isolated or precarious care situations, but also in a more conventional context.
Results: Secuderm® is the only dressing that is waterproof, reliable for acute and chronic protection for repeated exposures to water: excessive sweating, friction of clothing, projection or complete immersion under water. We report the use of Secuderm® in different exemption situations: in Guyana during French military missions by the Navy divers, in Cameroon for the treatment of Buruli ulcers, after arthroscopy, to protect medical devices (catheters, etc.) on acute wounds, or even during patient exposure to a nuclear, radiological, biological or chemical risk (NRBC).
Discussion: To effectively protect a wound is difficult when the human resources and materials are limited. An efficient protection of the healing wound allows the resumption of professional, social and private activities in a certain comfort. Probably the only solution that is currently available, Secuderm® is a cunning waterproof protection for several days. Its indications are multiple whether in the treatment of acute, chronic or iatrogenic wounds, at the hospital, at home, in degraded situation or even when exposed to nuclear, radiological, biological or chemical risk. Prospective comparative studies are required.
References
Kaufman KR, Brodine S, Shaffer R. Military training-related injuries: surveillance, research, and prevention. Am J Prev Med 2000; 18: 54-63.
Lairet JR, Bebarta VS, Burns CJ, et al. Prehospital interventions performed in a combat zone: a prospective multicenter study of 1,003 combat wounded. J Trauma Acute Care Surg 2012; 73:s38-42.
Dampierre H. Le soutien sanitaire d’une colonne en marche dans la forêt équatoriale. Med Trop 2000; 60: 232-5.
Lefort H, Romanat PE, Ouattara NA, Pradier JP. Retour d’expérience sur l’utilisation du pansement secondaire étanche Secuderm® en forêt équatoriale (Guyane). J plaies cicat 2010; 15:38-42.
Maret C, Guénot P, Marrache D, Belondrade P, Lefort H. Military nurses in the guyanese equatorial rainforest. Dispending cares in unusual conditions. Rev infirm 2014; 203:36-9.
Béguec F, Pallier J, Travers S et al. Nurses and prehospital CBRN risk: experience of the Fire Brigade of Paris. Soins 2014; 788: 40-3.
Dykes PJ, Heggie R. The link between peel force of adhesive dressings and subjective discomfort in volunteer subjects. J Wound Care 2003; 12:260-2.
Lefort H, Ferrandis JJ, Tabbagh X, Lanoe V, Tourtier JP. A spectacular revolution: Evolution of French military health service. Soins 2014; 786: 36-40.
Ministère de la Défense. MED 1.002. Concept de soutien médical des opérations. IM N°911/DEF/DCSSA/EMO 2010.
Daban JL, Falzone E, Boutonnet M, Peigne V, Lenoir B. Wounded in action: ten minutes platinum, one golden hour. Soins 2014; In Press, Corrected Proof.
Planchet M, Cazes N, Puidupin A, Leyral J, Lefort H. Medical support of massive casualties in Afghanistan. Soins 2014; 788: 16-8.
Hugon M. Compte rendu d’une protection étanche de pansement compatible avec les activités opérationnelles des plongeurs militaires. Cellules Plongée Humaine et Intervention Sous la Mer. Force d’Action Navale, Marine Nationale. Ministère de la Défense. 10 avril 2008.
Marion E, Obvala D, Babonneau J, Kempf M, Asiedu KB, Marsollier L. Buruli ulcer disease in republic of the congo. Emerg Infect Dis 2014; 20:1070-2.
Marion E, Landier J, Eyangoh S, Marsollier L. Buruli ulcer: a dynamic transversal research model performed through the international network of Pasteur Institutes. Med Sci (Paris) 2013; 29:912-7.
Bulson J, Bulson TC, Vande Guchte KS. Hospital-based special needs patient decontamination: lessons from the shower. Am J Disaster Med 2010; 5:353-60.
Matar H, Larner J, Kansagra S et al. Design and characterisation of a novel in vitro skin diffusion cell system for assessing mass casualty decontamination systems. Toxicol In Vitro 2014; 28:492-501.
Li J, Chen J, Kirsner R. Pathophysiology of acute wound healing. Clin Dermatol 2007; 25:9-18.
Enoch S, Leaper DJ. Basic science of wound healing. Surgery 2007; 26:31-7.
Revol M, Servant JM. Cicatrisation dirigée. EMC, Ed Elsevier Masson, Paris 2010; 45-050:1-9.
Debord T, Eono P, Rey JL, Roue R. Risques infectieux chez les militaires en opération. Med Mal Infect 1996; 26: 402-7.
Weller C, Sussman G. Wound Dressings Update. J Pharmacy. Practice and Research 2006; 24:318-24.
Scales JT, Towers AG, Goodman BS. Development and evaluation of a porous surgical dressing. Br Med J 1956; 2:962-8.
Cosker T, Elsayed S, Gupta S, Mendonca AD, Tayton KJJ. Choice of dressing has a major impact on blistering and healing outcomes in orthopaedic patients. J Wound Care 2005; 14:27-9.
Gupta SK, Lee S, Moseley LG. Postoperative wound blistering: is there a link with dressing usage? J Wound Care 2002; 11:271-3.
Bux M, Malhi JS. Assessing the use of dressings in practice. J Wound Care 1996; 5:305-8.
Wong FS. Use of cleansing agents at the peritoneal catheter exit site. Perit Dial Int 2003; 23:S148-52.
Secrétariat général de la défense nationale, République Française. Circulaire n°700/SGDN/PSE/PPS et ses annexes. Doctrine nationale des moyens de secours et de soins face à une action terroriste mettant en œuvre des matières chimiques. 7 novembre 2008.
Secrétariat général de la défense et de la sécurité nationale, République Française. Circulaire n°800/SGDSN/PSE/PPS et ses annexes. Doctrine nationale d’emploi des moyens de secours et de soins face à une action terroriste mettant en œuvre des matières radioactives. 18 février 2011.
Okumura T, Suzuki K, Fukuda A et al. The Tokyo subway sarin attack: disaster management: Community emergency response. Acad Emerg Med 1998; 5:613-7.
Burnat P, Renaudeau C, Ceppa F et al. L’attentat au sarin dans le métro de Tokyo. Faits et enseignements. Médecine et armées 2001; 29:33-40.
Tokuda Y, Kikuchi M, Takahashi O, Stein GH. Prehospital management of sarin nerve gas terrorism in urban settings: 10 years of progress after the Tokyo subway sarin attack. Resuscitation 2006; 68:193-202.
Wolbarst AB, Wiley AL, Neumhauser JB, Christensen DM, Hendee WR. Medical response to a major radiologic emergency: a primer for medical and public health practitioners. Radiology 2010; 254:660-77.
Castle N, Pillay Y, Spencer N. What is the optimal position of an intubator wearing CBRN-PPE when intubating on the floor: a manikin study. Resuscitation 2011; 82:588-92.
Castle N, Owen R, Clark S, Hann M, Reeces D, Gurney I. Comparison of techniques for securing the endotracheal tube while wearing chemical, biological, radiological, or nuclear protection: a manikin study. Prehosp Disaster Med 2010; 25:589-94.
Lamhaut L, Dagron C, Apriotesei R et al. Comparison of intravenous and intraosseous access by pre-hospital medical emergency personnel with and without CBRN protective equipment. Resuscitation 2010; 81:65-8.
Park H, Copeland C, Henry S, Barbul A. Complex wounds and their management. Surg Clin North Am 2010; 90:1181-94.
Ooi A, Chong SJ. Use of adjunctive treatments in improving patient outcome in Fournier’s gangrene. Singapore Med J 2011; 52:e194-7.
Lawrentschuk N, Falkenberg MP, Pirpiris M. Wound blisters post hip surgery: a prospective trial comparing dressing. ANZ J Surg 2002; 72:716-9.
Mabry R, Mcmanus JG. Prehospital advances in the management of severe penetrating trauma. Crit Care Med 2008; 36:S258-66.
Achneck HE, Sileshi B, Jamiolkowski RM, Achneck HE, Sileshi B, Jamiolkowski RM. A comprehensive review of topical hemostatic agents: Efficacy and recommendations for use. Ann Surg 2010; 251:217-28.
Bheirabadi BS, Mace JE, Terrazas IB et al. Safety evaluation of new hemostatic agents, smectite granules, and kaolin-coated gauze in a vascular injury wound model in swine. J Trauma 2010; 68:269-78.