Re: CS>Catfish Fins, How Bad can they be ? COMMENT.

[Brooks Bradley]

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Dear Wayne,
As I am confident you are, already, aware that bacterial agents introduced deep into
the tissue beds (especially via small diameter mechanisms) have a pronounced tendency to close rapidly....thus facilitating a dangerous anerobic environment. Nearly all penetrating wounds of the type you describe, are difficult to treat with direct contact drugs/treatments.....most especially if the insult is not kept open and draining.
The fact that your relative's wound is draining is a very desirable condition. One protocol we have had success with....in our experimental researches (on both humans and horses), is based upon flushing with 3.5% H2O2, followed shortly (within minutes of the ending of the foaming action of the H2O2) by direct irrigation with 90%, by volume, of 20 ppm CS mixed with 10%, by volume, of full-strength DMSO. We determined the most effective methodology for introducing the DMSO X CS mixture, deeply, to be through the use of a conventional hypodermic syringe assembly, slightly modified by cutting the sharp tip of the needle off with quality side-cutting pliers. Inserting the sharpened end of a round toothpick in the needle end, before clipping....will produce a much
better result----and also easier to dress down with fine sandpaper. It is a simple matter to insert the blunted needle as far as the puncture aperture will accomodate-----and slowly discharge the CS X DMSO mix into the insult. If the area is intensely populated with nerves, or the subject has a very low pain tolerance, adding about 1 cc of 2% Lidocaine, Procaine, etc.....for every 20 cc of CS X DMSO mixture, will allow the subject to endure the protocol much more easily. We have experienced very acceptable results, using this protocol,on volunteers presenting with deep penetrating wounds (sometimes over 3" in depth)......many of which were of a type precluding proper cleaning and debris removal.
Sincerely, Brooks.
P.S. Best results presented from protocol repetitions every three hours (excepting night-time) for the first two days.

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