NOLS Wilderness Medicine Wilderness First Responder (WFR) Practice Test

Irrigation with clean water is recognized as the proper method for cleaning a wound because it effectively removes debris, bacteria, and contaminants without causing additional trauma to the tissue. This gentle flushing promotes a cleaner wound bed, reducing the risk of infection and aiding in the healing process. Clean water is ideal because it is non-irritating and does not leave harmful residues that could exacerbate the injury or lead to irritation.

While using alcohol wipes might seem like a good option due to their antiseptic properties, they can potentially irritate the wound and surrounding tissue, which may hinder healing and create further discomfort. Applying ointment without prior irrigation fails to adequately clean the wound, as it could trap debris or pathogens beneath the medication, posing an increased risk of infection. Scrubbing with soap is too aggressive for open wounds and can cause additional trauma and discomfort, which is counterproductive to the healing process. Thus, irrigation with clean water is the most effective and safe method for cleaning wounds in a wilderness medicine context.

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