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Current concepts for oil decontamination of crush injuries: a review

Karimkhani, Chante; Amir, Mahsa; Dellavalle, Robert; Ipaktchi, Kyros

This anecdotal, non-systematic review serves to explore the principles and methods of effective oil decontamination from cutaneous wounds, particularly crush injuries. The current expansion of the petroleum industry is necessary to meet increasing world demands for oil. Most stages of oil refining and applications involve significant injury risks, particularly for crush injuries that become contaminated with petroleum compounds. A literature review regarding a standard of care for effective cutaneous oil decontamination is lacking. Based on case reports, animal models, and in vitro studies identified in our expert opinion review, standard water and soap cleansing may not be an appropriate approach. Instead, the principle of ‘like dissolves like’ guides the use of lipophilic, petroleum-derived solvents to attract and subsequently dissolve the petroleum contaminant from the skin injury. Limitations include
paucity of and dated literature sources regarding the topic as well as no models specifically addressing crush injuries. Our literature review found that oil decontamination of cutaneous injuries may be best accomplished
with oil-based cleansers. Certainly, this topic has significant importance for the potentially carcinogenic petroleum compounds that pervade virtually every aspect of modern human life.

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Also Published In

Title
Patient Safety in Surgery
DOI
https://doi.org/10.1186/1754-9493-8-22

More About This Work

Academic Units
College of Physicians and Surgeons
Published Here
September 23, 2014

Notes

Dermatology, Cutaneous wound, Crush injuries, Petroleum, Skin decontamination, Like dissolves like, Lipophilic, Solvent