Ari e pressman md received his doctor of medicine from the university of ottawa canada he completed sub specialty training in sports medicine. Backgroundthe management of open fractures requires wound irrigation and dbridement to remove contaminants but the effectiveness of various pressures and solutions for irrigation remains controversial we investigated the effects of castile soap versus normal saline irrigation delivered by means of high low or very low irrigation pressure. 4 technology must haves for better documentation and patient care new healthcare policies whether federally mandated payer mandated or internally mandated are pushing providers toward taking on more financial risk through various value based reimbursement models a trend that is driving healthcare leaders to find and implement innovative clinical practices that improve patient health at
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