Bmj Usa: Editor's Choice

Not so simple after all

BMJ 2003; 327 doi: (Published 19 November 2003) Cite this as: BMJ 2003;327:E149

From BMJ USA 2002;October:533

More is not always better, as controlled trials in this issue demonstrate. Quinn et al find that small hand lacerations heal just as well without sutures (BMJ USA p 556). Lenhardt et al show that intravenous catheters can be inserted more easily by warming the skin beforehand (BMJ USA p 572). Girou et al report that an alcohol-based solution cleans the hands just as well as antiseptic soap (BMJ USA p 572). Henry David Thoreau, sitting by Walden Pond and praising simplicity, nods in agreement.

But on closer examination, the material in this issue reminds us that things are not always so simple. Rapid responses to Quinn et al emphasize that the findings apply only to small, uncomplicated lacerations …

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