Evidence map›Paper›PMID 41378266›Full record

ReviewCureus2025

Tap Water vs. Sterile Saline for Irrigation of Traumatic Soft-Tissue Wounds in the ED.

Henry Mills, Nikhil Pandit, Lucky Jeyaseelan, Amit Patel

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Henry MillsBarts Bone and Joint Health, The Royal London Hospital, Barts Health NHS Trust, London, GBR.
Nikhil PanditBarts Bone and Joint Health, The Royal London Hospital, Barts Health NHS Trust, London, GBR.
Lucky JeyaseelanBarts Bone and Joint Health, The Royal London Hospital, Barts Health NHS Trust, London, GBR.
Amit PatelBarts Bone and Joint Health, The Royal London Hospital, Barts Health NHS Trust, London, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Traumatic wounds are a common presentation in EDs and are routinely irrigated to reduce infection risk. Sterile saline (SS) is traditionally used, though tap water (TW) may offer advantages in cost, availability, and environmental sustainability. A narrative review was conducted using PubMed and Google Scholar (August 2025) to identify systematic reviews, randomized controlled trials, observational studies, and guidelines comparing TW and SS for traumatic wound irrigation in emergency settings. Outcomes assessed included infection rates, cost, environmental impact, workflow efficiency, and accessibility. Evidence from randomized trials and a recent systematic review demonstrates no significant difference in infection rates between TW and SS, with some studies favoring TW. These findings, combined with the considerable reductions in cost and environmental impact, along with the greater practicality of TW, suggest it is a safe and effective alternative when potable water is available. Remaining concerns relate mainly to water quality and clinician acceptance, particularly in regions where water quality is variable. Additional multicenter high-quality studies are needed to clarify any absolute infection differences and to explore TW implementation across diverse clinical and resource contexts.

Indexed as

acute traumatic woundhealthcare efficiencyhospital tap waterirrigationlow-cost healthcaremedical wastetap waterwashoutwaste managementwound infection rate

Identifiers

PMID41378266
PMCPMC12687665

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.