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How to apply Steri-Strips with Mastisol

Discussion in 'Bush Medicine' started by Jason, Aug 17, 2014.

  1. Jason

    Jason Founder Staff Member Administrator Vendor

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    This is a question I've been asked more than once so I figure it's time for a thread.

    Standard Disclaimer: Always seek professional medical care when sustaining a wound bad enough to require closure, however if you're in the field this is a good technique to get you home without using potentially harmful techniques such as tape, field suturing, etc... A warning about mastisol if you decide to buy it, make sure to dab a drop or two on your skin and leave it for at least a day or more before you try it on a wound. Some people are very allergic and the local reaction can complicate the wound healing. I see it in about 1 in 200 patients I use it on.

    In a nutshell, just place a 1 cm wide stripe of mastisol about 1cm from the wound margin parallel with the wound. Then let the adhesive dry for about 20 seconds and run the Steri-Strips across the wound to keep it closed. Do not create too much tension when applying the strips or you will cause the skin to break down and blister. What I do is adhere one side of the strip and gently pull the wound closed and then apply the other side, this is usually sufficient to close the wound without much tension. This works with most wounds but if it's a large "gaping" wound you won't be able to close it like this. That is why when we suture it must be done in multiple layers. Be sure to clean/irrigate the area thoroughly and and disinfect the skin. I consider this combination one of the most important and commonly used items in my first aid kit.

    How to apply mastisol:

    https://www.youtube.com/watch?v=oHwsVYnP42Q

    How to apply Steri-Strips:

    https://www.youtube.com/watch?v=C5m0CYCt59E
    (If using mastisol it is not necessary to add the second set of strips that runs parallel to the wound)

    Found on Amazon here:

    http://www.amazon.com/Mastisol-Medical-Liquid-Adhesive-Vials/dp/B006TKM2JC#
    (I highly recommend the ampules since they stay sterile and can easily be kept in a first aid kit)

    If you are allergic or cannot use mastisol then benzoin also works but doesn't hold as well in my opinion. Mastisol is a far superior adhesive and is more resistant to wear and moisture.

    I carry and recommend this brand and size of Steri-Strips:

    3M Steri Strip Skin Closures 1/4'' X 3'' -Package of 3
    http://www.amazon.com/3M-Steri-Strip-Skin-Closures/dp/B00BMU6CWW/ref=sr_1_1?ie=UTF8&qid=1408298190&sr=8-1&keywords=3M+steri-strips

    3M Steri-Strip Skin Closures 1/2" x 4" -Package of 6
    http://www.amazon.com/3M-Steri-Strip-reinforced-Skin-Closures/dp/B004WFXCSQ/ref=sr_1_2?ie=UTF8&qid=1408298190&sr=8-2&keywords=3M+steri-strips
    Look around and you can find different quantities and prices, these are just examples I found. If you only want to have one size then go with 1/4x3" I use these the most. The 1/2x4" is for larger wounds/longer wounds.
     
    Last edited: Aug 17, 2014
  2. One Legged Josh

    One Legged Josh Dirt Merchant Supporter Bushclass I Bushclass Instructor

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    Welcome to the forum, good info, thanks for posting.
     
  3. adkwalker

    adkwalker Bushmaster

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    Thank you that was very informative learn something new every day
    Kevin
     
  4. Kurt992

    Kurt992 Guide Lifetime Supporter Bushclass II

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    Thanks for the info Jason.

    I just pulled this off of the Walgreens web site. Is this what I should be looking for?

    image.jpg
     
    Last edited: Aug 17, 2014
  5. Pastor Chris

    Pastor Chris Hardwoodsman #7 Hobbyist Supporter Bushcraft Friend Bushclass II

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    Thanks for the info. Can you comment on the use of this as opposed to compound tincture of benzoin for the same purpose of helping steri strips adhere better? The latter is much cheaper on amazon, though neither is terribly expensive relative to the amount most of is would use. Thanks in advance.
     
  6. jimi

    jimi Scout

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    Thanks for the tip.
     
  7. backwoodstrails

    backwoodstrails anatidaephobic Supporter

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  8. GunGoBoom

    GunGoBoom I'm not lost, I've just misplaced myself. Supporter Bushclass I

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    You may be a doctor but that doesn't mean you know...oh wait...okay fine :4:. All joking aside, thanks for the info.
     
  9. Jason

    Jason Founder Staff Member Administrator Vendor

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    Original post updated with benzoin info and recommended brand of strips.
     
  10. glen1100

    glen1100 Supporter Supporter

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    Thanks for the information
     
  11. Jason

    Jason Founder Staff Member Administrator Vendor

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    Maybe Terry Barney will tell the story of how I literally saved his life with Steri-Strips in the woods. I'll never forget that day. There was blood everywhere, he was screaming out in pain and a single tear rolled down his cheek. When he looked at me I could tell he knew he was going to die as he mouthed the words "I love you". But then I applied 3 Steri-Strips to his foot and he was fine.
     
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  12. Sgt. Mac

    Sgt. Mac Elder Staff Member Administrator Supporter Bushclass I Bushclass II Bushclass Instructor

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    Thanx Jason thats real good info that everyone on here should read about wound care. Just a quick question, all that cm stuff, whats that in English?
     
  13. Jason

    Jason Founder Staff Member Administrator Vendor

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    The width of your little finger.
     
  14. MtnNomad

    MtnNomad Guide Bushclass I

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    Thanks for the Info. I will have to give this a try. Out of Benzoin swabs
     
  15. Sgt. Mac

    Sgt. Mac Elder Staff Member Administrator Supporter Bushclass I Bushclass II Bushclass Instructor

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    Ha Ha Ha!! I literally LOLed. Oh crap I cant see and I think I peed my self Ha Ha HA!! Terry's gonna Monkey stomp you for that one!!
     
  16. Sweeneyguy

    Sweeneyguy Supporter Supporter Bushcraft Friend Bushclass II

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    Yeah, seriously.... Hide your gear man.



    Great info man! I'll be updating my kit.
     
  17. Mr.Black

    Mr.Black WILDEROXEN Tracker Pack #1 Lifetime Supporter Bushclass I Bushclass Instructor

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    Im with Mac on that Maybe the Funniest thing I have ever read on the Internet!!! You should stop by the intro page and tell us a little about yourself I like yer style
     
  18. One Legged Josh

    One Legged Josh Dirt Merchant Supporter Bushclass I Bushclass Instructor

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    I can confirm the good Dr's accounts of the situation. I was there. :)
     
  19. IA Woodsman

    IA Woodsman Overwatch Moderator Staff Member Super Moderator Vendor Bushclass Instructor

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    Great story, that is exactly how it happened.
     
  20. prmedic

    prmedic Tracker

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    Hahaha wow that's funny
     
  21. CT03

    CT03 Scout

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    Steri Strips are the bomb... takes care of most of those cuts where you used to have to get stiches but now they can do so without having to poke a dozen holes into the sides of the wound.
     
  22. Mr.Black

    Mr.Black WILDEROXEN Tracker Pack #1 Lifetime Supporter Bushclass I Bushclass Instructor

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    Bump for the new Guy
     
  23. Medic17

    Medic17 Supporter Supporter Bushclass I

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    Bumping a old thread- it is a good read.
     
    actichy, backlasher and rsnurkle like this.

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