Summary of Changes

1. Removal of 6-hour timeline for categorization of contaminated and dirty/infected wounds.
2. Clarification of acceptable use of tap water for wound lavage.
3. Expanded definition of lavage into low-pressure and high-pressure methods and updated lavage volume guidelines.
4. Removal of wet-to-dry bandages as the standard of care.
5. Addition of concept of moist wound healing and types of moisture retentive dressings, with inclusion of a table that summarizes the characteristics and indications for each dressing.
6. Removal of topical silver sulfadiazine ointment over the wound and using dressings impregnated with ionic or nanoparticle silver instead.
7. Removed recommendation to culture wounds at initial presentation.
8. Removed ciprofloxacin as suggested empirical antibiotic treatment.
9. Added wound photos.