John P. Cunha, DO, is a U.S. board-certified Emergency Medicine Physician. Dr. Cunha's educational background includes a BS in Biology from Rutgers, the State University of New Jersey, and a DO from the Kansas City University of Medicine and Biosciences in Kansas City, MO. He completed residency training in Emergency Medicine at Newark Beth Israel Medical Center in Newark, New Jersey.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
The first step in the care of cuts, scrapes (abrasions) is to stop the bleeding. Most wounds respond to direct pressure with a clean cloth or bandage. Hold the pressure continuously for approximately 10
to 20 minutes. If this fails to stop the bleeding or if bleeding is rapid, seek medical assistance.
Next, thoroughly clean the wound with soap and water. Remove any foreign material
in the wound, such as dirt, or bits of grass, which may lead to infection. Tweezers
can be used (clean them with alcohol first) to remove foreign material from the wound edges, but do not dig into the wound as this may push bacteria deeper into the wound
or injure subcutaneous (under the skin) structures.
The wound may also be gently scrubbed with a washcloth to remove dirt and debris. Hydrogen peroxide and povidone-iodine (Betadine) products may be used to clean the wound initially, but may inhibit wound healing if used long-term.
Cover the area with a bandage (such as gauze or a Band-Aid) to help prevent infection and dirt from getting in the wound. A first aid antibiotic ointment
(Bacitracin, Neosporin, Polysporin) can be applied to help prevent infection and keep the wound moist.
Continued care to the wound is also important. Three times a day, wash the area gently with soap and water, apply an antibiotic ointment, and
re-cover with a bandage. Change the bandage immediately if it gets dirty or wet.
The Mexican Pipeline: Surfing Medical Emergency in Mexico
As I packed my bags with a week's supply of bikinis and clothes for hot
humid weather, and three boards in tow; the excitement of a surf trip to Mexico filled my mind. A good friend's birthday celebration and the X Games surfing competition being
held with predictions of a large south swell were just some of the highlights I
was looking forward to. Puerto Escondido, Mexico was the destination. This was my first time venturing down to this particular part of mainland Mexico that
has such powerful surf; known as the "Mexican Pipeline."
Despite the tales and warnings I received from other surfers about the place, I
was ready for an adventure. Little could I have predicted that I would receive
more "adventure" on this surf trip than I had anticipated.