10/26/22, 10:42 AM Why Are Scrubs Usually Green or Blue?

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Why Are Scrubs Usually Green or Blue?

Written by BoardVitals
Nov 14, 2019 / Surgery

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Have you ever wondered why green or blue scrubs are usually worn in the operating room? While this may seem insignificant,
this practice can actually determine the success of a surgical operation.
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Surgeons haven’t always donned scrubs in the operating room — in fact, it wasn’t until the 1918 flu pandemic and the rise of
the antiseptic theory that led to the use of surgical masks, rubber gloves, antiseptic drapes, gowns, and caps in the operating
room. Soon after, surgeons began to wear white while operating to associate themselves with the color of cleanliness.

It was during this time in the early 20th century, that surgeons began
to realize issues with their seemingly harmless white scrubs. The
problem is that an immaculate white color can actually blind
surgeons for several moments if they shift their gaze from the dark
color of blood to the scrubs of their colleagues. The same effect
occurs when you first go outside in winter and see the sunlight
reflected off snow.

It came to the point that during surgery, doctors began to get

headaches from staring at the white scrubs of their colleagues for too
long. In 1914, one influential doctor switched to green scrubs when
operating because he thought it would be easier on his eyes, according to an article in a 1998 issue of Today’s Surgical Nurse.

Eventually, surgeons all across the world began to trade in their white scrubs for blue or green. This also made it easier for
employees at hospitals who had the very difficult job of trying to remove blood stains from doctors garments.

Complementary Colors
However, this still doesn’t explain why surgeons chose green and blue
as the primary colors for their scrubs and not purple or yellow. The
fact is that green and blue are the opposite of red on the spectrum of

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visual light, and during an operation, a surgeon is nearly always

focusing on red colors. Green is well-suited to help doctors see better
in the operating room because it is the exact opposite of red on the
color wheel.

Because of this, the green and blue colors not only help to improve a
surgeon’s visual acuity but also make them more sensitive to different
shades of red. Consequently, it helps them pay greater attention to
the nuances of human anatomy, which significantly reduces the
likelihood that they’ll make a mistake during an operation.

Distracting Images
Another
reason has to
do with a surgeon’s deep focus on red during an operation. Red can
lead to distracting green illusions on white surfaces. So if a surgeon
shifts his glance from bloody organs to a white lab coat, a green
illusion of the patient’s red insides may appear on the white
background. The distracting image would follow the surgeon’s gaze
wherever he looks, similar to the floating spots we see after a camera
flash.

The phenomenon occurs because white light contains all the colors of
the rainbow, including both red and green. But the red pathway is still

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tired out, so the red versus green pathway in the brain signals “green.” However, if a doctor looks at green or blue scrubs
instead of white ones, these distracting images will blend right in and not become an issue, according to Paola Bressan, who
researches visual illusions at the University of Padova in Italy.

Why are they Called Scrubs?

Scrubs are named after the cleaning process that comes before performing surgery, “scrubbing in”. Scrubs have been used in
healthcare settings since around the 20th century. Before scrubs, surgeons would just wear their own clothing and an apron
or butcher’s apron. They also used no gloves and non-sterile surgical tools.

Why did they Start Wearing Scrubs?

Surgeons began wearing scrubs and using sterile technique after Lister came out with an antiseptic theory, inspired by
learnings from the Spanish flu of 1918. True sterile technique was not used until around the 1940’s.

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Check out some of our other interesting healthcare history posts:

10 Noteworthy Women Physicians who Made History

History of Nursing Uniforms Being White

10 Extraordinary Physicians of Color

7 Famous People You Never Knew Were Doctors and Nurses

Tags: SURGEON

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