The New England Journal of Medicine has just published the outcomes of the EVRA (Early Venous Reflux Ablation) trial. The findings are that endovenous ablation of superficial venous reflux concurrent with compression when compared to compression therapy alone resulted in shorter venous ulcer healing times
The co-morbidity of diabetes seems to determine whether multi-vessel coronary artery disease is best managed by surgical by-pass or a stenting procedure - the data suggest that this particular group gets most benefit from a by-pass approach to revascularisation. It would be interesting to see
The World Union of Wound Healing Societies has published a new Consensus Document on Surgical Wound Dehiscence. The document has excellent graphics and decision making tools. It covers risk anaylsis, patient and wound assessment, descriptive terminology, preventative modalities and interventions. http://www.woundsinternational.com/consensus-documents/view/surgical-wound-dehiscence-improving-prevention-and-outcomes
Right now millions of people worldwide are living with a non-healing wound. We need to enhance their well-being, providing them with interventions which are evidence based and goal directed. Here at The Wound Guy we want to help you to help them through excellent wound care. Together we
I have come to realise that a chronic wound is skin in organ failure. As with all other organs the key is to determine whether the failure is reversible or not. Once known then the clinician and patient can design an intervention to address the
A recent report on ABC News described a current case of Necrotising Fasciitis in Victoria, Australia. This is a timely reminder to health care clinicians to be mindful of the etiology and presentation of this rare but devastating infection. https://www.cdc.gov/features/necrotizingfasciitis/index.html
Some years back Prof David Armstrong wrote this excellent article for his patients. His advice is just as pertinent 8 years on. Have a read and perhaps share it with your patients too. https://diabeticfootonline.com/2009/09/21/common-foot-problems-and-their-solutions/
The US Association for the Advancement of Wound Care (2015) produced the Wound Care Patient's Bill of Rights. The statements within this document are worthy of consideration as the principles expressed may have a meaningful place within our own individual professional practices. Patients have a right to
Professor Marco Romanelli (Pisa, Italy) was the headline speaker on the Conference's plenary session day. He provided a fascinating summary of the work being done to advance point of care (POC) technologies for the diagnostics and monitoring of chronic / hard-to-heal wounds. Cameras able to
Amanda Steinhauser recently wrote a blog piece (Wound Source August 2017) discussing how accurate outcomes reporting improves patient care. She made an interesting statement